Nurs Open. 2025 Dec;12(12):e70385. doi: 10.1002/nop2.70385.
ABSTRACT
AIM: To describe the quality of life in patients with chronic heart failure and coexisting obstructive sleep apnoea, and to examine the effect of common sleep-disordered breathing treatments on quality of life, functional capacity and cardiac outcomes.
DESIGN: Systematic review.
METHODS: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered in PROSPERO (CRD42025634352).
DATA SOURCES: A comprehensive search was conducted in PubMed, CINAHL, Scopus and Web of Science up to March 2024. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklists.
RESULTS: Fourteen studies were included, involving 2048 patients with chronic heart failure and sleep-disordered breathing, including obstructive and central sleep apnea. Sleep-disordered breathing was associated with reduced quality of life, physical capacity and cardiac function. Continuous positive airway pressure improved respiratory events, sleep quality, left ventricular function and exercise performance. Adaptive servo-ventilation reduced central respiratory events but was associated with increased mortality in patients with reduced left ventricular function. Nocturnal oxygen therapy improved some respiratory parameters but did not affect quality of life. Structured exercise programs showed benefits for functional status and quality of life.
CONCLUSION: Obstructive sleep apnea negatively affects the quality of life in people with chronic heart failure. Continuous positive airway pressure is beneficial in selected patients, while adaptive servo-ventilation should be used cautiously. Personalised approaches are needed.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Systematic screening and individualised care plans, including nurse-led management, are key to improving quality of life and outcomes in this population.
IMPACT: What problem did the study address? The insufficient understanding of how obstructive sleep apnea influences quality of life in chronic heart failure. What were the main findings? Some interventions improved quality of life, while others showed safety concerns. Where and on whom will the research have an impact? The findings guide clinical care for adults with chronic heart failure and coexisting sleep-disordered breathing.
REPORTING METHOD: We have adhered to the EQUATOR guidelines according to PRISMA.
PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
PMID:41313730 | DOI:10.1002/nop2.70385