Strachan, P. H, Currie, K., Harkness, K., Spaling, M. A & Clark, AM. (2014). Context matters in heart failure self-care: A qualitative systematic review. Journal of Cardiac Failure,20(6), 448-455. United States of America: Churchill Livingstone Inc.. Retrieved from https://doi.org/10.1016/j.cardfail.2014.03.010
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.
Mary MacKillop Institute for Health Research
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