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J Card Fail. 2014 Jun;20(6):448-55. doi: 10.1016/j.cardfail.2014.03.010. Epub 2014 Apr 13.

Context matters in heart failure self-care: a qualitative systematic review.

Author information

1
McMaster University, Hamilton, Ontario, Canada.
2
Institute for Applied Health Research, School of Health & Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, United Kingdom.
3
McMaster University, Heart Function Clinic, Hamilton Health Sciences, Hamilton, Ontario, Canada.
4
University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada.
5
University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada. Electronic address: alex.clark@ualberta.ca.

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; context; meta-synthesis; self-care

PMID:
24735549
DOI:
10.1016/j.cardfail.2014.03.010
[Indexed for MEDLINE]

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