Self-care decision-making experience of heart failure patients: a meta-synthesis of qualitative research
10.3760/cma.j.cn115682-20240325-01589
- VernacularTitle:心力衰竭患者自我护理决策体验质性研究的Meta整合
- Author:
Xiaojun LIU
1
;
Zhongyan DU
;
Lina WANG
;
Lijuan YANG
Author Information
1. 山东大学护理与康复学院，济南 250012
- Keywords:
Heart failure;
Self-care;
Decision making;
Naturalistic decision-making theory;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2024;30(34):4679-4687
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the qualitative research on the experience of heart failure patients participating in self-care decision-making, so as to provide reference for improving patients' enthusiasm for participating in self-care and formulating self-care decision-making intervention programs.Methods:Qualitative studies (including mixed studies of qualitative studies) on the self-care decision-making experience of heart failure patients were electronically retrieved in PubMed, Embase, Web of Science, Cochrane Library, Proquest, CINAHL, China National Knowledge Infrastructure, WanFang Data, VIP, and China Biomedical Database. The search period was from database establishment to March 31, 2024. The aggregative synthesis was used to integrate research results.Results:A total of 14 articles were included, 24 research results were extracted, and summarized into 8 new categories, forming three integrated results, including multiple dilemmas and concerns in heart failure self-care decision-making, multiple influences on patient participation in heart failure self-care decision-making, and patients' perceived motivation to cope with decision making with firm beliefs about self-care.Conclusions:The self-care of heart failure patients is crucial for improving outcome. Medical and nursing staff should develop personalized self-care interventions based on personal values and preferences, guide patients to perform self-care correctly, improve the hospital-home-community support system, maintain continuity of nursing, and enhance patients' self-care.
