The Impact of Hospice Care on the Prognosis, Quality of Life, and Emotional Well-being of Patients With Chronic Heart Failure

Overview

Journal J Hosp Palliat Nurs

Specialties Critical Care
Nursing

Date 2024 Dec 6

PMID 39641528

Authors

Ping Liu

Xueyan Liao

Affiliations

Soon will be listed here.

Abstract

Chronic heart failure (CHF) represents a substantial public health challenge, impacting patients' emotional well-being, quality of life, and overall prognosis. Palliative care and hospice services are increasingly recognized in managing advanced CHF, yet their evidence-based benefits remain underexplored. This study aimed to assess the influence of hospice care on CHF patient outcomes. A total of 120 inpatients with CHF were randomly assigned to receive either hospice care in addition to standard treatment (experimental group) or standard care alone (control group). Patient assessments included heart function classification, activities of daily living, Minnesota Living With Heart Failure Questionnaire, anxiety scale, and pain assessment. Results demonstrated significant improvements in cardiac function, activities of daily living, anxiety levels, pain scores, and heart failure-related quality of life in the experimental group compared with controls. Reduced anxiety, enhanced emotional well-being, and overall health status improvements were particularly notable postintervention. Hospice care was associated with enhanced functional abilities, emotional well-being, pain management, and overall quality of life for CHF patients. In conclusion, this study underscores hospice care's positive impact on prognosis, quality of life, and emotional well-being in CHF, emphasizing its potential as a critical component in comprehensive CHF management strategies.

References

Keam S . Mavacamten: First Approval. Drugs. 2022; 82(10):1127-1135. PMC: 9338109. DOI: 10.1007/s40265-022-01739-7. View

Currow D, Agar M, Phillips J . Role of Hospice Care at the End of Life for People With Cancer. J Clin Oncol. 2020; 38(9):937-943. DOI: 10.1200/JCO.18.02235. View

Triposkiadis F, Xanthopoulos A, Parissis J, Butler J, Farmakis D . Pathogenesis of chronic heart failure: cardiovascular aging, risk factors, comorbidities, and disease modifiers. Heart Fail Rev. 2020; 27(1):337-344. DOI: 10.1007/s10741-020-09987-z. View

Bursic A, Schell J . Hospice Care in Conservative Kidney Management. Semin Nephrol. 2023; 43(1):151398. DOI: 10.1016/j.semnephrol.2023.151398. View

Lindley L, Keim-Malpass J, Svynarenko R, Cozad M, Mack J, Hinds P . Pediatric Concurrent Hospice Care: A Scoping Review and Directions for Future Nursing Research. J Hosp Palliat Nurs. 2020; 22(3):238-245. PMC: 7716801. DOI: 10.1097/NJH.0000000000000648. View

Daly F, Ramanathan U . End-of-life and hospice care for neurologic illness. Handb Clin Neurol. 2022; 190:195-215. DOI: 10.1016/B978-0-323-85029-2.00006-3. View

Mechler K, Liantonio J . Palliative Care Approach to Chronic Diseases: End Stages of Heart Failure, Chronic Obstructive Pulmonary Disease, Liver Failure, and Renal Failure. Prim Care. 2019; 46(3):415-432. DOI: 10.1016/j.pop.2019.05.008. View

Pontremoli R, Borghi C, Filardi P . Renal protection in chronic heart failure: focus on sacubitril/valsartan. Eur Heart J Cardiovasc Pharmacother. 2021; 7(5):445-452. PMC: 8453284. DOI: 10.1093/ehjcvp/pvab030. View

Mossman B, Perry L, Walsh L, Gerhart J, Malhotra S, Horswell R . Anxiety, depression, and end-of-life care utilization in adults with metastatic cancer. Psychooncology. 2021; 30(11):1876-1883. DOI: 10.1002/pon.5754. View

10.

Salama S, Choudhury A, Kane S . Chronic Heart Failure: A Pharmacologic Review. Orthop Nurs. 2022; 41(5):363-368. DOI: 10.1097/NOR.0000000000000883. View

11.

Tatum P . End-of-Life Care: Hospice Care. FP Essent. 2020; 498:26-31. View

12.

He S, Renne A, Argandykov D, Convissar D, Lee J . Comparison of an Emoji-Based Visual Analog Scale With a Numeric Rating Scale for Pain Assessment. JAMA. 2022; 328(2):208-209. PMC: 9277495. DOI: 10.1001/jama.2022.7489. View

13.

Giusti D, Colaci E, Pioli V, Banchelli F, Maccaferri M, Leonardi G . Early palliative care versus usual haematological care in multiple myeloma: retrospective cohort study. BMJ Support Palliat Care. 2023; 14(3):291-294. PMC: 11347215. DOI: 10.1136/spcare-2023-004524. View

14.

Yin J, Lu X, Qian Z, Xu W, Zhou X . New insights into the pathogenesis and treatment of sarcopenia in chronic heart failure. Theranostics. 2019; 9(14):4019-4029. PMC: 6592172. DOI: 10.7150/thno.33000. View

15.

Ansatbayeva T, Kaidarova D, Kunirova G, Khussainova I, Rakhmetova V, Smailova D . Early integration of palliative care into oncological care: a focus on patient-important outcomes. Int J Palliat Nurs. 2022; 28(8):366-375. DOI: 10.12968/ijpn.2022.28.8.366. View

16.

Beiranvand S, Rassouli M, Hazrati M, Molavynejad S, Hojjat S, Tuvesson H . Hospice care delivery system requirements. Int J Palliat Nurs. 2022; 28(12):562-574. DOI: 10.12968/ijpn.2022.28.12.562. View

17.

Parast L, Haas A, Teno J, Elliott M, Griffin B, Anhang Price R . Hospice Care Experiences Among Decedents With Huntington's Disease. J Pain Symptom Manage. 2022; 64(1):70-79. PMC: 10859183. DOI: 10.1016/j.jpainsymman.2022.02.342. View

18.

Hakola O . Advertising hospice care services. Death Stud. 2019; 45(9):726-734. DOI: 10.1080/07481187.2019.1686089. View

19.

Wallace C, Coccia K, Khoo Y, Bullock K . Meaning of Hospice Care: Perceptions of Patients and Families. Am J Hosp Palliat Care. 2023; 40(10):1132-1140. DOI: 10.1177/10499091221149702. View

20.

Lopez-Ortiz S, Valenzuela P, Seisdedos M, Morales J, Vega T, Castillo-Garcia A . Exercise interventions in Alzheimer's disease: A systematic review and meta-analysis of randomized controlled trials. Ageing Res Rev. 2021; 72:101479. DOI: 10.1016/j.arr.2021.101479. View