Determinants of effective heart failure self-care: a systematic review of patients’ and caregivers’ perceptions

Alexander M. Clark, Melisa Spaling, Karen Harkness, Judith Spiers, Patricia A. Strachan, David R. Thompson, Kay Currie

Research output: Contribution to journalArticlepeer-review

Abstract

Context: Disease management interventions for heart failure (HF) are inconsistent and very seldom incorporate the views and needs of patients and their caregivers into intervention design. Objective and data: To improve intervention effectiveness and consistency, a systematic review identified 49 studies which examined the views and needs of patients with HF and their caregivers about the nature and determinants of effective HF self-care. Results: The findings identify key drivers of effective self-care, such as the capacity of patients to successfully integrate self-care practices with their preferred normal daily life patterns and recognise and respond to HF symptoms in a timely manner. Conclusions: Future interventions for HF self-care must involve family members throughout the intervention and harness patients' normal daily routines.
Original languageEnglish
Pages (from-to)716-721
Number of pages6
JournalHeart
Volume100
Issue number9
Early online date18 Feb 2014
DOIs
Publication statusPublished - 2014

Keywords

  • heart failure
  • self care
  • systematic review

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