The Impact of Self-Care and Family Support in Managing Heart Failure

The Impact of Self-Care and Family Support in Managing
Heart Failure
Name
Institution
Outline
1. HF Management
2. Findings from Evidence
3. Critical Appraisal
4. Limitation of Findings
5. Recommendations
Heart Failure Management
RecommendationsHF is a dysfunction in cardiovascular system created by insufficiency in oxygen
supply (Deek et al., 2017)
Patients who receive adequate education on self-care experience reduced HF
symptoms and readmission rates. Clinical practice that emphasize on family
support can address issues such as social isolation & depression. Support
further improves self-care behavior and medication adherence (Moon, Yim &
Jeon, 2018).
HF is a dysfunction in cardiovascular system created by insufficiency in oxygen
supply (Deek et al., 2017)
Patients who receive adequate education on self-care experience reduced HF
symptoms and readmission rates. Clinical practice that emphasize on family
support can address issues such as social isolation & depression. Support
further improves self-care behavior and medication adherence (Moon, Yim &
Jeon, 2018).
• practice needs to incorporate family
educational sessions with telephone self-
management program.
Clinical
practice
• HF patients require additional support
from family and nurses to mitigate
readmission.
Education
• There is need to expand research to cover
wider patient population groups.Research
Critical Appraisal:
Level 1LOE
Study by Lim et al., (2018) is a
secondary analysis of a
randomized control and the
highest level of evidence.
Systematic review of 120 RCT
studies and hence, a level I
LOE.
Meta analysis of 20 RCT studies
(Jonkman et al., 2016) and
hence, a first level of evidence.
Toukhsati et al., (2019) conduct
a meta-analysis of RCT studies
on self-care interventions with a
first level of evidence.
Critical Appraisal:
Level II LOE
Deek et al., conducted the first
RCT that involved family in HF
management.
Moon, Yim & Jeon (2018) have a
RCT involving self-management
education program is a second
level of evidence.
RCT study and level II in LOE
(Odom et al., 2017).
Draacup et al., study is a Level II
RCT to guide nursing care.Education of self-care management among families reduce the risk of
readmission to the hospital (Deek et al., 2017).
Multidisciplinary disease management including personalized
education and regular assessment is effective HF intervention in both
exercise and non-exercise based treatments (Lim et al., 2018).
Telephone based self-management program produces better
treatment outcomes for HF patients (Moon, Yim & Jeon, 2018).
Self-management education program that includes self-care behavior
improves quality of life in HF patients (Abbasi, Ghezeljeh & Farahani,
2018).
Self-management interventions has beneficial effect on HF
hospitalization. According to these findings it also reduces mortality
and increase QOL (Jonkman et al., 2016).
Self-care interventions improve patient-self care and reduce hospital
readmissions although with variable efficacy according to findings by
Toukhsati et al., (2019)
Evidence by Odom et al., (2017) reveals that family focused
intervention reduces social isolation and vulnerability to poor self-
care.
Family focused supportive intervention is an effective method to
improve self-care behaviors in HF patients as indicated from study
by Shariari et al., (2014).
Face to face education sessions for family and patients reduces
cardiac mortality and hospitalization according to Drascup et al.,
(2014).Limitations of Findings
Distribution of groups was unevenly distributed in the first RCT by Deek et
al., (2017).
Study by Lim et al., (2018) was performed in a small population while
patients with limited mobility were not included.
Difficult to implement programs proposed by Moon, Yim & Jeon (2018) in
areas with limited communication channels.
Fourth study failed to investigate the impact of depression and social
support in the education program.
Odom et al., (2017) fails to integrate the varying caregiving situations
such as distress and burden.
Evidence limited to studies indexed in PubMed and CINAHL.
Limitations of Findings
Distribution of groups was unevenly distributed in the first RCT by Deek et
al., (2017).
Study by Lim et al., (2018) was performed in a small population while
patients with limited mobility were not included.
Difficult to implement programs proposed by Moon, Yim & Jeon (2018) in
areas with limited communication channels.
Fourth study failed to investigate the impact of depression and social
support in the education program.
Odom et al., (2017) fails to integrate the varying caregiving situations
such as distress and burden.
Evidence limited to studies indexed in PubMed and CINAHL.