Components of heart failure management in home care; a literature review

Tiny Jaarsma, Maaike Brons, Imke H. Kraai, Marie Louise Luttik, Anna Stromberg

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.

Keywords

  • continuity of patient care
  • heart failure
  • home care services
  • humans
  • patient care team
  • patient education as topic

Cite this

@article{2d9aa50e4fcf40a8868fc9b40496ca90,
title = "Components of heart failure management in home care; a literature review",
abstract = "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.",
keywords = "continuity of patient care, heart failure, home care services, humans, patient care team, patient education as topic, hartverlamming, thuiszorg, pati{\"e}ntenzorg , pati{\"e}ntenvoorlichting, onderzoekshulp",
author = "Tiny Jaarsma and Maaike Brons and Kraai, {Imke H.} and Luttik, {Marie Louise} and Anna Stromberg",
year = "2013",
month = "6",
doi = "10.1177/1474515112449539",
language = "English",
volume = "12",
pages = "230--241",
journal = "European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology",
issn = "1474-5151",
publisher = "Elsevier",
number = "3",

}

Components of heart failure management in home care; a literature review. / Jaarsma, Tiny; Brons, Maaike; Kraai, Imke H.; Luttik, Marie Louise; Stromberg, Anna.

In: European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, Vol. 12, No. 3, 06.2013, p. 230-241.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Components of heart failure management in home care; a literature review

AU - Jaarsma, Tiny

AU - Brons, Maaike

AU - Kraai, Imke H.

AU - Luttik, Marie Louise

AU - Stromberg, Anna

PY - 2013/6

Y1 - 2013/6

N2 - 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.

AB - 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.

KW - continuity of patient care

KW - heart failure

KW - home care services

KW - humans

KW - patient care team

KW - patient education as topic

KW - hartverlamming

KW - thuiszorg

KW - patiëntenzorg

KW - patiëntenvoorlichting

KW - onderzoekshulp

U2 - 10.1177/1474515112449539

DO - 10.1177/1474515112449539

M3 - Article

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SP - 230

EP - 241

JO - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

JF - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

SN - 1474-5151

IS - 3

ER -