Heart failure (HF) is a global health problem with over 26 million people affected, leading to high morbidity and mortality, especially in older adults. A review of interventions to improve the quality of life (QoL) of HF patients is critically examined. The current review includes ten studies (2020–2024) involving interventions of home-based palliative care, psychoeducational programs, digital health interventions, eHealth self-care and lifestyle walking programs. The results demonstrated that both home-based palliative care and psycho-educational approaches significantly improved QoL, dealing with physical, psychological and social needs and reduction of hospital readmissions. Promising outcomes of digital and eHealth interventions for symptom management and self-care behaviors were found, but also mixed effects of digital and eHealth interventions on QoL. Increased daily physical activity was the result of these lifestyle walking interventions which however had limited impact on functional capacity. While some results are not consistent, the evidence reinforces the capacity of these complex strategies to make positive influences for patients’ well-being and to relieve healthcare burdens. Such decisions require further research to refine specific aspects and further knowledge about the issues underlying existing gaps and to guide both the policy and practice of interventions for individuals with lower functioning levels. These effective interventions could be integrated in to routine HF management in order to improve patient outcomes and guide resource allocation for improved healthcare delivery.

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Intervention Approaches and Effectiveness for Enhancing Quality of Life of Patients with Heart Failure: A Review of Related Studies

  • Nidal Eshah,
  • Ahmad Rayan,
  • Anas Khalifeh,
  • Malak Salim,
  • Ahlam Ali,
  • Diaa Basbous,
  • Maryam Al-Shuraidah,
  • Sabreen Al-Rawashdeh,
  • Yasmine Al-Atoum

摘要

Heart failure (HF) is a global health problem with over 26 million people affected, leading to high morbidity and mortality, especially in older adults. A review of interventions to improve the quality of life (QoL) of HF patients is critically examined. The current review includes ten studies (2020–2024) involving interventions of home-based palliative care, psychoeducational programs, digital health interventions, eHealth self-care and lifestyle walking programs. The results demonstrated that both home-based palliative care and psycho-educational approaches significantly improved QoL, dealing with physical, psychological and social needs and reduction of hospital readmissions. Promising outcomes of digital and eHealth interventions for symptom management and self-care behaviors were found, but also mixed effects of digital and eHealth interventions on QoL. Increased daily physical activity was the result of these lifestyle walking interventions which however had limited impact on functional capacity. While some results are not consistent, the evidence reinforces the capacity of these complex strategies to make positive influences for patients’ well-being and to relieve healthcare burdens. Such decisions require further research to refine specific aspects and further knowledge about the issues underlying existing gaps and to guide both the policy and practice of interventions for individuals with lower functioning levels. These effective interventions could be integrated in to routine HF management in order to improve patient outcomes and guide resource allocation for improved healthcare delivery.