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Title: Social support and adherence to the therapy in patients with heart failure: a systematic review
Authors: Philippou, K. 
Lambrinou, Ekaterini 
Ktisti, S. 
Kyriakou, M. 
Middleton, Nicos 
Keywords: Patients;Heart failure
Category: Health Sciences
Field: Medical and Health Sciences
Issue Date: 2016
Publisher: Wiley-Blackwell
Source: European Journal of Heart Failure, Volume 18, Pages 401-401, 2016
Abstract: Purpose: To systematically review trials, examining the role of social support to theadherence to the therapy of patients with heart failure (HF).Methods: A systematic search of Pubmed, Cumulative Index to Nursing andAllied Health Literature (CINAHL) and Cochrane Library, was performed to locaterelative randomized controlled trials (RCTs). Search was done from the beginning ofDecember 2015 until the end of December 2015. “Heart failure”, “Social support”,and “adherence to therapy” were used as key words in various combinations usingthe word “AND”. The tool “related articles” of the Pubmed was also used. Inclusionand exclusion criteria were pre-specied. Quality assessment was done by tworeviewers separately. The search yielded eight RCTs.Results: HF patients whose family member followed the low sodium diet (LSD)were 1.6 times more adherent than those, whose family member did not followthe LSD. Patients whose spouse did not adherence the LSD were found to have804 mg more sodium excretion than those whose spouse was adherent to the LSD(p = 0.012) and 1139 mg more sodium excretion than those who had a non- spousalfamily member that was adherence to a LSD (p = 0.015). The family partnershipintervention and the patient-family member education reduced the urine sodium at4 months and family partnership intervention differed from usual care at 8 months(p = 0.016). Dietary sodium was found to be decreased from baseline to 4 months forboth, patient-family member education (p = 0.04) and family partnership intervention(p = 0.018). Medication adherence was not found to be different among groups. Thelevel of social support was related to the level of self-care and the patients with high level of support stated better self-care (p = 0.003). The Reciprocal Peer Support andNurse Care Management groups had no differences in the improvement in 6-monthmeasures, either on HF quality of life or social support. Many HF patients stated thatsupport for exercise was very meaningful and appreciated from family and friends.Conclusions: Family members’ education and encouragement to follow LSD maybe benecial for the self-care of patients with HF. The role of partner, family or socialsupport is also found to be important for patients’ participation in physical activityand exercise.
ISSN: 10.1002/ejhf.539
DOI: 10.1002/ejhf.539
Rights: © 2016 The Authors European Journal of Heart Failure © 2016 European Society of Cardiology
Type: Article
Appears in Collections:Άρθρα/Articles

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