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 R. Thompson, Kay Currie

Research output: Contribution to journalReview articlepeer-review

121 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)716-721
Number of pages6
JournalHeart
Volume100
Issue number9
DOIs
Publication statusPublished - May 2014

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