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J Nurs Care Qual. 2004 Oct-Dec;19(4):349-60.

Nonpharmacological strategies for improving heart failure outcomes in the community: a systematic review.

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The Catholic University of America, School of Nursing, Washington, DC 20064, USA.


The purpose of this systematic review was to synthesize current evidence regarding nonpharmacological approaches to heart failure (HF) management. Following a literature search, identified studies were coded using the Heart Failure Study Assessment Scale (HFSAS) developed by the authors. Results included high-quality ratings, a predominance of multidisciplinary disease management studies, decreased readmission rates, and some improvement in quality of life. Implications for practice, leadership, education, and research are described.

[Indexed for MEDLINE]

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