Barriers and facilitators to self-care in chronic heart failure: a meta-synthesis of qualitative studies

Siabani, Soraya; Leeder, Stephen; Davidson, Patricia M.

doi:10.1186/2193-1801-2-320

Cited by 96 publications

(105 citation statements)

References 73 publications

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“…As such, targeted intervention measures are required to improve their self-care abilities. [14]. Wang et al [15] found that education level was positively correlated with patients' abilities to self-manage medication, treatments, and administration of medication, and that higher education levels could facilitate compliance with adaptive healthy behaviours.…”

Section: Discussionmentioning

confidence: 99%

Self-care ability and influencing factors in chronic heart failure patients

Lei¹,

Cai²

2018

biomedicalresearch

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Objectives: To describe the self-care abilities and associated factors in chronic heart failure (CHF) patients. Methods: Participant characteristics, illness-related information, and self-care ability were investigated using self-report questionnaires and patient records for 91 CHF patients in Nantong University Affiliated Hospital, China. Results: On average, patients had medium-to low-level self-care abilities. Comprehensive self-care ability was positively influenced by higher education level, employment status, and income level. Patients who received health education and had sound heart function had better self-care abilities. Regression analysis showed that the factors influencing self-care ability included average monthly income, education level, and heart function grading. Conclusions: Self-care ability in CHF patients is, in general, in medium to low ranges, indicating that medical workers need to enhance self-care education for CHF patients to help them better understand their condition and help them gain the necessary skills for self-care. We conclude that, when conducting self-care education for patients, medical workers should tailor their approach based on the individual characteristics of the patient. Doing so would effectively promote patient knowledge, mobility, and treatment compliance.

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Section: Discussionmentioning

confidence: 99%

Self-care ability and influencing factors in chronic heart failure patients

Lei¹,

Cai²

2018

biomedicalresearch

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“…Previously published reviews offer a more general account of self-care in HF or the experience of living with HF [38][39][40][41][42][43], rather than care seeking decisions specifically, or do not go beyond summarizing what is already reported in the literature [44].…”

Section: Figmentioning

confidence: 99%

Care-seeking decisions for worsening symptoms in Heart Failure: a qualitative metasynthesis

Ivynian

DiGiacomo

Jha

et al. 2015

Heart, Lung and Circulation

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Purpose: Over 50% of heart failure (HF) patients delay seeking help for worsening symptoms until these reach acute levels and require emergency hospitalisation. This metasynthesis aimed to identify and explore factors influencing timely care-seeking in patients with HF.Methods: Electronic databases searched were Medline, EMBASE and CINAHL. Studies were included if they were peer reviewed journal articles written in English, and reported perspectives of HF patients following qualitative data collection and analysis. Forty articles underwent analysis following the approach of Thomas and Harden. Leventhal's self-regulatory model (SRM) was used to organise the literature.Results: Much of the literature fit within the SRM, however this model did not account for all factors that influence patients' care-seeking for worsening symptoms. Factors not accounted for included patients' appraisals of previous care-seeking experiences, perceived system and provider barriers to accessing care, and the influence of external appraisals. When added to factors already represented in the model, such as misattribution of symptoms, not identifying with HF diagnosis, cognitive status, lack of understanding information provided, adaptation to symptoms, and emotional responses, a more comprehensive account of patients' decision-making was revealed.Implications: This metasynthesis identified factors, as yet unaccounted for, in a prominent model, and has suggested a more comprehensive framework for addressing care-seeking in HF patients. This information can be used to tailor education, communication, and service initiatives to improve HF patients' responses to worsening symptoms, and target those most at risk of delay.

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“…A review of the literature indicated that existing studies on the education and training of patients with HF (4, 5, 13, 21) have addressed the importance of self-care behaviors (6,22), need for effective training interventions (7-9, 23) and effective training environments (14,24,25), application of theories of behavior change (17), and use of the HBM to educate HF patients (19,20,22). However, there are no comprehensive studies of the impacts of hospital-based educational programs based on the HBM on HF patients' self-care behaviors.…”

Section: Introductionmentioning

confidence: 99%