Nursing care for people with concurrent heart failure and diabetes: A scoping review

  • Yamazaki Yusuke
    Department of Nursing, Hiroshima City North Medical Center Asa Citizens Hospital Program in Health and Welfare, Graduate School of Comprehensive Scientific Research, Prefectural University of Hiroshima
  • Kuroda Sumie
    Nursing Course, Faculty of Health and Welfare, Department of Health and Welfare, Prefectural University of Hiroshima
  • Sawaoka Misaki
    Nursing Course, Faculty of Health and Welfare, Department of Health and Welfare, Prefectural University of Hiroshima

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<p>There has been an increasing number of people with heart failure (HF) and with diabetes mellitus (DM). The number of people with concurrent HF and DM (HF-DM) is also expected to increase because of the strong relationship between both diseases. Several systematic reviews and meta-analyses have evaluated nursing care for each HF and DM, but none have been retrieved on nursing care for people with HF-DM. This study reviewed and categorized the literature on nursing care for people with HF-DM and aimed to identify the scope of further research that is still required. A scoping review was conducted following the framework of Arksey and O'Malley (2005). A broad range of keywords was used to systematically search the PubMed, MEDLINE, CINAHL, and Ichushi-Web databases for topics on nursing care for people with HF-DM. A total of 957 articles were retrieved, and 11 papers were ultimately accepted. Three of the 11 papers were randomized controlled trials (RCTs), which used integrated program interventions for people with HF-DM to some efficacy. For the remaining papers, a qualitative synthesis of the data identified six categories. Although a program integrating HF-DM presented a certain level of effectiveness, many of the nursing suggestions lacked specificity. Moreover, few RCTs have been conducted, which indicates the need for further research. This study also indicated the importance of collecting practical knowledge from advanced nurse practitioners and developing guidelines on nursing assistance for HF-DM.</p>

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