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Improving support for heart failure patients: A systematic review to understand patients' perspectives on self-care

International Literature

posted by WM Admin on 23 June 2015

In this systematic review, the authors aimed to develop "... patient-focussed recommendations to enhance support of heart failure self-care by examining patients' experiences, perspectives and self-care behaviours".

Based on an interpretive synthesis of the 37 studies included (1343 patients, 75 caregivers, 63 health care professionals), the authors conclude "... that while patients could often recall health professionals' self-care advice, they were unable to integrate this knowledge into daily life. Attempts to manage HF were based on how patients ‘felt’ rather than clinical indicators of worsening symptoms. Self-efficacy and learning from past management experiences facilitated favourable outcomes".

The authors discuss the implications of these findings.

To read the full abstract, and for information on how to access the full text, go to: or contact your DHB library, or organisational or local library for assistance.

Spaling M.A.Currie K.Strachan P.H.Harkness K. & Clark A.M. (2015). Improving support for heart failure patients: a systematic review to understand patients' perspectives on self-careJournal of Advanced Nursing, 18 June [Epub before print]