心力衰竭的精神性:2014年至2019年的文献回顾，以确定精神护理需求和精神干预措施。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2019-11-12 DOI:10.1097/SPC.0000000000000475

L. Ross, J. Miles

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引用次数: 17

摘要

心力衰竭的负担很大，治疗也很复杂。目前的证据证实了高度的精神痛苦和对精神支持的强烈渴望，这是医疗保健政策所认可的，但很少为这一患者群体提供精神支持。有必要确定精神支持如何在整体心力衰竭多学科治疗中有意义地纳入，以及如何证明其有效性。对心力衰竭患者/护理人员的精神护理需求以及心力衰竭护理中精神干预的性质和有效性进行文献综述，以确定最近的证据(2014-2019)。总体而言，探索心力衰竭患者/护理人员需求的研究反映了国际共识所定义的广泛的精神层面，然而，一些研究只关注精神层面的某些方面和晚期疾病。所有的研究都是有限的。没有单一的精神干预被确定为有效地提高心力衰竭患者的生活质量。生活回顾和放松/冥想似乎无效。干预措施，包括“谈论”精神问题，“精神应对”以及涉及以人为本的整体团队护理方法的干预措施，其中精神护理是一个方面，值得在精心设计的随机对照试验中进一步研究。

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Spirituality in heart failure: a review of the literature from 2014 to 2019 to identify spiritual care needs and spiritual interventions.

PURPOSE OF REVIEW The burden of heart failure is significant and its management is complex. Current evidence confirms a high level of spiritual distress and a strong desire for spiritual support, which is endorsed by healthcare policy, yet spiritual support is rarely provided for this patient group. There is a need to identify how spiritual support might be meaningfully included within holistic heart failure multidisciplinary care and how its effectiveness might be demonstrated. RECENT FINDINGS A literature review was undertaken to identify recent evidence (2014-2019) of the spiritual care needs of heart failure patients/carers and the nature and effectiveness of spiritual interventions in heart failure care. SUMMARY Taken as a whole, studies exploring heart failure patients'/carers' needs reflected the broad spectrum of spirituality as defined by international consensus, however, some studies focused on only some aspects of spirituality and on advanced disease. All studies were limited. No single spiritual intervention was identified as effective in enhancing quality of life in patients with heart failure. Life review and relaxation/meditation appeared ineffective. Interventions, which included elements of 'talking' about spiritual matters, 'spiritual coping' and those involving a holistic person-centred team approach to care of which spiritual care was an aspect, are worth investigating further in well designed randomized controlled trials.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.