Sociocultural influences on heart failure self-care among an ethnic minority black population

The Journal of Cardiovascular Nursing
Victoria Vaughan DicksonStuart M Katz

Abstract

Heart failure (HF) places a disproportionate burden on ethnic minority populations, including blacks, who have the highest risk of developing HF and experience poorer outcomes. Self-care, which encompasses adherence to diet, medication, and symptom management, can significantly improve outcomes. However, HF self-care is notoriously poor in ethnic minority black populations. Because culture is central to the development of self-care, we sought to describe the self-care practices and sociocultural influences of self-care in an ethnic minority black population with HF. In this mixed-methods study, 30 black patients with HF (mean [SD] age, 59.63 [15] years; 67% New York Heart Association class III) participated in interviews about self-care, cultural beliefs, and social support and completed standardized instruments measuring self-care and social support. Thematic content analysis revealed themes about sociocultural influences of self-care. Qualitative and quantitative data were integrated in the final analytic phase. Self-care was very poor (standardized mean [SD] Self-care of Heart Failure Index [SCHFI] maintenance, 60.05 [18.12]; SCHFI management, 51.19 [18.98]; SCHFI confidence, 62.64 [8.16]). The overarching qualitative theme ...Continue Reading

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Citations

Feb 20, 2014·Heart, Lung & Circulation·Pupalan IyngkaranAlex Brown
May 26, 2016·International Journal of Nursing Studies·Mehri Karimi, Alexander M Clark
May 13, 2015·Research in Nursing & Health·Victoria Vaughan DicksonBarbara Riegel
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