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Components of heart failure management in home care: a literature review
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. University of Groningen, The Netherlands .
University of Groningen, The Netherlands .
University of Groningen, The Netherlands .
University of Groningen, The Netherlands .
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2013 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, no 3, 230-241 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients with heart failure (HF) need long-term and complex care delivered by healthcare professionals in primary and secondary care. Although guidelines on optimal HF care exist, no specific description of components that are applied for optimal HF care at home exist. The objective of this review was to describe which components of HF (home) care are found in research studies addressing homecare interventions in the HF population.

METHODS: The Pubmed, Embase, Cinahl, and Cochrane databases were searched using HF-, homecare services-, and clinical trial-related search terms.

RESULTS: The literature search identified 703 potentially relevant publications, out of which 70 articles were included. All articles described interventions with two or more of the following components: multidisciplinary team, continuity of care and care plans, optimized treatment according to guidelines, educational and counselling of patients and caregivers, and increased accessibility to care. Most studies (n=65, 93%) tested interventions with three components or more and 20 studies (29%) used interventions including all five components.

CONCLUSIONS: There a several studies on HF care at home, testing interventions with a variety in number of components. Comparing the results to current standards, aspects such as collaboration between primary care and hospital care, titration of medication, and patient education can be improved.

Place, publisher, year, edition, pages
Sage Publications, 2013. Vol. 12, no 3, 230-241 p.
Keyword [en]
Continuity of care, evidence based, heart failure, home care, review
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-99823DOI: 10.1177/1474515112449539PubMedID: 22707520OAI: diva2:658290
Available from: 2013-10-21 Created: 2013-10-21 Last updated: 2013-10-30Bibliographically approved

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Jaarsma, TinyStrömberg, Anna
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Division of Health, Activity and CareFaculty of Health SciencesDivision of Nursing ScienceDepartment of Cardiology in Linköping
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