Determinants of heart failure self-care: a systematic literature review |
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Authors: | R Oosterom-Calo A J van Ballegooijen C B Terwee S J te Velde I A Brouwer T Jaarsma J Brug |
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Institution: | 1.Philips Research,Eindhoven,The Netherlands;2.EMGO Institute for Health and Care Research and the Department of Epidemiology and Biostatistics,VU University Medical Center,Amsterdam,The Netherlands;3.EMGO Institute for Health and Care Research and the Department of Health Sciences, Faculty of Earth and Life Sciences,VU University Amsterdam,Amsterdam,The Netherlands;4.Department of Social and Welfare Studies,Link?ping University,Link?ping,Sweden |
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Abstract: | Self-care is an important aspect of heart failure (HF) management. Information on the determinants of self-care is necessary
for the development of self-care promotion interventions. HF self-care includes self-care management, self-care maintenance,
sodium, fluid and alcohol intake restriction, physical activity, smoking cessation, monitoring signs and symptoms and keeping
follow-up appointments. To assess the evidence regarding presumed determinants of HF self-care and make recommendations for
interventions to promote self-care behavior among HF patients, a systematic literature review was conducted. Based on inclusion
and exclusion criteria and a quality assessment, twenty-six articles were included. A best evidence synthesis was used. Results
showed that the length of time since patients’ diagnosis with HF is positively related to their performance of self-care maintenance.
Moreover, it was found that HF patients’ perceived benefits and barriers are related to their restriction of sodium intake,
and that patients with type-D personality are less likely to consult medical professionals. There was also evidence for a
few non-significant relationships. All other evidence was inconsistent, mainly due to insufficient evidence. Interventions
that aim to increase the performance of self-care maintenance can teach newly diagnosed patients the skills that are usually
attained with experience acquired as a result of living with HF for a longer time. Perceived benefits and barriers of restricting
sodium intake could be targeted in interventions for sodium intake reduction among HF patients. Finally, interventions for
the promotion of adequate consulting of medical professionals can specifically target HF patients with a type-D personality. |
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