Keywords
Nursing
Fatigue
Chronic care
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To identify effective nursing interventions to manage fatigue in patients with heart failure. Methods: This is a systematic review conducted in March 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Searches were conducted in the public Medline, Cumulative Index to Nursing and Allied Health Literature, Scholarly Publishing and Academic Resources Coalition, Latin American and Caribbean Health Sciences Literature, and Cochrane Library databases. Results: Two independent reviewers methodologically assessed selected studies. A total of 525 studies were identified. After analysis and application of eligibility criteria, 493 articles were excluded. After methodological quality assessment, 18 articles remained for qualitative synthesis. The most effective interventions were exercise and education. Both aerobic and resistance exercise showed improvements in functional capacity and reductions in fatigue. Educational interventions focused on improving understanding of heart failure, promoting self-care, and improving adherence. Conclusions: The study provides evidence to guide effective nursing practice in the management of fatigue in patients with heart failure and emphasizes the importance of a multidisciplinary approach to improve quality of life and clinical outcomes.
References
ABDOLAHI M, et al. The Effect of Educational Plan Based on the Roy Adaption Model for Fatigue and Activities of Daily Living of Patients with Heart Failure Disease. Ethiopian Jounal of Health Sciences. 2020;30(4): 559–566.
ALBERT NM, et al. Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors. Patient Education and Counseling. 2007 Dec;69(1-3):129-39.
ASSIS CC, et al. Avaliação das intervenções e dos resultados esperados para o diagnóstico de enfermagem fadiga, em portadores de insuficiência cardíaca. Acta Paulista de Enfermagem 2007;20(3):357-61.
AZZOLIN K, et al. Effectiveness of nursing interventions in heart failure patients in home care using NANDA-I, NIC, and NOC. Applied. Nursing Research. 2013;26(4).
BEKELMAN DB, et al. Effect of a collaborative care intervention vs usual care on health status of patients with chronic heart failure the casa randomized clinical trial. JAMA Internal Medicine. 2018;178(4): 511–519.
BRASIL. Informações de saúde, morbidade hospitalar do SUS (SIH/SUS). Disponível em: http://www.datasus.gov.br. Acessado em: 08 de março de 2022.
BULECHEK GM, et al. NIC Classificação das Intervenções de Enfermagem. Editora Gen, 7°ed. 2020.
CARDOSO ARS, et al. Registro do processo de enfermagem para pacientes com doenças cardiovasculares: revisão integrative. Online Braz J Nurs. 2017; 16(1).
CHEN DM, et al. The effects of Baduanjin exercise on fatigue and quality of life in patients with heart failure: a randomized controlled trial. European Journal of Cardiovascular Nursing. 2018;17(5):456-466.
DEHKORDI AH, FAR AK. Effect of exercise training on the quality of life and echocardiography parameter of systolic function in patients with chronic heart failure a randomized trial. Asian Journal of Sports Medicine. 2015;6(1):e22643.
GARBIN LM, et al. Classificação de resultados de enfermagem (NOC): identificação da produção científica relacionada. Revista Gaúcha de Enfermagem. Porto Alegre (RS), 2009;30(3):508-15.
GU Q, et al. Tai chi exercise for patients with chronic heart failure: a meta-analysis of randomized controlled trials. American Journal of Physical Medicine & Rehabilitation. 2017;96(10):706-716.
HÄGGLUND L, et al. A mixed methods study of tai chi exercise for patients with chronic heart failure aged 70 years and older. Nursing Open. 2018;5(2) 176-185.
HASSANPOUR-DEHKORDI A, JALALI A. Effect of progressive muscle relaxation on the fatigue and quality of life among iranian aging persons. Acta Medica Iranica. 2016;54(7):430-6.
HERDMAN TH, et al. Diagnósticos de enfermagem da NANDA: Definições e Classificação 2021-2023. Trad. Porto Alegre: Artmed; 2021.
HUA CY, et al. Collaborative care model improves self-care ability quality of life and cardiac function of patients with chronic heart failure. Brazilian Journal of Medical Biological Research. 2017;50(11):e6355.
KIM YJ, et al. Rehabilitation Intervention for Individuals With Heart Failure and Fatigue to Reduce Fatigue Impact: A Feasibility Study. Annals of Rehabilitation Medicine. 2019;43(6):686-699.
KUROGI EM, et al. Relationship between functional capacity, performance and symptoms in hospitalized patients with heart failure. Revista Brasileira de Enfermagem. 2020;73(4).
MACEDO BM. Acurácia dos indicadores clínicos do diagnóstico de enfermagem fadiga em pacientes com insuficiência cardíaca. 2019. 66f. Dissertação (Mestrado em Enfermagem) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019. Disponível em: https://repositorio.ufrn.br/handle/123456789/26996?mode=full. Acesso em: 26 dez. 2023.
MOHER D, et al. The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine 2009;151(4):264 – 269.
NORMAN JF, et al. The influence of the heart camp intervention on physical function, health related quality of life, depression, anxiety and fatigue in patients with heart failure. European Journal of Cardiovascular Nursing. 2020;19(1):64-73.
OKA RK, et al. Impact of a home-based walking and resistance training program on quality of life in patients with heart failure. American Journal of Cardiology. 2000;85(3):365-9.
OLIVEIRA JA, et al. Domains analyzed in the assessment of resilience in individuals with chronic cardiovascular diseases: a scoping review. Online Braz J Nurs. 2022;21:e20226586.
PADUA BLR, et al. Cross-mapping of nursing diagnoses and interventions in decompensated heart failure. Revista Gaúcha de Enfermagem. 2022;43:e20200400.
PONIKOWSKI P, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). European Heart Journal. 2016;37(27):2129-2200.
POUR AHH, et al. The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: a randomized controlled trial. Japan Journal of Nursing Science. 2020;17(2):e12290.
REDEKER NS, et al. Effects of cognitive behavioral therapy for insomnia on sleep-related cognitions among patients with stable heart failure. Behavioral Sleep Medicine. 2017;17(3):342-354.
REDELER NS, et al. Cognitive behavioral therapy for insomnia has sustained effects on insomnia, fatigue, and function among people with chronic heart failure and insomnia: the Heart Sleep Sutdy. SLEEPJ, 2022;45(1):zsab252.
REN X, et al. The effects of tai chi training in patients with heart failure: a systematic review andmeta-analysis. Frontiers in Physiology. 2017;8(989).
ROHDE LEP, et al. Diretriz brasileira de insuficiência cardíaca crônica e aguda. Sociedade Brasileira de Cardiologia. Arquivos Brasileiros de Cardiologia. 2018;111(3): 436-539.
SEIFI L, et al. Comparison of the effects of benson muscle relaxation and nature sounds on the fatigue in patients with heart failure. Holistic Nursing Practice. 2018 Jan/Feb;32(1):27-34.
SILVA, TLS, et al. Nursing diagnoses and interventions for patients with congestive heart failure in an intensive care unit: an integrative review. Revista Eletrônica Acervo em Saúde, 2022; 15(2):e9724.2022.
WANG TC, et al. Effects of a supportive educational nursing care programme on fatigue and quality of life in patients with heart failure: a randomised controlled trial. European Journal of Cardiovascular Nursing. 2016;15(2):157-67.
WALLSTRÖM S, et al. Effects of a person telephone support on fatigue in people with chronic heart failure: subgroup analysis of a randomized controlled trial. European Journal of Cardiovascular Nursing. 2020 Jun;19(5):393-400.
YANCY CW, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;62(16):e147-239.
YU DSF, et al. Non-pharmacological interventions in older people with heart failure effects of exercise training and relaxation therapy. Gerontology. 2007;53(2).