A qualitative meta-analysis of heart failure self-care practices among individuals with multiple comorbid conditions
Journal article
Dickson, Victoria Vaughan, Buck, Harleah G. and Riegel, Barbara. (2011). A qualitative meta-analysis of heart failure self-care practices among individuals with multiple comorbid conditions. Journal of Cardiac Failure. 17(5), pp. 413 - 419. https://doi.org/10.1016/j.cardfail.2010.11.011
Authors | Dickson, Victoria Vaughan, Buck, Harleah G. and Riegel, Barbara |
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Abstract | Background: Most heart failure (HF) patients have other comorbid conditions. HF self-care requires medication and diet adherence, daily weight monitoring, and a thoughtful response to symptoms when they occur. Self-care is complicated when other chronic conditions have additional self-care requirements. The purpose of this study is to explore how comorbidity influences HF self-care. Methods: Using qualitative descriptive meta-analysis techniques, transcripts from 3 mixed methods studies (n = 99) were reexamined to yield themes about perceptions about HF and self-care and to explore the influence on HF self-care. The Charlson Comorbidity Index identified comorbid conditions. Results: The sample was 74% Caucasian, 66% male (mean age of 59.6 years ± 15 years). Fifty-three percent of the sample was New York Heart Association Class III. All had at least 1 other chronic condition. Narrative accounts revealed that adherence to diet, symptom monitoring, and differentiating symptoms from multiple conditions were the most challenging self-care skills. Emerging themes included 1) attitudes drive self-care prioritization and 2) fragmented self-care instruction leads to poor self-care integration and self-care skill deficits. Conclusions: Individuals with multiple chronic conditions are vulnerable to poor self-care. Research testing coaching interventions that integrate self-care requirements and focus on developing skill in self-care across multiple chronic conditions is needed. |
Keywords | self-care; heart failure; comorbidity |
Year | 2011 |
Journal | Journal of Cardiac Failure |
Journal citation | 17 (5), pp. 413 - 419 |
Publisher | Churchill Livingstone |
ISSN | 1071-9164 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.cardfail.2010.11.011 |
Scopus EID | 2-s2.0-79955631471 |
Page range | 413 - 419 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/8v4x6/a-qualitative-meta-analysis-of-heart-failure-self-care-practices-among-individuals-with-multiple-comorbid-conditions
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