Strachan Patricia H, Currie Kay, Harkness Karen, Spaling Melisa, Clark Alexander M
McMaster University, Hamilton, Ontario, Canada.
Institute for Applied Health Research, School of Health & Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, United Kingdom.
J Card Fail. 2014 Jun;20(6):448-55. doi: 10.1016/j.cardfail.2014.03.010. Epub 2014 Apr 13.
The aim of this work was to identify the main contextual factors and processes that influence patients' self-care of heart failure (HF).
A systematic review was conducted with the use of qualitative meta-synthesis. Ten databases were searched up to March 19, 2012. Of the 1,421 papers identified by the systematic search, 45 studies were included in this meta-synthesis. To be included, studies had to contain a qualitative research component, data pertaining to self-care of HF from adults (≥18 y) and be published as full papers or theses since 1995. These studies involved: 1,398 patients (mean age 65.9 y), 180 caregivers, and 63 health professionals. Six main types of contextual factors were found to influence HF self-care in the studies: caregivers; social networks and social support; place; finances and financial capacity; work and occupation; and HF support groups and programs.
HF self-care is influenced by contextual elements that fall outside of traditional elements of a HF self-care program. Inclusion of these elements may help to address the current concerns about poor adherence to self-management programs.
本研究旨在确定影响心力衰竭（HF）患者自我护理的主要背景因素和过程。
采用定性元分析进行系统评价。检索了截至2012年3月19日的10个数据库。在系统检索出的1421篇论文中，有45项研究纳入了本元分析。纳入的研究必须包含定性研究部分、来自成年人（≥18岁）的与HF自我护理相关的数据，并自1995年以来以全文或论文形式发表。这些研究涉及1398名患者（平均年龄65.9岁）、180名护理人员和63名卫生专业人员。研究发现有六种主要类型的背景因素会影响HF自我护理：护理人员；社会网络和社会支持；地点；财务和经济能力；工作和职业；以及HF支持小组和项目。
HF自我护理受到HF自我护理计划传统要素之外的背景因素影响。纳入这些因素可能有助于解决当前对自我管理计划依从性差的担忧。
