Family Influences on Heart Failure Self-care and Outcomes
Open accessAbstract
Many patient education guidelines for teaching heart failure patients recommend inclusion of the family; however, family-focused interventions to promote self-care in heart failure are few. This article reviews the state of the science regarding family influences on heart failure self-care and outcomes. The literature and current studies suggest that family functioning, family support, problem solving, communication, self-efficacy, and caregiver burden are important areas to target for future research. In addition, heart failure patients without family and those who live alone and are socially isolated are highly vulnerable for poor self-care and should receive focused attention. Specific research questions based on existing science and gaps that need to be filled to support clinical practice are posed.
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Self-management is defined by being set within the context of the family, being a lifelong dynamic process of self-monitoring and self-evaluation, and involving a perspectival shift from illness to wellness.
“In addition to core tasks and skills, SM is defined by its being set within the context of the family7,8, by being a lifelong dynamic process of self-monitoring and self-evaluation2, and by involving a perspectival shift from illness to wellness4.”
From Self-management: Enabling and empowering patients living with cancer as a chronic illness (2011) · cites this paper as [7]
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References 75 · Cited by 283
- Authors
- Dunbar, S. B., Clark, P. C., Quinn, C., Gary, R. A., & Kaslow, N. J.
- Affiliations
- Emory University (US)
- Venue
- Journal of Cardiovascular Nursing
- Published
- 2008-05
- Volume
- 23
- Issue
- 3
- Pages
- 258-265
- ISSN
- 0889-4655 (ISSN-L)
- PMC
- PMC2744587
- OpenAlex
- W2089084955
- Cited by
- 283
- References
- 75
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 10 · 2023: 11 · 2022: 17 · 2021: 15 · 2020: 16 · 2019: 25 · 2018: 15 · 2017: 23 · 2016: 20 · 2015: 29 · 2014: 26 · 2013: 19 · 2012: 13
- FWCI
- 2.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Cardiovascular Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000454)
- U.S. Public Health Service (R01 8800)
- National Institute of Nursing Research (F32NR009888, R01NR008800)
- National Center for Research Resources (M01RR000039)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Social Sciences › Education › Health Education and Validation
- Keywords
- heart failure, self-care, family influence, family functioning, family support, problem solving, family communication, self-efficacy, caregiver burden, living alone, social isolation, patient education, family intervention
- MeSH terms
- Communication, Family, Heart Failure, Humans, Patient Compliance, Patient Education as Topic, Self Care, Social Support, Health Behavior, Caregivers, Outcome Assessment, Health Care
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