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 H Strachan, David Thompson, Kay Currie

Research output: Contribution to journalReview article

77 Citations (Scopus)

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)716-21
JournalHeart (British Cardiac Society)
Volume100
Issue number9
Early online date18 Feb 2014
DOIs
Publication statusPublished - 01 May 2014

Keywords

  • Adaptation, Psychological
  • Caregivers
  • Heart Failure
  • Humans
  • Self Care
  • Sickness Impact Profile
  • Journal Article
  • Research Support, Non-U.S. Gov't
  • Review

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