期刊
EUROPEAN JOURNAL OF HEART FAILURE
卷 11, 期 6, 页码 617-621出版社
WILEY
DOI: 10.1093/eurjhf/hfp058
关键词
Disease management; Support; Education; Health services; Context; Compliance
资金
- Canadian Institutes of Health Research (CIHR) (Institute of Aging)
- Alberta Heritage Foundation for Medical Research (AHFMR)
- Alberta Centre on Aging
- AHFMR
- CIHR career
- Merck Frosst and Sanofi-Aventis
Self-care of heart failure (HF) is a process that is important, complex, and challenging. Little is understood of the contextual factors influencing self-care. We aimed to examine the individual and contextual factors perceived by patients and their informal caregivers' to influence their willingness and capacity to undertake effective HF self-care. This was a qualitative study using semi-structured interviews with 42 patients with HF (NYHA Class II and III, mean age: 76 years, 64% males) and 30 nominated caregivers (63% spouses). All patients experienced severe and intrusive HF symptoms; a large proportion of patients practiced some of the range of recommended self-care activities. However, links between knowledge of HF and self-care were weak and long delays in seeking professional care were frequent. Factors consistently reported to influence self-care were faith in health professionals, beliefs about the local health system, and values linked to work associated with place, history, and culture. Knowledge of HF and its management is a necessary though not sufficient determinant of HF self-care. Individual and contextual factors influence willingness and capacity to undertake effective HF self-care.
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