Role of self-care in the patient with heart failure
Open accessAbstract
Optimal outcomes and quality of life for patients with heart failure depend on engagement in effective self-care activities. Self-care is a complex set of activities and most clinicians are not adequately prepared to assist their patients to engage in effective self-care. In this paper, we provide an overview of self-care that includes definitions, the importance of self-care to outcomes, the physiologic basis for better outcomes with good self-care, cultural perspectives of self-care, and recommendations for the improvement of self-care. Promotion of effective self-care by all clinicians could substantially reduce the economic and personal burden of repeated rehospitalizations among patients with heart failure.
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Anxiety symptoms are linked to pathophysiologic mechanisms that promote poorer cardiovascular outcomes, including autonomic dysregulation.
“Anxiety symptoms are linked to pathophysiologic mechanisms that facilitate poorer cardiovascular outcomes, such as dysregulation of the autonomic nervous system, such as decreased heart rate variability, low parasympathetic activity, high sympathetic activity, high serum glucose, altered lipid metabolism, and increased blood pressure.”
From Mindfulness, Anxiety Symptoms, and Quality of Life in Heart Failure. (2020) · cites this paper as [15]
The 'What Affects Patients’ Abilities to Engage in Self-Care?' section (page unavailable) lists anxiety as a factor affecting heart-failure self-care, while the self-care management section links neurohormonal activation to poor outcomes. Neither connects anxiety symptoms to autonomic dysregulation or the specified cardiovascular mechanisms; searches for anxiety and heart-rate variability found no such passage. (LLM, conf=0.73)
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2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
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Self-citationHeidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., et al. (2022) · Circulation · doi:10.1161/cir.0000000000001063 · Cited by 4,922 · see citing works
Self-citationHägglund, E., Lyngå, P., Frie, F., Ullman, B., Persson, H., Melin, M., & Hagerman, I. (2015) · Scandinavian Cardiovascular Journal · doi:10.3109/14017431.2015.1035319 · Cited by 120 · see citing works
Psychological Determinants of Heart Failure Self-Care: Systematic Review and Meta-Analysis
Kessing, D., Denollet, J., Widdershoven, J., & Kupper, N. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000270 · Cited by 113 · see citing works
Lee, C. S., Vellone, E., Lyons, K. S., Cocchieri, A., Bidwell, J. T., D’Agostino, F., Hiatt, S. O., Alvaro, R., Buck, H. G., & Riegel, B. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.11.005 · Cited by 109 · see citing works
Self-citationSrisuk, N., Cameron, J., Ski, C. F., & Thompson, D. R. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13192 · Cited by 83 · see citing works
Athilingam, P., Labrador, M. A., Remo, E. F. J., Mack, L., San Juan, A. B., & Elliott, A. F. (2016) · Applied Nursing Research · doi:10.1016/j.apnr.2016.07.001 · Cited by 78 · see citing works
Mindfulness, Anxiety Symptoms, and Quality of Life in Heart Failure.
Rechenberg, K., Cousin, L., & Redwine, L. (2020) · Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000630 · Cited by 24 · see citing works
“The HF self-management can be overwhelming for patients, requiring complicated routines to maintain physiological stability, including adherence to a complex medication regimen, physical activity, a low-salt diet, and daily weighing.(6,16) Anxiety symptoms can lead to poorer HF self-management behaviors.”
BackgroundRole of the Lebanese family caregivers in cardiac self‐care: a collective approach
Dumit, N. Y., Abboud, S., Massouh, A., & Magilvy, J. K. (2015) · Journal of Clinical Nursing · doi:10.1111/jocn.12949 · Cited by 23 · see citing works
- Authors
- Moser, D. K., Dickson, V., Jaarsma, T., Lee, C., Stromberg, A., & Riegel, B.
- Affiliations
- University of Kentucky (US)
- New York University (US)
- Linköping University (SE)
- Oregon Health & Science University (US)
- University of Pennsylvania (US)
- Corresponding author
- Moser, Debra K.
- Lee, Christopher
- Venue
- Current Cardiology Reports
- Published
- 2012-03-23
- Volume
- 14
- Issue
- 3
- Pages
- 265-275
- ISSN
- 1523-3782 (ISSN-L)
- 1534-3170
- OpenAlex
- W2051209555
- Cited by
- 186
- References
- 88
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 13 · 2023: 13 · 2022: 20 · 2021: 10 · 2020: 21 · 2019: 15 · 2018: 8 · 2017: 10 · 2016: 13 · 2015: 17 · 2014: 12 · 2013: 17 · 2012: 2
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- green
- repository.upenn.edu
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Cardiology Reports (publishedVersion)
- PubMed (publishedVersion)
- ScholarlyCommons (University of Pennsylvania) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- heart failure, self-care, patient engagement, quality of life, hospital readmission, clinician preparedness, economic burden
- MeSH terms
- Attitude to Health, Cross-Cultural Comparison, Heart Failure, Humans, Patient Compliance, Self Care, Treatment Outcome
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