Context Matters in Heart Failure Self-Care: A Qualitative Systematic Review |
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| Affiliation: | 1. McMaster University, Hamilton, Ontario, Canada;2. Institute for Applied Health Research, School of Health & Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, United Kingdom;3. McMaster University, Heart Function Clinic, Hamilton Health Sciences, Hamilton, Ontario, Canada;4. University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada;1. Hospital Medicine Section, Denver VA Medical Center, Denver, Colorado;2. Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Denver, Colorado;3. College of Nursing, University of Colorado, Denver, Colorado;4. Cardiology Section, Denver VA Medical Center, Denver, Colorado;5. Department of Medicine, University of Colorado School of Medicine, Denver, Colorado;6. Research and Geriatrics Sections, Denver VA Medical Center, Denver, Colorado;1. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia;2. School of Medicine, Emory University, Atlanta, Georgia;3. School of Public Health, Emory University, Atlanta, Georgia;4. Byrdine F. Lewis School of Nursing and Health Professions, Georgia State University, Atlanta, Georgia;5. College of Nursing, University of Alabama, Birmingham, Alabama;6. Department of Psychology, University of Rochester, Rochester, New York;1. University of Kentucky, College of Nursing, United States;2. University of Wisconsin, School of Nursing, United States;3. University of North Carolina-Chapel Hill, School of Nursing, United States;4. Institute of Social and Welfare Studies, Faculty of Health Sciences, University of Linköping, Sweden;5. Chang Gung University of Science and Technology, College of Nursing, Taipei, Taiwan;6. Shandong University, School of Nursing, Shandong, China;7. Department of Medicine and Health Sciences, Linköping University, Sweden;8. Department of Cardiology, Linköping University Hospital, Sweden;9. University of Pennsylvania, School of Nursing, United States;1. Department of BioHealth Informatics, Indiana University School of Informatics and Computing, Indianapolis, IN, USA;2. Center for Health Informatics Research & Innovation (CHIRI), Indianapolis, IN, USA;3. Department of Medical Education, Loma Linda University School of Medicine, Loma Linda, CA, USA;4. Vanderbilt University School of Nursing, Nashville, TN, USA |
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| Abstract: | BackgroundThe aim of this work was to identify the main contextual factors and processes that influence patients' self-care of heart failure (HF).Methods and ResultsA systematic review was conducted with the use of qualitative meta-synthesis. Ten databases were searched up to March 19, 2012. Of the 1,421 papers identified by the systematic search, 45 studies were included in this meta-synthesis. To be included, studies had to contain a qualitative research component, data pertaining to self-care of HF from adults (≥18 y) and be published as full papers or theses since 1995. These studies involved: 1,398 patients (mean age 65.9 y), 180 caregivers, and 63 health professionals. Six main types of contextual factors were found to influence HF self-care in the studies: caregivers; social networks and social support; place; finances and financial capacity; work and occupation; and HF support groups and programs.ConclusionHF self-care is influenced by contextual elements that fall outside of traditional elements of a HF self-care program. Inclusion of these elements may help to address the current concerns about poor adherence to self-management programs. |
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| Keywords: | Heart failure self-care meta-synthesis context |
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