Determinants of effective heart failure self-care: a systematic review of patients' and caregivers' perceptions. Issue 9 (18th February 2014)

• Record Type: Journal Article
• Authors: Clark, Alexander M; Spaling, Melisa; Harkness, Karen; Spiers, Judith; Strachan, Patricia H; Thompson, David R; Currie, Kay
• Is Part Of: Heart. Volume 100:Issue 9(2014)
• Page Start: 716
• Page End: 721
• Publication Date: 2014-02-18
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/heartjnl-2013-304852
• Languages: English
• ISSNs: 1355-6037

Abstract

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.