Why the study?
What are heart failure patients' experiences of non-pharmacological self-care?
What are heart failure patients' experiences of non-pharmacological self-care?
Heart failure self-care is complex and hindered primarily by patient-related factors and comorbidities like depression, highlighting the need for better support systems.
HF self-care literature overemphasizes patient factors; leaves open the role of provider, system, and socioeconomic adherence dimensions.
Background: Heart failure self-care is important yet often sub-optimal. This literature review identifies and analyses the literature on heart failure patients' experiences of non-pharmacological self-care. Methods: The literature was searched in April 2015 using EBSCO Host. The World Health Organization (WHO) (2003) dimensions of adherence framework was used for data analysis. Results: The identified literature (14 primary articles; 4 literature reviews) was heavily weighted towards patient-related factors, namely acceptance of diagnosis, bio-behavioural variables and decision-making characteristics. Poor symptom recognition/management and the presence of comorbidities (specifically depression) were common condition-related factors highlighted as barriers to self-care. Lifestyle factors (therapy-related dimension) and professional support (health system/team dimension) were briefly described. Conclusions: This narrative literature review highlighted that heart failure self-care regimes are complex and often challenging to maintain. Further qualitative research regarding the therapy-related and health system-related factors would shed light on individual variations of and barriers to self-care.
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Woods et al. (2016) studied this question.
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