Preliminary Results of an Integrative Literature Review on Nursing Interventions for the Self-Care in the Context of Heart Failure

Monday, 22 July 2013

Maria-Cecilia Gallani, PhD1
Natalia Gonçalves, RN, MSc2
Sophie Boisvert, RN2
Alexandra Proulx Belhumeur2
Julie Francoeur, RN, APN3
(1)Faculté des sciences infirmières, Université Laval, Québec, QC, Canada
(2)Faculty of Nursing, Laval university, Quebec, QC, Canada
(3)Ambulatory of Heart Failure, Institute universitaire de cardiologie et pneumologie de Québec, Québec, QC, Canada

Learning Objective 1: The learner will be able to know what kind of nursing interventions have been proposed to optimise the self-care in the context of heart failure

Learning Objective 2: The learner will be able to compare the characteristics of nursing intervention, the use of theoretical back-ground, design of interventions and results.

Purpose: This study is aimed to present the preliminary results of an integrative literature review about nursing interventions applied to heart failure patients designed to increase or improve the practice of self-care.

Methods: A search of PUBMED and CINAHL databases was conducted using the combination of the descriptors: self-care, heart failure and intervention, for the period from 2001-2012. We found 124 abstracts, of which 45 articles were included.

Results: The preliminary analysis of the studies target 11 articles with an experimental design. The majority of them (7/11) described interventions piloted by nurses. In other studies, interventions were conducted in collaboration by nurses and dietician or with patients as mentors. Four studies utilized the strategy of telehealth, and only eight publications explicitly mentioned the theoretical background for the development of the interventions.

Conclusion: the results of this review may help in identifying the type of intervention are currently performed for heart failure patients and to contribute to the elaboration of new studies of intervention. The continuity of this review could point to cues to other types of interventions that can be tested in experimental designs, contributing to the educational activity of the nurse implied at the follow-up the heart-failure patient.