Context matters in heart failure self-care: A qualitative systematic review
Journal article
Strachan, Patricia H., Currie, Kay, Harkness, Karen, Spaling, Melisa A. and Clark, Alexander Michael. (2014). Context matters in heart failure self-care: A qualitative systematic review. Journal of Cardiac Failure. 20(6), pp. 448 - 455. https://doi.org/10.1016/j.cardfail.2014.03.010
Authors | Strachan, Patricia H., Currie, Kay, Harkness, Karen, Spaling, Melisa A. and Clark, Alexander Michael |
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Abstract | Background: The aim of this work was to identify the main contextual factors and processes that influence patients' self-care of heart failure (HF). Methods and Results: A 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. Conclusion: HF 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. |
Keywords | Heart failure; self-care; meta-synthesis; context |
Year | 2014 |
Journal | Journal of Cardiac Failure |
Journal citation | 20 (6), pp. 448 - 455 |
Publisher | Churchill Livingstone Inc. |
ISSN | 1071-9164 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.cardfail.2014.03.010 |
Scopus EID | 2-s2.0-84901721294 |
Page range | 448 - 455 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States of America |
https://acuresearchbank.acu.edu.au/item/87180/context-matters-in-heart-failure-self-care-a-qualitative-systematic-review
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