Key result
Heart failure patients report moderate to high unmet needs across educational, emotional, and health care domains.
Why the study?
Heart failure prevalence and care costs are increasing, and ineffective disease management leads to morbidity and repeated hospitalizations, necessitating understanding of patient care needs.
Systematic Review (n=53,299)
Patients with heart failure experience significant unmet educational, psychological, and social care needs, emphasizing the importance of multidisciplinary support systems and individualized care planning.
May warrant routine needs assessment in HF care; confirms high unmet needs across domains and leaves open effective interventions.
Heart failure is the leading public health concern as its prevalence increases and the cost of care increases dramatically due to poor prognosis. Ineffective disease management can increase morbidity and lead to repeated hospitalizations. The aim of this systematic review was to determine the care needs of patients treated for heart failure. The databases of PubMed, Medline, Scopus, Cochrane, Google Scholar, and Persian databases including SID, Iran Medex, and Magiran were searched until January 2022 to identify relevant articles. The included studies were descriptive, analytical, cross-sectional and qualitative studies, which were conducted on care needs and heart failure disease. Out of 1,199 relevant published studies, a total of 16 studies were finally systematically reviewed. The quality of the articles was assessed by three researchers using the Mixed Methods Appraisal Tool (MMAT). The data were analyzed qualitatively. Sixteen studies involving 53,299 heart failure patients were included in the study. The findings from researches indicated a moderate to high level of unmet needs in the area of care which consists of health care needs, educational and learning needs, emotional, social and psychological needs and support, counselling and home care services and some special needs for women. This study highlights the need for provision of care in several areas and these require need assessment, management, decision-making, and care planning. Importantly, the provision of a support system to help patients cope during illness and bereavement is necessary.
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Zahedifard et al. (2023) conducted a systematic review in Heart failure (n=53,299). Heart failure was evaluated on Care needs. Patients with heart failure have moderate to high levels of unmet care needs, including health care, educational, emotional, social, and psychological support.
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