RT Journal Article
SR Electronic
T1 Determinants of effective heart failure self-care: a systematic review of patients’ and caregivers’ perceptions
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 716
OP 721
DO 10.1136/heartjnl-2013-304852
VO 100
IS 9
A1 Clark, Alexander M
A1 Spaling, Melisa
A1 Harkness, Karen
A1 Spiers, Judith
A1 Strachan, Patricia H
A1 Thompson, David R
A1 Currie, Kay
YR 2014
UL http://heart.bmj.com/content/100/9/716.abstract
AB 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.