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A Qualitative Meta-Analysis of Heart Failure Self-Care Practices Among Individuals With Multiple Comorbid Conditions
Journal of Cardiac Failure
  • Victoria Vaughan Dickson, New York University
  • Harleah G. Buck, University of Pennsylvania
  • Barbara Riegel, University of Pennsylvania
Document Type
Publication Date
  • self-care,
  • heart failure,
  • comorbidity
Digital Object Identifier (DOI)

Background: Most heart failure (HF) patients have other comorbid conditions. HF self-care requires medication and diet adherence, daily weight monitoring, and a thoughtful response to symptoms when they occur. Self-care is complicated when other chronic conditions have additional self-care requirements. The purpose of this study is to explore how comorbidity influences HF self-care.

Methods:Using qualitative descriptive meta-analysis techniques, transcripts from 3 mixed methods studies (n = 99) were reexamined to yield themes about perceptions about HF and self-care and to explore the influence on HF self-care. The Charlson Comorbidity Index identified comorbid conditions.

Results: The sample was 74% Caucasian, 66% male (mean age of 59.6 years ± 15 years). Fifty-three percent of the sample was New York Heart Association Class III. All had at least 1 other chronic condition. Narrative accounts revealed that adherence to diet, symptom monitoring, and differentiating symptoms from multiple conditions were the most challenging self-care skills. Emerging themes included 1) attitudes drive self-care prioritization and 2) fragmented self-care instruction leads to poor self-care integration and self-care skill deficits.

Conclusions: Individuals with multiple chronic conditions are vulnerable to poor self-care. Research testing coaching interventions that integrate self-care requirements and focus on developing skill in self-care across multiple chronic conditions is needed.

Citation / Publisher Attribution

Journal of Cardiac Failure, v. 17, issue 5, p. 413-419

Citation Information
Victoria Vaughan Dickson, Harleah G. Buck and Barbara Riegel. "A Qualitative Meta-Analysis of Heart Failure Self-Care Practices Among Individuals With Multiple Comorbid Conditions" Journal of Cardiac Failure Vol. 17 Iss. 5 (2011) p. 413 - 419
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