Objective
The purpose of this study was to identify factors influencing self-management in patients
with heart failure. Themes were determined by examining the review of the Goal Attainment
Follow-up Guide and anecdotal records made by nurse interventionists during their
implementation of mutual goal setting for the study of participants with heart failure.
Methods
Anecdotal records from a study using a mutual goal-setting intervention with participants
with heart failure were reviewed and analyzed using qualitative methods to determine
emerging themes.
Results
The anecdotal records of 27 patients were reviewed. Four themes emerged from this
analysis: (1) competing priorities, (2) self-efficacy related to heart failure self-management,
(3) activity level, and (4) psychosocial adaptation.
Conclusion
Goals set by participants reflected their life experiences and exemplified challenges
with heart failure self-management. Some themes reflected the complexity of their
lives, whereas other themes demonstrated levels of knowledge and motivation. Mutual
goal setting was helpful in understanding the perspective of the participants and
their receptivity to the process of adopting health-promoting behaviors.
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Article info
Publication history
Published online: September 01, 2008
Footnotes
Supported by the American Heart Association, Midwest Affiliate [9951107Z], Kay Setter Kline, PhD, PI.
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
