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J Caring Sci. 2021;10(4): 196-204. doi: 10.34172/jcs.2020.026
PMID: 34849365        PMCID: PMC8609122

Original Article

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

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

Cited by CrossRef: 5

1- Ang N, Chandramouli C, Yiu K, Lawson C, Tromp J. Heart Failure and Multimorbidity in Asia. Curr Heart Fail Rep. 2023;20(1):24 [Crossref]
2- HIMENO Y, KITAKATA H, KOHNO T, HASHIMOTO S, FUJISAWA D, SHIRAISHI Y, NAKANO N, HIRAIDE T, KISHINO Y, KATSUMATA Y, YUASA S, KOHSAKA S, IEDA M. Post-Discharge Self-Care Confidence and Performance Levels in Patients Hospitalized due to Heart Failure. Journal of Cardiac Failure. 2025;31(8):1103 [Crossref]
3- Cardona M, Sav A, Michaleff Z, Thomas S, Dobler C. Alignment of Doctors’ Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients’ Experiences: A Nominal Group Technique Consultation. PPA. 2023;Volume 17:153 [Crossref]
4- Nordfonn O, Gallacher K, Førsund L. Patient experience of treatment burden in chronic heart failure self-care interventions: a qualitative systematic review protocol. BMJ Open. 2025;15(6):e099704 [Crossref]
5- Johnsson N, Strandberg S, Tuvesson H, Fagerström C, Ekstedt M, Lindberg C. Delineating and clarifying the concept of self-care monitoring: a concept analysis. International Journal of Qualitative Studies on Health and Well-being. 2023;18(1) [Crossref]
6- Darabi F, Ziapour A, Mohamadkhah F, Malekian S, Salimi Y, Janjani P, Salehi N, Yıldırım M. Factors Related to Self-Care Behaviors’ in Chronic Heart Failure Patients: A Cross-Sectional Study in Western Iran. Am J Health Promot. 2025;39(7):1016 [Crossref]
7- Milavec Kapun M, Rajkovič V, Šušteršič O, Rajkovič U. A self-care process model for patients with chronic noncommunicable diseases. Health Serv Manage Res. 2024;37(3):189 [Crossref]
8- Gayesa R, Xie Y, Ngai F. Psychometric evaluation of the Afaan Oromo version of the exclusive breastfeeding social support scale among Ethiopian women. Midwifery. 2024;138:104154 [Crossref]
9- Taguibao C, Ajraoui S, Centra J, Reid K, Daskalopoulou C, Freniche A, Hamilton A, Horstman A, Collins B, Dunn J, Izmailova E. Identifying Concepts of Physical Activity Which Are Clinically Meaningful to Patients and Care Providers: A Systematic Review of Qualitative Research. Clinical Translational Sci. 2025;18(4) [Crossref]
10- Miguel S, Frade A, Moreira J. The use of m-health to improve self-care in patients with heart failure. 2024;23(5):e63 [Crossref]
11- Xu X, Chen Y, Zhou J, Li S, Dong X, Shen Z. Facilitators and Barriers to Self-Volume Management in Older Patients with Chronic Heart Failure and Multimorbidity: A Qualitative Study. Healthcare. 2025;13(18):2353 [Crossref]
12- Sallam L, AlOtaibi N, Baker O. Effectiveness of telehealth care on self-care behaviors in heart failure patients: Systematic review and meta-analysis protocol. DIGITAL HEALTH. 2025;11 [Crossref]
13- Heravi‐Karimooi M, Bandari R, Eskandari S, Semnani S, Rejeh N, Montazeri A. Validation Study of the Iranian Version of Minnesota Living With Heart Failure Questionnaire (MLHF‐Q): A Cross‐Sectional Study. Health Science Reports. 2025;8(2) [Crossref]
14- Turrise S, Kleman C, Jenkins C, Lewis N, Winslow H, Williams B, Meyer K, SooHoo S, Lutz B. Readiness for Heart Failure Self-Care: Commitment and Capacity. Healthcare. 2025;13(14):1725 [Crossref]
15- Osei Baah F, Brawner B, Teitelman A, Ruger J, Riegel B. A Mixed-Methods Study of Social Determinants and Self-care in Adults With Heart Failure. J Cardiovasc Nurs. 2024;39(3):E59 [Crossref]
16- D’Souza P, Lewis M, Paramasivam G, Noronha J, Kusumavathi P, Devasia T, George L. Factors associated with self-care behavior among heart failure patients in India: A systematic review. 2025;14(1) [Crossref]
17- Gheiasi S, Cheraghi M, Dastjerdi M, Navid H, Khoshavi M, Peyrovi H, Khachian A, Seylani K, Esmaeili M, Navab E. Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure. Clin Nurs Res. 2023;32(3):648 [Crossref]
18- Santero M, Song Y, Beltran J, Medina-Aedo M, Canelo-Aybar C, Valli C, Rocha C, León-García M, Salas-Gama K, Kaloteraki C, Niño de Guzmán E, Ballester M, González-González A, Poortvliet R, van der Gaag M, Spoiala C, Gurung P, Willemen F, Cools I, Bleeker J, Kancheva A, Ertl J, Laure T, Kancheva I, Pacheco-Barrios K, Zafra-Tanaka J, Tsokani S, Veroniki A, Seitidis G, Christogiannis C, Kontouli K, Groene O, Sunol R, Orrego C, Heijmans M, Alonso-Coello P. 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. Healthcare. 2024;12(3):302 [Crossref]
19- Ni Y, Liu X, He L, Wen Y, You G, Igarashi Y. Mobile Application‐Based Interventions for People with Heart Failure: A Systematic Review and Meta‐Analysis. Journal of Nursing Management. 2024;2024(1) [Crossref]
20- Tian F, Chen S, Lan X, Zhang R, Zhu C, Chen Y. Factors influencing self-care behaviours in patients with heart failure: A mixed-methods systematic review. Heart & Lung. 2026;75:304 [Crossref]
21- Park J, Seo K, Lee J, Kim K, Ahn J, Duplaga M. Communication needs regarding heart failure trajectory and palliative care between patients and healthcare providers: A cross-sectional study. PLoS ONE. 2025;20(1):e0317417 [Crossref]
22- Alosta M, Othman E, Hani S, Al‐yyan A, Sarhan R, Al‐Momani M. Self‐Care Practices and Quality of Life Among Jordanian Patients With Heart Failure: The Mediating Role of General Life Satisfaction. Nursing & Health Sciences. 2025;27(4) [Crossref]