A qualitative study on barriers to active management in elderly patients with chronic heart failure based on the Theoretical Domains Framework
10.3760/cma.j.cn115682-20250508-02384
- VernacularTitle:基于理论域框架的老年慢性心力衰竭患者积极管理障碍因素的质性研究
- Author:
Minghao QI
1
;
Yu WANG
;
Ke WANG
;
Mengyu HE
;
Yuli HUANG
;
Feng WANG
;
Jing ZHOU
Author Information
1. 蚌埠医科大学第一附属医院心内科，蚌埠 233000
- Publication Type:Journal Article
- Keywords:
Elderly;
Chronic heart failure;
Theoretical Domains Framework;
Active management;
Barriers;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2025;31(32):4354-4360
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To gain an in-depth understanding of the barriers to active management in elderly patients with chronic heart failure (CHF) and to provide evidence for targeted interventions.Methods:A descriptive qualitative research method was adopted. Using purposive sampling, a total of 14 elderly CHF patients admitted to the Department of Cardiovascular Medicine, the First Affiliated Hospital of Bengbu Medical College, from January to February 2025 were selected as study participants. Based on the Theoretical Domains Framework (TDF), a semi-structured in-depth interview guide was developed. NVivo 12.0 software was used to organize and code the data, and directed content analysis was applied.Results:Eight TDF-related domains of barriers were identified and summarized into four themes: misconceptions of disease and information processing barriers (knowledge; memory, attention, and decision processes) ; dependence on family members and limited accessibility of medical resources (social influence; environmental context and resources) ; negative goal motivation and low management confidence (goals; beliefs about consequences and capabilities) ; and emotional management obstacles and fatigue from self-regulation (emotion) .Conclusions:On the basis of meeting elderly CHF patients' knowledge needs, healthcare professionals should expand their access to information, improve social support systems, stimulate intrinsic motivation and self-efficacy, and alleviate negative emotions and fatigue related to self-regulation, thereby enhancing the positivity of self-health management and achieving sustainability in health management.
