Heart failure (HF) affects nearly 6 million Americans, a number projected to increase
by 46% in the year 2030.
1
The diagnosis of HF necessitates that patients and families develop self-care skills
and adopt lifestyle changes that facilitate controlling symptoms and slowing the progression
of the disorder.
2
,
3
These lifestyle changes include: managing a prescribed medication regimen; recognizing
signs and symptoms of worsening HF; making dietary changes and adopting an individually
tailored exercise program.
2
,
3
In order to engage in self-care, persons with HF and their support systems need to
acquire knowledge and skills specific to the health problem and the various pharmacologic
therapies, devices, and non-pharmacologic interventions that are part of overall HF
disease management.
4
The aim of these efforts is to improve quality of life
5
and increase survival. Thus, patient and family education is essential to prepare
patients with HF for self-care.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Heart & Lung: The Journal of Cardiopulmonary and Acute CareAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association.Circ Heart Fail. 2013; 6: 606-619
- Promoting self-care in heart failure: state of clinical practice based on the perspectives of healthcare systems and providers.J Cardiovasc Nurs. 2008; 23: 277-284
- Self care in patients with chronic heart failure.Nat Rev Cardiol. 2011; 8: 644-654
- State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association.Circulation. 2009; 120: 1141-1163
- Illness perception, self-care behaviour and quality of life of heart failure patients: a longitudinal questionnaire survey.Int J Nurs Stud. 2013; 50: 945-953
- Cardiovascular Nursing: Scope and Standards of Practice.ANAnusebook.org, 2008
- 2013 ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines.Circulation. 2013; 128: 1810-1852
- Team management of patients with heart failure: a statement for healthcare professionals from the Cardiovascular Nursing Council of the American Heart Association.Circulation. 2000; 102: 2443-2456
- HFSA 2010 comprehensive heart failure practice guideline.J Card Fail. 2010; 16: e1-194
- Performance measures for advanced certification in heart failure finalized.Jt Comm Perspect. 2013; 33: 11
- Joint commission requirements for discharge instructions in patients with heart Failure: is understanding important for preventing readmissions?.J Card Fail. 2014; 20: 641-649
- Discharge education improves clinical outcomes in patients with chronic heart failure.Circulation. 2005; 111: 179-185
- The next generation of stroke and heart failure care. Joint Commission and American Heart Association/American Stroke Association enhance alliance.Jt Comm Perspect. 2011; 31: 11
- HFSA and AAHFN joint position statement: advocating for a full scope of nursing practice and leadership in heart failure.J Card Fail. Nov 2012; 18: 811-812
- Discharge counseling for patients with heart failure or myocardial infarction: a best practices model developed by members of the American College of Clinical Pharmacy's Cardiology Practice and Research Network based on the Hospital to Home (H2H) Initiative.Pharmacotherapy. 2013; 33: 558-580
- Educational interventions for patients with heart failure: a systematic review of randomized controlled trials.J Cardiovasc Nurs. 2011; 26: E27-E35
- Relationship between improvements in heart failure patient disease specific knowledge and clinical events as part of a randomized controlled trial.Patient Educ Couns. 2012; 86: 233-238
- Hospital discharge education for patients with heart failure: what really works and what is the evidence?.Crit Care Nurse. 2008; 28: 66-82
- Dyads affected by chronic heart failure: a randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners.J Card Fail. 2012; 18: 359-366
- Are we teaching what patients need to know? Building skills in heart failure self-care.Heart Lung. 2009; 38: 253-261
- Patients with lower activation associated with higher costs; delivery systems should know their patients' ‘scores’.Health Aff (Millwood). 2013; 32: 216-222
- Event-free survival in adults with heart failure who engage in self-care management.Heart Lung. 2011; 40: 12-20
- The individual mandate and patient-centered care.JAMA. 2011; 306: 648-649
- Effect of patient activation on self-management in patients with heart failure.J Cardiovasc Nurs. 2013; 28: 20-34
- Patient activation and 30-day post-discharge hospital utilization.J Gen Intern Med. 2014; 29: 349-355
- Perceived barriers and facilitators to patients receiving 60 minutes of heart failure education: a survey of AAHFN members.Heart Lung. 2014; 43: 3-5
- The Magnet® model: an infrastructure for excellence.J Nurs Adm. 2011; 41: 441-442
- Magnet hospitals: higher rates of patient satisfaction.Policy Polit Nurs Pract. 2014; 15: 30-41
- Understanding the role of the professional practice environment on quality of care in Magnet(R) and non-Magnet hospitals.J Nurs Adm. 2014; 44: 10-16
- Get with the Guidelines Program participation, process of care, and outcome for Medicare patients hospitalized with heart failure.Circ Cardiovasc Qual Outcomes. 2012; 5: 37-43
- A systematic review of patient heart failure self-care strategies.J Cardiovasc Nurs. 2015; 30: 121-135
- Older patients' experiences of heart failure-an integrative literature review.J Nurs Scholarsh. 2013; 45: 247-255
- Health literacy and the patient with heart failure–implications for patient care and research: a consensus statement of the Heart Failure Society of America.J Card Fail. 2010; 16: 9-16
- Effects of depression and anxiety improvement on adherence to medication and health behaviors in recently hospitalized cardiac patients.Am J Cardiol. 2012; 109: 1266-1271
- What makes a difference to patients?.Int Rev Psychiatry. 2013; 25: 319-328
- Sleep disturbance in people with heart failure: implications for self-care.J Cardiovasc Nurs. 2008; 23: 231-238
- Trends in comorbidity, disability, and polypharmacy in heart failure.Am J Med. 2011; 124: 136-143
- Cognitive deficits in chronic heart failure.Nurs Res. 2010; 59: 127-139
- An integrative review of interventions promoting self-care of patients with heart failure.J Clin Nurs. 2012; 21: 448-475
- The importance and impact of social support on outcomes in patients with heart failure: an overview of the literature.J Cardiovasc Nurs. 2005; 20: 162-169
- Caregiving for patients with heart failure: impact on patients' families.Am J Crit Care. 2011; 20 (quiz 442): 431-441
- Social support and self-care in heart failure.J Cardiovasc Nurs. 2011; 26: 439-445
- Effects of the characteristics of teaching on the outcomes of heart failure patient education interventions: a systematic review.Eur J Cardiovasc Nurs. 2010; 9: 30-37
- Facilitators and barriers to the adoption of telehealth in older adults: an integrative review.Comput Inform Nurs. 2014; 32 (quiz 534–5): 523-533
- Remote monitoring after recent hospital discharge in patients with heart failure: a systematic review and network meta-analysis.Heart. 2013; 99: 1717-1726
- Impact of telehealth on patient self-management of heart failure: a review of literature.J Cardiovasc Nurs. 2012; 27: 33-43
- Heart failure self-management education: a systematic review of the evidence.Int J Evid Based Healthc. 2009; 7: 159-168
- Utilization of trained volunteers decreases 30-day readmissions for heart failure.J Card Fail. 2013; 19: 842-850
- Heart failure symptom monitoring and response training.Heart Lung. 2013; 42: 273-280
- Challenges and strategies for heart failure symptom management in older adults.J Gerontol Nurs. 2010; 36: 24-33
- A situation-specific theory of heart failure self-care.J Cardiovasc Nurs. 2008; 23: 190-196
- An update on the self-care of heart failure index.J Cardiovasc Nurs. 2009; 24: 485-497
- The influence of heart failure on longitudinal changes in cognition among individuals 80 years of age and older.J Clin Nurs. 2012; 21: 994-1003
- Motivational interviewing to change quality of life for people with chronic heart failure: a randomised controlled trial.Int J Nurs Stud. 2008; 45: 489-500
- Theory-based low-sodium diet education for heart failure patients.Home Healthc Nurse. 2010; 28 (quiz 441–433): 432-441
- Readiness to change in heart failure patients.Clin Gerontol. 2007; 31: 33-45
- The feasibility of a telephone coaching program on heart failure home management for family caregivers.Heart Lung. 2013; 42: 32-39
- Application of the health belief model in promotion of self-care in heart failure patients.Acta Med Iran. 2013; 51: 52-58
- Caregiver social problem solving abilities and family member adjustment following congestive heart failure.J Clin Psychol Med Settings. 2004; 11: 151-157
- Context matters in HF self-care: a qualitative systematic review.J Card Fail. 2014 Jun; 20: 448-455
- A review of heart failure management in the elderly population.Am J Geriatr Pharmacother. 2009; 7: 233-249
- Multiple comorbid conditions challenge heart failure self-care by decreasing self-efficacy.Nurs Res. 2013; 62: 2-9
- Investigating pain in heart failure patients: the pain assessment, incidence, and nature in heart failure (PAIN-HF) study.J Card Fail. 2012; 18: 776-783
- Comorbid depression in heart failure.Herz. Sep 2013; 38: 587-596
- Depression predicts repeated heart failure hospitalizations.J Card Fail. 2012; 18: 246-252
- How can health literacy influence outcomes in heart failure patients? Mechanisms and interventions.Curr Heart Fail Rep. 2013; 10: 232-243
- Health literacy and outcomes among patients with heart failure.JAMA. 2011; 305: 1695-1701
- Reducing 30-day readmissions: health literacy strategies.J Nurs Adm. 2013; 43: 382-387
- “Teach to goal”: theory and design principles of an intervention to improve heart failure self-management skills of patients with low health literacy.J Health Commun. 2011; 16: 73-88
- Part 2: enhancing heart failure home management: integrated evidence for a new family caregiver educational plan.Appl Nurs Res. 2012; 25: 246-250
- Effects of a family support program on self-care behaviors in patients with congestive heart failure.Iran J Nurs Midwifery Res. 2013; 18: 152-157
- Social support and self-care behaviors in individuals with heart failure: an integrative review.Int J Nurs Stud. 2014; 51: 320-333
- Quality of care of and outcomes for African Americans hospitalized with heart failure: findings from the OPTIMIZE-HF (Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients With Heart Failure) registry.J Am Coll Cardiol. 2008; 51: 1675-1684
- Racial disparities in health literacy and access to care among patients with heart failure.J Card Fail. 2011; 17: 122-127
- Self-care in patients with chronic heart failure.Expert Rev Pharmacoecon Outcomes Res. 2013; 13: 351-359
- Ethnic differences in quality of life in persons with heart failure.J Card Fail. 2008; 14: 41-47
- Similarities and differences of self-care behaviors between Korean Americans and Caucasian Americans with heart failure.J Transcult Nurs. 2012; 23: 246-254
- Life disruption, life continuation: contrasting themes in the lives of African-American elders with advanced heart failure.Soc Work Health Care. 2012; 51: 149-172
- Women with heart failure: do they require a special approach for improving adherence to self-care?.Curr Heart Fail Rep. 2014; 11: 307-313
- Influence of sex on treatment and outcome in chronic heart failure.Cardiovasc Ther. 2012; 30: 182-192
- Development of a spiritual self-care practice scale.J Nurs Meas. 2013; 21: 450-462
- Conceptual model for heart failure disease management.Can J Cardiol. 2014; 30: 304-311
- Is “teach-back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients?.J Cardiovasc Nurs. 2013; 28: 137-146
- Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis.Ann Intern Med. 2014; 160: 774-784
- Use and predictors of heart failure disease management referral in patients hospitalized with heart failure: insights from the Get With the Guidelines Program.J Card Fail. 2011; 17: 431-439
- A randomized trial of heart failure disease management in skilled nursing facilities: design and rationale.J Am Med Dir Assoc. 2013; 14 (e715–711): 710
- Clinical service organisation for heart failure.Cochrane Database Syst Rev. 2012; 9: CD002752
- Pilot testing of a self-care education intervention for patients with heart failure.Eur J Cardiovasc Nurs. 2013; 12: 39-46
- Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation.Health Technol Assess. 2013; 17 (v–vi): 1-207
- Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review.Eur J Heart Fail. 2011; 13: 1028-1040
- Implementing shared medical appointments for heart failure patients in a community cardiology practice: a pilot study.Heart Lung. 2013; 42: 456-461
- Activating seniors to improve chronic disease care: results from a pilot intervention study.J Am Geriatr Soc. 2010; 58: 1496-1503
- The use of supportive-educative and mutual goal-setting strategies to improve self-management for patients with heart failure.Home Healthc Nurse. 2007; 25: 502-510
- What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs.Health Aff (Millwood). 2013; 32: 207-214
- The relationship between self-concept and adherence to therapeutic regimens in patients with heart failure.J Cardiovasc Nurs. 2011; 26: 475-480
- Does cognitive impairment predict poor self-care in patients with heart failure?.Eur J Heart Fail. 2010; 12: 508-515
- Nurse-enhanced memory intervention in heart failure: the MEMOIR study.J Card Fail. 2011; 17: 832-843
- Using brief motivational interviewing to address the complex needs of a challenging patient with heart failure.J Cardiovasc Nurs. 2014; 29: E1-E6
- A motivational counseling approach to improving heart failure self-care: mechanisms of effectiveness.J Cardiovasc Nurs. 2006; 21: 232-241
- A trial of family partnership and education interventions in heart failure.J Card Fail. 2013; 19: 829-841
- Parallel paths to improve heart failure outcomes: evidence matters.Am J Crit Care. 2013; 22: 289-296
- Pathways in heart failure disease management across socioeconomic spectra.Crit Pathw Cardiol. 2011; 10: 169-172
- ACCF/AHA/HFSA 2011 survey results: current staffing profile of heart failure programs, including programs that perform heart transplant and mechanical circulatory support device implantation: a report of the ACCF Heart Failure and Transplant Committee, AHA Heart Failure and Transplantation Committee, and Heart Failure Society of America.Circ Heart Fail. 2011; 4: 378-387
- Multidisciplinary heart failure management and end of life care.Curr Opin Support Palliat Care. 2011; 5: 317-321
- Nurse educator guidelines for the management of heart failure.J Contin Educ Nurs. 2008; 39: 263-267
- Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients: an in-depth look.Heart Lung. 2012; 41: 583-593
- Clinical nurse specialist assessment of nurses' knowledge of heart failure.Clin Nurse Spec. 2013; 27: 198-204
- Assessment of an educational intervention on nurses' knowledge and retention of heart failure self-care principles and the Teach Back method.Heart Lung. 2014; 43: 204-212
- Nurses' knowledge of heart failure education principles survey: a psychometric study.J Clin Nurs. 2011; 20: 3020-3028
- Nurses' knowledge of heart failure self-management.Prog Cardiovasc Nurs. 2007; 22: 190-195
- Institute of Medicine The Future of Nursing Report, lifelong learning, and certification.Medsurg Nurs. 2012; 21: 115-116
- Let's get certified: best practices for nurse leaders to create a culture of certification.AACN Adv Crit Care. 2011; 22: 68-75
- American Association of Heart Failure Nurses position paper on the Certified Heart Failure Nurse (CHFN) certification.Heart Lung. 2013; 42: 227-228
Article info
Publication history
Published online: January 30, 2015
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.