Negarandeh Reza, Aghajanloo Ali, Seylani Khatereh
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran.
Critical Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Caring Sci. 2020 Oct 20;10(4):196-204. doi: 10.34172/jcs.2020.026. eCollection 2021 Nov.
Heart failure is the most prevalent cardiovascular disease. It is the end stage of most cardiovascular diseases and is characterized by the reduced ability of the heart to pump enough blood to fulfill the metabolic needs of the body. Self-care is the basis of the management of chronic diseases such as heart failure. The aim of this study was to explore the barriers to self-care among patients with heart failure. This was a qualitative content analysis. Participants were fourteen patients with heart failure and three healthcare providers who were purposively recruited from cardiac care centers in Zanjan, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional qualitative content analysis approach proposed by Elo and Kyngäs. Self-care barriers -care among patients with HF were categorized into three main categories, namely personal factors, disease burden, and inefficient support system. Each category had three subcategories which were respectively lack of self-care knowledge, heart failure-related negative emotions, the difficulty of changing habits, progressive physical decline, comorbid conditions, financial strain, inadequate social support, healthcare providers' inattention to self-care, and limited access to healthcare providers. Patients with heart failure face different personal, disease-related, and support-related barriers to self-care. Based on these barriers, healthcare providers can develop interventions for promoting self-care among patients with heart failure.
心力衰竭是最常见的心血管疾病。它是大多数心血管疾病的终末期，其特征是心脏泵血能力下降，无法满足身体的代谢需求。自我护理是心力衰竭等慢性病管理的基础。本研究的目的是探讨心力衰竭患者自我护理的障碍。这是一项定性内容分析。参与者包括14名心力衰竭患者和3名医疗服务提供者，他们是从伊朗赞詹的心脏护理中心有目的地招募的。数据通过深入的半结构化访谈收集，并通过Elo和Kyngäs提出的传统定性内容分析方法进行分析。心力衰竭患者的自我护理障碍分为三大类，即个人因素、疾病负担和低效的支持系统。每一类又有三个子类别，分别是缺乏自我护理知识、与心力衰竭相关的负面情绪、改变习惯的困难、身体逐渐衰退、合并症、经济压力、社会支持不足、医疗服务提供者对自我护理的忽视以及获得医疗服务提供者的机会有限。心力衰竭患者在自我护理方面面临不同的个人、疾病相关和支持相关的障碍。基于这些障碍，医疗服务提供者可以制定干预措施，以促进心力衰竭患者的自我护理。
