Carers' views on patient self-care in chronic heart failure

Journal of Clinical Nursing
Jan CameronDavid R Thompson

Abstract

To examine carers' views on patient self-care in chronic heart failure (CHF). Self-care, a key strategy in the long-term management of CHF, can be complex and difficult to master. Carers play a key role in supporting patients in self-care, yet their views on it are rarely sought. A qualitative approach was adopted with a purposeful sample of carers of patients with CHF residing in Australia. Carers who identified themselves as providing informal care to a person diagnosed with chronic heart failure were interviewed about their views on patient self-care. Data were collected by face-to-face interviews with a semi-structured interview guide. Qualitative content analysis of the interviews was undertaken by two nurses and one psychologist. Four key themes were identified pertaining to CHF patient self-care: hindrance to engagement; roles and relationships; social support and community engagement and competency. Most carers viewed patients' fatigue and inactivity, mood and coping, and memory loss as major challenges to engagement in self-care. They viewed emotional support and encouragement, independence and organised routines as important aspects of their relationship with the patient and as facilitators of self-care, but also requ...Continue Reading

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Citations

Dec 30, 2016·International Journal of Clinical Practice·Qinghui MengMary H Palmer
Apr 18, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Eun Young KimYoun-Jung Son
Feb 25, 2017·Current Heart Failure Reports·Daya Ram ParajuliRobyn A Clark
May 12, 2019·International Journal of Environmental Research and Public Health·Rosalia Santesmases-MasanaMaria Dolors Navarro-Rubio
Feb 9, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Katherine Carleton-EagletonDiane Gibson
Nov 21, 2017·Heart & Lung : the Journal of Critical Care·Julie T BidwellSandra B Dunbar
May 12, 2021·Journal of Participatory Medicine·Anne-Marie SuutariKristina Areskoug Josefsson

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