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J Cardiovasc Nurs. 2008 May-Jun;23(3):205-18; quiz 219-20. doi: 10.1097/01.JCN.0000305097.09710.a5.

Conceptualizing self-care in heart failure: a life course model of patient characteristics.

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RICH Heart Program, College of Nursing, University of Kentucky, Lexington, KY 40536-0232, USA.


Self-care is fundamental to achieving optimal outcomes in patients with heart failure. Unfortunately, self-care among patients with heart failure is commonly poor, and patients have considerable difficulties performing self-care skills. Elderly patients, in particular, face a number of challenges trying to engage in adequate self-care. Heart failure self-care is an intricate process that is the result of decisions made on many levels by patients. Little is known about self-care decision making in patients with heart failure, and the existing literature does not take into account the complexity of interrelated factors that affect self-care decision making. In this article, a model of factors affecting self-care decision making that include aging status, psychosocial status, health literacy, current symptom status, and prior experiences is proposed.

[Indexed for MEDLINE]

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