以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (2): 31-36.doi: 10.16460/j.issn1008-9969.2021.02.031

Previous Articles     Next Articles

Self-management of Patients with Chronic Heart Failure: A Qualitative Meta-integration

WANG Hui1, TONG Xu1, LI Ling2   

  1. 1. School of Nursing, Zhejiang Chinese Medical University, Hangzhou 310053, China;
    2. Nursing Teaching and Research Office, Shulan International Medical College, Zhejiang Shuren University, Hangzhou 310015, China
  • Received:2020-09-18 Online:2021-01-25 Published:2021-03-12

PDF (PC)

306

Like

Abstract: Objective To systematically review the self-management experience of patients with chronic heart failure(CHF),to comprehensively understand patients' self-management behaviors and provide reference for formulating self-management measures. Methods We searched databases including The Cochrane Library, JBI, CINAHL, PubMed, Web of Science, Science Direct, EBSCO, CBM, CNKI, Wanfang, and VIP to collect qualitative studies on management experience of CHF patients from the inception to 10 November,2019.The quality of the literature was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated using a collective integration method. Results A total of 19 studies were included;74 research results were extracted; 7 new categories were summarized, and 3 integrated results were obtained: symptom perception and development of healthy behavior to maintain a good physiological state; facing the disease and seeking social support through multiple channels; adapting to the role change and gaining comfort of the soul in the process of understanding the meaning of life. Conclusion CHF patients gradually realizes the importance of self-management and develop disease management skill in the process of experience summary and behavior adjustment. More encourage and social support are conducive to helping patients to rebuild their life goals, pursue the meaning of life, and ultimately improve the quality of life.

Key words: chronic heart failure, self-management, qualitative research, Meta-integration

CLC Number: 

  • R473.54
[1] Benjamin EJ, Muntner P, Alonso A, et al.Heart Disease and Stroke Statistics-2019 Update: A Report from the American Heart Association[J]. Circulation, 2019, 139(10):e56-e528. DOI:10.1161/CIR.0000000000000659.
[2] 王宙,周琳,刘洋,等.慢性心力衰竭的流行病学研究现状及其防治研究进展[J].中国循证心血管医学杂志,2019, 11(8):1022-1024. DOI:10.3969/j.issn.1674-4055.2019.08.36.
[3] Savarese G, Lund LH.Global Public Health Burden of Heart Failure[J]. Card Fail Rev,2017,3(1):7-11. DOI:10.15420/cfr.2016:25:2.
[4] 衣艳凤,袁越,宋红霞,等.心力衰竭患者症状群与生活质量的相关性研究[J]. 护理学报,2018,25(1):14-17. DOI:10.16460/j.issn1008-9969.2018.01.010.
[5] 曹小彤,徐翠荣,王静静.慢性心力衰竭患者生活质量影响因素的病例对照研究[J]. 护理学报,2017,24(23):5-8. DOI:10.16460/j.issn1008-9969.2017.23.005.
[6] Riegel B, Moser DK, Buck HG, et al.Self-care for the Prevention and Management of Cardiovascular Disease and Stroke:A Scientific Statement for Healthcare Professionals from the American Heart Association[J]. J Am Heart Assoc, 2017, 6(9). DOI:10.1161/JAHA.117.006997.
[7] Spaling MA, Currie K, Strachan PH, et al.Improving Support for Heart Failure Patients: A Systematic Review to Understand Patients' Perspectives on Self-care[J].J Adv Nurs,2015, 71(11):2478-2489. DOI:10.1097/JCN.0000000000000118.
[8] 胡雁. 循证护理学[M].北京:人民卫生出版社,2012:130-140.
[9] Li CC, Chang SR, Shun SC.The Self-care Coping Process in Patients with Chronic Heart Failure: A Qualitative Study[J]. J Clin Nurs,2019,28(3/4):509-519. DOI:10.1111/jocn.14640.[10] Nordfonn OK, Morken IM, Bru LE, et al. Patients' Experience with Heart Failure Treatment and Self-carea Qualitative Study Exploring the Burden of Treatment[J]. J Clin Nurs, 2019, 28(9/10):1782-1793. DOI10.1111/jocn.14799.
[11] Sterling MR,Silva AF,Robbins L, et al.Let's Talk Numbers: A Qualitative Study of Community-dwelling Us Adults to Understand the Role of Numeracy in the Management of Heart Failure[J]. BMJ Open, 2018, 8(9):e023073. DOI:10.1136/bmjopen-2018-023073.
[12] van der Wal MHL, Jaarsma T, Moser DK, et al. Qualitative Examination of Compliance in Heart Failure Patients in the Netherlands[J]. Heart Lung, 2010, 39(2):121-130. DOI:10.1016/j.hrtlng.2009.07.008.
[13] Heo S, Lennie TA, Moser DK, et al.Heart Failure Patients' Perceptions on Nutrition and Dietary Adherence[J]. Eur J Cardiovasc Nurs, 2009, 8(5):323-328. DOI:10.1016/j.ejcnurse.2009.05.005.
[14] Chew HSJ, Sim KLD, Cao X, et al.Motivation, Challenges and Self-regulation in Heart Failure Self-care: A Theory-driven Qualitative Study[J]. Int J Behav Med, 2019, 26(5): 474-485. DOI:10.1007/s12529-019-09798-z.
[15] Rong XS, Peng YQ, Yu HP, et al.Cultural Factors Influencing Dietary and Fluid Restriction Behaviour:Perceptions of Older Chinese Patients with Heart Failure[J].J Clin Nurs, 2017,26(5/6):717-726. DOI:10.1111/jocn.13515.
[16] Riegel B,Carlson B.Facilitators and Barriers to Heart Failure Self-care[J]. Patient Educ Couns, 2002, 46(4):287-295. DOI:10.1016/s0738-3991(01)00165-3.
[17] 郭海燕,金园园,朱艳,等.慢性心力衰竭患者自我监测需求的质性研究[J].中华现代护理杂志, 2018, 24(10):1155-1158. DOI:10.3760/cma.j.issn.1674-2907.2018.10.007.
[18] 俞海萍,彭幼清,徐文妹,等.慢性心力衰竭患者自我管理真实体验的质性研究[J].解放军护理杂志, 2017, 34(11): 22-25. DOI:10.3969/j.issn.1008-9993.2017.11.005.
[19] 何涛,张国华,方艳春,等.慢性心力衰竭病人体重管理行为预测因子的质性研究[J].全科护理, 2019, 17(15):1885-1887. DOI:10.12104/j.issn.1674-4748.2019.15.038.
[20] Wu JR, Moser DK, Lennie TA, et al.Factors Influencing Medication Adherence in Patients with Heart Failure[J]. Heart Lung, 2008, 37(1):8-16.
[21] Meraz R. Medication Nonadherence or Self-care? Understanding the Medication Decision-making Process and Experiences of Older Adults with Heart Failure[J]. J Cardiovasc Nurs, 2020,35(1)26-34. DOI:10.1097/JCN.0000000000000616.
[22] Woda A, Haglund K, Belknap RA, et al.Self-care Behaviors of African Americans Living with Heart Failure[J]. J Community Health Nurs, 2015, 32(4):173-186. DOI:1080/07370016.2015.1087237.
[23] Son YJ, Lee YM, Kim EY.How Do Patients Develop Self-care Behaviors To Live Well With Heart Failure: A Focus Group Interview Study[J]. Collegian, 2019, 26(4):448-456. DOI:10.1016/j.colegn.2018.12.004.
[24] Schumacher C, Hussey L, Hall V.Heart Failure Self-management and Normalizing Symptoms:An Exploration of Decision Making in the Community[J]. Heart Lung, 2018, 47(4):297-303. DOI:10.1016/j.hrtlng.2018.03.013.
[25] Xu J, Wenzel J, Nolan MT, et al.Using Vignettes to Understand Heart Failure Self-care[J]. J Clin Nurs, 2018, 27(19-20):3554-3560. DOI:10.1111/jocn.14581.
[26] Seah ACW, Tan KK, Huang Gan JC, et al.Experiences of Patients Living with Heart Failure[J]. J Transcult Nurs, 2016, 27(4):392-399. DOI:10.1177/1043659615573840.
[27] Sano M, Majima T. Self-management of Congestive Heart Failure among Elderly Men in Japan[J]. Int J Nurs Pract, 2018,24(4) Suppl 1:e12653. DOI:10.1111/ijn.12653.
[28] 刘莉,王秀华,曹希,等.心力衰竭患者自我护理信心在领悟社会支持与自我护理行为间的中介作用[J].中国临床心理学杂志,2017,25(4):734-738. DOI:10.16128/j.cnki.1005-3611.2017.04.031.
[29] 李晓慧,章新琼,潘玉芹,等.益处发现在晚期肺癌患者灵性健康与乐观及自尊间的中介作用[J].护理学杂志,2020,35(6):67-71. DOI:10.3870/j.issn.1001-4152.2020.06.067.
[1] JIA Li-li, ZHANG Guo-zeng, YUE Li-xia, ZHU Kang-ning, WANG Zhi-xia, WANG Fei-jie. Qualitative Research on Home Life Experience of Patients after Temporary Stoma Reversal [J]. Journal of Nursing, 2021, 28(2): 1-4.
[2] JIANG Li-ling, ZHAN Meng-mei, HUANG Qiu-xia, LI Li-qun, ZHANG Shu, Gong Jing-jing, WANG Jian-ning. Sexual Experience of Breast Cancer Patients: A Qualitative Meta-synthesis [J]. Journal of Nursing, 2021, 28(1): 33-37.
[3] WANG Yan, ZHU Gui-lin. Effect of Nursing Intervention based on Behaviour Change Wheel for Patients after Enterostomy [J]. Journal of Nursing, 2020, 27(8): 54-58.
[4] LIU Li-ping, WU Yan-ni, CONG Wei-lian, HU Ming-yu, LI Xiao-xia, ZHOU Chun-lan. Qualitative Studies on Self-care Experience of Cancer Patients undergoing Chemotherapy:A Systematic Review [J]. Journal of Nursing, 2020, 27(7): 1-6.
[5] YIN Xiao-meng, HU Bo, WANG Wei, JIANG Yuan-yuan, SHEN Xiu-fang, ZHU Xiu-li. Expectation on Role of Supervisors in Medical Postgraduates based on Role Theory: A Qualitative Study [J]. Journal of Nursing, 2020, 27(5): 1-5.
[6] LI Wen-yu, TU Wen-yi, ZHENG Jing, HUANG Xiao-fang, LIU Qing-hua, XU Xiao-qun. Impact of Sample Size on Interpretation of Qualitative Research Phenomena and Empirical Research [J]. Journal of Nursing, 2020, 27(3): 62-65.
[7] CHEN Li-ling, ZHOU Chun-lan, WU Yan-ni, ZHAO Hui-hui. Qualitative Research on Experience of Clinical Nurses in Evidence-based Practice Training [J]. Journal of Nursing, 2020, 27(23): 49-52.
[8] XIONG Si-min, NIE Rong. Self-management Experience of Patients with Gestational Diabetes Mellitus：A Qualitative Meta-synthesis [J]. Journal of Nursing, 2020, 27(21): 1-6.
[9] WANG Meng-meng, SONG Jing-yu, YE Nai-kuan, XU Tian-meng, YUE Peng. Qualitative Research on Experience of Spouse of End-of-life Patients: A Meta-synthesis [J]. Journal of Nursing, 2020, 27(21): 40-45.
[10] . Qualitative Research on Occupational Exposure Risk of Nursing Staff in Treatment of Coronavirus-induced Respiratory Infectious Diseases: A Meta-analysis [J]. Journal of Nursing, 2020, 27(19): 35-40.
[11] LI Ya-nan, LIU Shu, YOU Ao-lin, LIU Ping, LUAN Xiao-rong. Experience of Patients with Acute Coronary Syndrome after Interventional Therapy: A Systematic Review of Qualitative Studies [J]. Journal of Nursing, 2020, 27(18): 42-49.
[12] SHI Yi-qiu, DAI Xiao-jing, FENG Zhan-chun. Qualitative Research on Working Experience of Head Nurses in COVID-19 Wards in General Hospitals [J]. Journal of Nursing, 2020, 27(13): 47-51.
[13] TIAN Fan-li, LI Hui-ling, DU Mei-lan, JIANG Fang-qin, ZHANG Xin-mei, YIN Xue-qun. Qualitative Study on Emotional Experience of Male Nurses Supporting Wuhan for Fighting COVID-19 [J]. Journal of Nursing, 2020, 27(12): 46-49.
[14] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis [J]. Journal of Nursing, 2020, 27(11): 33-39.
[15] HUANG Ying-ying, CAO Wei-ping, WEI Jia-jie, LI Yan. Qualitative Study on Illness Experiences of Hypertensive Disorders in Pregnancy [J]. Journal of Nursing, 2020, 27(10): 5-9.
Viewed
Full text


Abstract

Cited
  Shared   
[1] JIA Li-li, ZHANG Guo-zeng, YUE Li-xia, ZHU Kang-ning, WANG Zhi-xia, WANG Fei-jie. Qualitative Research on Home Life Experience of Patients after Temporary Stoma Reversal[J]. Journal of Nursing, 2021, 28(2): 1 -4 .
[2] CHENG Xue, XU Cui-ping, ZHANG Min, WANG Jun-zhi, CHU Liang-liang, WU Yu, DING Kai-wen, LI Chang-e. Construction of Painless Labor Intention Self-rating Scale Based on Theory of Planned Behavior[J]. Journal of Nursing, 2021, 28(2): 5 -9 .
[3] LIU Xiao-li, WU Xiao-zhou, LI Shuo, YANG Guo-yi, WANG Ling, LIU Shu-jia. Construction of Stratified Training System for Head Nurse Based on Post Competency[J]. Journal of Nursing, 2021, 28(2): 10 -15 .
[4] DU Xiao-liang, HU Na, WANG Qian-yun, LIU Qian, YU Xing, YUE Xiao. Family Integrated Shift in Neurological Department[J]. Journal of Nursing, 2021, 28(2): 16 -19 .
[5] ZHAO Ke-di, WANG Ran, ZHANG Ying, WU Lan, HOU Yuan-zheng, TANG Zhe, LIU Ting. Improved SBAR-based Nursing Transfer Checklist in Shift for Patients Receiving MRI-guided Brain Tumor Resection[J]. Journal of Nursing, 2021, 28(2): 20 -23 .
[6] . [J]. Journal of Nursing, 2021, 28(2): 24 -27 .
[7] . [J]. Journal of Nursing, 2021, 28(2): 28 -30 .
[8] GUO Han-hua, CHEN Ming-gui, KONG Li-li, ZHANG Xiao-xuan. Evidence-based Practice of Best Replacement of Catheter for Arterial Pressure Measuring of Critically-ill Patients[J]. Journal of Nursing, 2021, 28(2): 37 -41 .
[9] . [J]. Journal of Nursing, 2021, 28(2): 42 -46 .
[10] LIU Qing-wei, SHAO Mei-hua, ZHAO Ya-ling, YIN Xiao-meng, JIANG Yuan-yuan, ZHU Xiu-li. Health Information Acquisition Behavior of Patients with Interstitial Lung Disease：A Descriptive Qualitative Study[J]. Journal of Nursing, 2021, 28(2): 47 -51 .