Key result
No single spiritual intervention was identified as effective in enhancing quality of life in patients with heart failure, with life review and relaxation/meditation appearing ineffective.
Why the study?
Heart failure patients experience high spiritual distress and desire spiritual support, yet it is rarely provided, creating a need to identify how spiritual care can be meaningfully integrated into multidisciplinary care.
Do spiritual interventions improve quality of life in patients with heart failure?
Do spiritual interventions improve quality of life in patients with heart failure?
Despite high levels of spiritual distress in heart failure patients, current literature from 2014-2019 shows no single spiritual intervention is definitively effective for improving quality of life, highlighting the need for well-designed RCTs.
Spiritual interventions should not yet alter heart failure care; this review leaves open whether refined approaches merit prospective trials.
PURPOSE OF REVIEW: The burden of heart failure is significant and its management is complex. Current evidence confirms a high level of spiritual distress and a strong desire for spiritual support, which is endorsed by healthcare policy, yet spiritual support is rarely provided for this patient group. There is a need to identify how spiritual support might be meaningfully included within holistic heart failure multidisciplinary care and how its effectiveness might be demonstrated. RECENT FINDINGS: A literature review was undertaken to identify recent evidence (2014-2019) of the spiritual care needs of heart failure patients/carers and the nature and effectiveness of spiritual interventions in heart failure care. SUMMARY: Taken as a whole, studies exploring heart failure patients'/carers' needs reflected the broad spectrum of spirituality as defined by international consensus, however, some studies focused on only some aspects of spirituality and on advanced disease. All studies were limited. No single spiritual intervention was identified as effective in enhancing quality of life in patients with heart failure. Life review and relaxation/meditation appeared ineffective. Interventions, which included elements of 'talking' about spiritual matters, 'spiritual coping' and those involving a holistic person-centred team approach to care of which spiritual care was an aspect, are worth investigating further in well designed randomized controlled trials.
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Ross et al. (2019) conducted a review in Heart failure. Spiritual interventions was evaluated on Quality of life. No single spiritual intervention was identified as effective in enhancing quality of life in patients with heart failure, with life review and relaxation/meditation appearing ineffective.
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