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Key elements of interventions for heart failure patients with mild cognitive impairment or dementia : a systematic review
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Abstract:
Background: The purpose of this systematic review was to (a) examine the effects of interventions delivered by a heart failure professional for mild cognitive impairment and dementia on cognitive function, memory, working memory, instrumental activities of daily living, heart failure knowledge, self-care, quality of life and depression; and (b) identify the successful elements of these strategies for heart failure patients with mild cognitive impairment or dementia. Methods and results: During March 2018, an electronic search of databases including CINAHL, MEDLINE, EMBASE and PsycINFO was conducted. All randomised controlled trials, which examined an intervention strategy to help heart failure patients with mild cognitive impairment or dementia cope with self-care, were included. An initial search yielded 1622 citations, six studies were included (N= 595 participants, mean age 68 years). There were no significant improvements in cognitive function and depression. However, significant improvements were seen in memory (p=0.015), working memory (p=0.029) and instrumental activities of daily living (p=0.006). Nurse led interventions improved the patient’s heart failure knowledge (p=0.001), self-care (p<0.05) and quality of life (p=0.029). Key elements of these interventions include brain exercises, for example, syllable stacks, individualised assessment and customised education, personalised self-care schedule development, interactive problem-solving training on scenarios and association techniques to prompt self-care activities. Conclusions: Modest evidence for nurse led interventions among heart failure patients with mild cognitive impairment or dementia was identified. These results must be interpreted with caution in light of the limited number of available included studies.
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Keyword:
dementia; heart failure; mild cognitive impairment; nursing; XXXXXX - Unknown
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URL: https://doi.org/10.1177/1474515119865755 http://hdl.handle.net/1959.7/uws:52686
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An examination of responses to surveys among Filipino-Australian migrants
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‘I have only little English’ : language anxiety of Filipino migrants with chronic disease
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Is there a relationship between the diversity characteristics of nursing students and their clinical placement experiences? : a literature review
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A systematic approach to chronic heart failure care : a consensus statement
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Acculturative stress in Filipino migrants with functional English : implications for health promotion
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The impact of term-time paid work on academic performance in nursing students: a longitudinal study
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The impact of term-time paid work on academic performance in nursing students : a longitudinal study
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Gender difference in academic performance of nursing students in a Malaysian university college
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Learning preference as a predictor of academic performance in first year accelerated graduate entry nursing students : a prospective follow-up study
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Value of web-based learning activities for nursing students who speak English as a second language
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Value of web-based learning activities for nursing students who speak English as a second language
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A review of the cultural competence view of cardiac rehabilitation
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Nursing students’ perception of a web-based intervention to support learning
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Awareness and causal attributions of risk factors for heart disease among immigrant women living in Australia
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English-language acculturation predicts academic performance in nursing students who speak English as a second language
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Literature review: considerations in undertaking focus group research with culturally and linguistically diverse groups
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In: Faculty of Science, Medicine and Health - Papers: part A (2007)
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Literature review: Considerations in undertaking focus group research with culturally and linguistically diverse groups
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In: Nursing Papers and Journal Articles (2007)
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