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  Abstract View: 34

Original Research

Barriers to Self-care Among Patients with Heart Failure: A Qualitative
Study

Reza Negarandeh 1 ORCID logo, Ali Aghajanloo 2* ORCID logo, Khatereh Seylani 1 ORCID logo

1 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran
2 Critical Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: Patients with heart failure face different personal, disease-related, and supportrelated
barriers to self-care. Based on these barriers, healthcare providers can develop
interventions for promoting self-care among patients with heart failure.
Keywords: Heart failure, Self-care, Barriers, Qualitative research
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Submitted: 01 Mar 2020
Revision: 21 Jun 2020
Accepted: 14 Jul 2020
ePublished: 20 Oct 2020
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