4.5 Article

Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology

Journal

EUROPEAN JOURNAL OF HEART FAILURE
Volume 23, Issue 1, Pages 157-174

Publisher

WILEY
DOI: 10.1002/ejhf.2008

Keywords

Self-care; Heart failure; Lifestyle; Patient education

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Self-care is crucial in the long-term management of chronic heart failure, with the potential to improve quality of life and reduce mortality and readmission rates for patients. While guidelines offer general advice, healthcare professionals working with heart failure patients require more specific recommendations to effectively support their self-care practices.
Self-care is essential in the long-term management of chronic heart failure. Heart failure guidelines stress the importance of patient education on treatment adherence, lifestyle changes, symptom monitoring and adequate response to possible deterioration. Self-care is related to medical and person-centred outcomes in patients with heart failure such as better quality of life as well as lower mortality and readmission rates. Although guidelines give general direction for self-care advice, health care professionals working with patients with heart failure need more specific recommendations. The aim of the management recommendations in this paper is to provide practical advice for health professionals delivering care to patients with heart failure. Recommendations for nutrition, physical activity, medication adherence, psychological status, sleep, leisure and travel, smoking, immunization and preventing infections, symptom monitoring, and symptom management are consistent with information from guidelines, expert consensus documents, recent evidence and expert opinion.

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