Nurse-coordinated home-based cardiac rehabilitation for patients with heart failure: A scoping review.
Tiantian Ruan, Mengqi Xu, Lingyan Zhu and 1 others
PMID 38020827WHAT IT FOUND
Nurse-coordinated home cardiac rehabilitation was reported as safe and feasible in included trials, but effects were mixed.
Many studies showed improved exercise, quality of life, self-care, and hospital admission or mortality, while a trial did not reduce readmission or mortality.
Key findings
01Many included studies reported improved exercise endurance, quality of life, self-care, hospital readmission or mortality, and psychological states, but a trial did not reduce readmission or mortality within 6 months.
02No included study reported heart failure exacerbations due to home cardiac rehabilitation, and six studies reported no serious adverse events.
03Eleven studies reported attrition or adherence, with study loss less than 20% and intervention adherence more than 50%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review did not assess the quality of included studies, so their results cannot be weighted by risk of bias. The search was limited to English and Chinese publications and one grey literature source. Included studies used different outcome measures, and many had small samples, short interventions, or limited description of intervention fidelity. Some included studies had poor recruitment or were affected by local health policy changes. The review describes what was studied and reported; it does not provide a pooled estimate of effect.
Declared interests
The authors declared no conflict of interest, and funding was listed as nothing to declare.
The easy way to misread this
Do not read this review as proof that nurse-coordinated home cardiac rehabilitation works for every heart failure patient. The review did not assess study quality, included studies used different outcome measures, and an included trial found no reduction in readmission or mortality.