A qualitative meta-synthesis of patients with heart failure perceived needs

Supportive care may have significant input into the treatment of patients with heart failure (HF). Support, understanding and being treated as a whole and unique person are vital for patients with HF. In order to develop a person-centred program, it is important to know patients’ needs from their...

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Main Authors: Martha Kyriakou, Anastasia Samara, Katerina Philippou, Ioanna Lakatamitou, Ekaterini Lambrinou
Format: Article
Language:English
Published: IMR (Innovative Medical Research) Press Limited 2021-09-01
Series:Reviews in Cardiovascular Medicine
Subjects:
Online Access:https://rcm.imrpress.com/fileup/2153-8174/PDF/1632453081177-248080727.pdf
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spelling doaj-85f9e6ac17e34bf1aa955c1cd09dde982021-09-26T07:42:32ZengIMR (Innovative Medical Research) Press LimitedReviews in Cardiovascular Medicine2153-81742021-09-0122385386410.31083/j.rcm22030911632453081177-248080727A qualitative meta-synthesis of patients with heart failure perceived needsMartha Kyriakou0Anastasia Samara1Katerina Philippou2Ioanna Lakatamitou3Ekaterini Lambrinou4Department of Nursing, School of Health Sciences, Cyprus University of Technology, 3041 Limassol, CyprusIntensive Care Unit, Nicosia General Hospital, 2029 Nicosia, CyprusDepartment of Nursing, School of Health Sciences, Cyprus University of Technology, 3041 Limassol, CyprusAmerican Medical Center, 2047 Nicosia, CyprusDepartment of Nursing, School of Health Sciences, Cyprus University of Technology, 3041 Limassol, CyprusSupportive care may have significant input into the treatment of patients with heart failure (HF). Support, understanding and being treated as a whole and unique person are vital for patients with HF. In order to develop a person-centred program, it is important to know patients’ needs from their perspectives. The aim of the current review and meta-synthesis was to explore the needs of patients with HF from their perspective. A qualitative review was conducted using the keywords: (“needs” OR “need”) AND (“heart failure”) AND (“qualitative”) in four databases. Pre-defined inclusion and exclusion criteria were set. The ‘Consolidated criteria for reporting qualitative studies’ item checklist was used to assess the research methodologies of the included studies. A “thematic synthesis” methodological approach was used: (1) Line by line coding of the findings from primary studies. (2) The resulting codes were organized into related areas thus building descriptive themes. (3) Analytical themes were developed. Eleven articles were included in the present review. The results from the meta-synthesis extracted five different categories covering patents’ needs: Self-management, palliative care, supportive care, social support and continuing person-centred care. The need for continuing empowerment and support to meet those needs was also identified, revealing the core theme: ‘Wind beneath my wings’. The meta-synthesis quotations highlighted the necessity for dynamic and interactive continuing person-centred care focusing on the ongoing patients’ needs through the HF trajectory. Giving more emphasis to the human dimension and holistic approach of patients with HF, along with cardiology medicine development might be a key factor in improving clinical outcomes and health related quality of life.https://rcm.imrpress.com/fileup/2153-8174/PDF/1632453081177-248080727.pdfheart failureneeds assessmentpatient-centredperson centredqualitative research
collection DOAJ
language English
format Article
sources DOAJ
author Martha Kyriakou
Anastasia Samara
Katerina Philippou
Ioanna Lakatamitou
Ekaterini Lambrinou
spellingShingle Martha Kyriakou
Anastasia Samara
Katerina Philippou
Ioanna Lakatamitou
Ekaterini Lambrinou
A qualitative meta-synthesis of patients with heart failure perceived needs
Reviews in Cardiovascular Medicine
heart failure
needs assessment
patient-centred
person centred
qualitative research
author_facet Martha Kyriakou
Anastasia Samara
Katerina Philippou
Ioanna Lakatamitou
Ekaterini Lambrinou
author_sort Martha Kyriakou
title A qualitative meta-synthesis of patients with heart failure perceived needs
title_short A qualitative meta-synthesis of patients with heart failure perceived needs
title_full A qualitative meta-synthesis of patients with heart failure perceived needs
title_fullStr A qualitative meta-synthesis of patients with heart failure perceived needs
title_full_unstemmed A qualitative meta-synthesis of patients with heart failure perceived needs
title_sort qualitative meta-synthesis of patients with heart failure perceived needs
publisher IMR (Innovative Medical Research) Press Limited
series Reviews in Cardiovascular Medicine
issn 2153-8174
publishDate 2021-09-01
description Supportive care may have significant input into the treatment of patients with heart failure (HF). Support, understanding and being treated as a whole and unique person are vital for patients with HF. In order to develop a person-centred program, it is important to know patients’ needs from their perspectives. The aim of the current review and meta-synthesis was to explore the needs of patients with HF from their perspective. A qualitative review was conducted using the keywords: (“needs” OR “need”) AND (“heart failure”) AND (“qualitative”) in four databases. Pre-defined inclusion and exclusion criteria were set. The ‘Consolidated criteria for reporting qualitative studies’ item checklist was used to assess the research methodologies of the included studies. A “thematic synthesis” methodological approach was used: (1) Line by line coding of the findings from primary studies. (2) The resulting codes were organized into related areas thus building descriptive themes. (3) Analytical themes were developed. Eleven articles were included in the present review. The results from the meta-synthesis extracted five different categories covering patents’ needs: Self-management, palliative care, supportive care, social support and continuing person-centred care. The need for continuing empowerment and support to meet those needs was also identified, revealing the core theme: ‘Wind beneath my wings’. The meta-synthesis quotations highlighted the necessity for dynamic and interactive continuing person-centred care focusing on the ongoing patients’ needs through the HF trajectory. Giving more emphasis to the human dimension and holistic approach of patients with HF, along with cardiology medicine development might be a key factor in improving clinical outcomes and health related quality of life.
topic heart failure
needs assessment
patient-centred
person centred
qualitative research
url https://rcm.imrpress.com/fileup/2153-8174/PDF/1632453081177-248080727.pdf
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