Self-Care and Quality of Life Among Adult Patients With Heart Failure: Scoping Review

Abstract

Introduction Although self-care has a therapeutic effect on heart failure (HF), patients experience a marked reduction in physical and executive function, resulting in poor quality of life (QoL). A literature review revealed limited evidence regarding the possible relationship between self-care and QoL in HF patients. Therefore, this scoping review aimed to identify scientific evidence that examines the extent of self-care, QoL, and relationship between self-care and QoL in patients with HF. Methods Full-text research published from March 23, 2010, to March 23, 2020, written in English, that had content on both self-care and QoL among adult patients with HF was included. A literature search of electronic databases and web searches was conducted for published articles. Four databases were used: MEDLINE, Scopus, Web of Science, and the Cochrane Library. Studies collected from Google and Google Scholar web searches were also included. Results Of 1,537 papers identified by the search, 12 were included. The reviewed studies included 3,127 patients. Ten articles used a cross-sectional study design, whereas the remaining articles used a longitudinal and quasi-experimental design. This review found that the extent of self-care practices among patients with HF was inadequate, a significant proportion of patients enrolled in the reviewed studies had a moderate QoL, and higher self-care practices were associated with a better QoL. Self-care behavior and QoL were affected by social support, sex, age, educational level, place of residence, illness knowledge, presence of comorbidities, and functional classification of HF. Conclusion Self-care behavior was positively correlated with QoL in patients with HF. Self-care and QoL in these patients have been reported to be affected by several factors. Further research with a rigorous study design is recommended to investigate the influence of self-care practices on QoL in patients with HF.

Effectiveness and Cost-Effectiveness of Self-Management Interventions for Adults Living with Heart Failure to Improve Patient-Important Outcomes: An Evidence Map of Randomized Controlled Trials

“…To our knowledge, there is currently no systematic evidence on the composition and structure of SMIs for HF, similar to the comprehensive approach we applied in this study. Although various systematic reviews have previously summarized or examined specific components of SMIs in isolation [9,[20][21][22], such as self-management educational programs, lifestyle modifications, education, and patient empowerment, none have taken the integrated approach we used. We employed evidence mapping and adhered to a taxonomy to offer a comprehensive overview of SMIs.…”

The Utilizing Heart Failure Digital Education Media (HF-DEM) Intervention on the Quality of Life among Heart Failure Patients

“…Patients with strong selfcare abilities know how to take better care of themselves and know what to do to deal with the physical and psychological stress they confront. Changes in self-care will correspond with changes in quality of life (S. S. Seid et al, 2023). Three dimensions of self-care including self-care maintenance, self-care management, and self-care confidence can be used to identify factors that impact self-care behavior (Nuraeni et al, 2023).…”

“…The degree to which heart failure patients engage in self-care behaviors determines their quality of life (QOL). Self-care behavior is a variable that highlights the steps HF patients should take to save their lives, their ability to function normally, and to enhance their general (S. S. Seid et al, 2023). The degree to which heart failure patients participate in self-care behaviors determines their HRQOL.…”