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Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study

Introduction: Heart failure is the most prevalent cardiovascular disease. It is the end stage of most cardiovascular diseases and is characterized by the reduced ability of the heart to pump enough blood to fulfill the metabolic needs of the body. Self-care is the basis of the management of chronic...

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Autores principales: Negarandeh, Reza, Aghajanloo, Ali, Seylani, Khatereh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tabriz University of Medical Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609122/
https://www.ncbi.nlm.nih.gov/pubmed/34849365
http://dx.doi.org/10.34172/jcs.2020.026
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author Negarandeh, Reza
Aghajanloo, Ali
Seylani, Khatereh
author_facet Negarandeh, Reza
Aghajanloo, Ali
Seylani, Khatereh
author_sort Negarandeh, Reza
collection PubMed
description Introduction: Heart failure is the most prevalent cardiovascular disease. It is the end stage of most cardiovascular diseases and is characterized by the reduced ability of the heart to pump enough blood to fulfill the metabolic needs of the body. Self-care is the basis of the management of chronic diseases such as heart failure. The aim of this study was to explore the barriers to self-care among patients with heart failure. Methods: This was a qualitative content analysis. Participants were fourteen patients with heart failure and three healthcare providers who were purposively recruited from cardiac care centers in Zanjan, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional qualitative content analysis approach proposed by Elo and Kyngäs. Results: Self-care barriers -care among patients with HF were categorized into three main categories, namely personal factors, disease burden, and inefficient support system. Each category had three subcategories which were respectively lack of self-care knowledge, heart failure-related negative emotions, the difficulty of changing habits, progressive physical decline, comorbid conditions, financial strain, inadequate social support, healthcare providers’ inattention to self-care, and limited access to healthcare providers. Conclusion: Patients with heart failure face different personal, disease-related, and support-related barriers to self-care. Based on these barriers, healthcare providers can develop interventions for promoting self-care among patients with heart failure.
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spelling pubmed-86091222021-11-29 Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study Negarandeh, Reza Aghajanloo, Ali Seylani, Khatereh J Caring Sci Original Article Introduction: Heart failure is the most prevalent cardiovascular disease. It is the end stage of most cardiovascular diseases and is characterized by the reduced ability of the heart to pump enough blood to fulfill the metabolic needs of the body. Self-care is the basis of the management of chronic diseases such as heart failure. The aim of this study was to explore the barriers to self-care among patients with heart failure. Methods: This was a qualitative content analysis. Participants were fourteen patients with heart failure and three healthcare providers who were purposively recruited from cardiac care centers in Zanjan, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional qualitative content analysis approach proposed by Elo and Kyngäs. Results: Self-care barriers -care among patients with HF were categorized into three main categories, namely personal factors, disease burden, and inefficient support system. Each category had three subcategories which were respectively lack of self-care knowledge, heart failure-related negative emotions, the difficulty of changing habits, progressive physical decline, comorbid conditions, financial strain, inadequate social support, healthcare providers’ inattention to self-care, and limited access to healthcare providers. Conclusion: Patients with heart failure face different personal, disease-related, and support-related barriers to self-care. Based on these barriers, healthcare providers can develop interventions for promoting self-care among patients with heart failure. Tabriz University of Medical Sciences 2020-10-20 /pmc/articles/PMC8609122/ /pubmed/34849365 http://dx.doi.org/10.34172/jcs.2020.026 Text en © 2021 The Author(s). https://creativecommons.org/licenses/by-nc/4.0/This work is published by Journal of Caring Sciences as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ). Non-commercial uses of the work are permitted, provided the original work is properly cited.
spellingShingle Original Article
Negarandeh, Reza
Aghajanloo, Ali
Seylani, Khatereh
Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study
title Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study
title_full Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study
title_fullStr Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study
title_full_unstemmed Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study
title_short Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study
title_sort barriers to self-care among patients with heart failure: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609122/
https://www.ncbi.nlm.nih.gov/pubmed/34849365
http://dx.doi.org/10.34172/jcs.2020.026
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