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

    115 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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