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Heart failure patients' experiences of non-pharmacological self-care


Woods, LS and Walker, KN and Duff, J, Heart failure patients' experiences of non-pharmacological self-care, British Journal of Cardiac Nursing, 11, (10) pp. 498-506. ISSN 1749-6403 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 MA Healthcare Ltd.

DOI: doi:10.12968/bjca.2016.11.10.498


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.

Item Details

Item Type:Refereed Article
Keywords:Heart failure, Self-care, Patient adherence, Patient compliance, Health behaviour
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Woods, LS (Mrs Leanna Woods)
UTAS Author:Walker, KN (Professor Kim Walker)
UTAS Author:Duff, J (Dr Jed Duff)
ID Code:115229
Year Published:2016
Deposited By:Health Sciences
Deposited On:2017-03-10
Last Modified:2018-06-05

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