Journal article
A Qualitative Meta-Analysis of Heart Failure Self-Care Practices Among Individuals With Multiple Comorbid Conditions
Journal of cardiac failure, Vol.17(5), pp.413-419
05/01/2011
DOI: 10.1016/j.cardfail.2010.11.011
PMID: 21549299
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 I 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. (J Cardiac Fail 2011;17:413-419)
Details
- Title: Subtitle
- A Qualitative Meta-Analysis of Heart Failure Self-Care Practices Among Individuals With Multiple Comorbid Conditions
- Creators
- Victoria Vaughan Dickson - New York UniversityHarleah Buck - University of PennsylvaniaBarbara Riegel - University of Pennsylvania
- Resource Type
- Journal article
- Publication Details
- Journal of cardiac failure, Vol.17(5), pp.413-419
- Publisher
- Elsevier
- DOI
- 10.1016/j.cardfail.2010.11.011
- PMID
- 21549299
- ISSN
- 1071-9164
- eISSN
- 1532-8414
- Number of pages
- 7
- Language
- English
- Date published
- 05/01/2011
- Academic Unit
- Nursing
- Record Identifier
- 9984370648102771
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