Barriers to cognitive frailty management in elderly patients with chronic heart failure based on the Theoretical Domains Framework: a qualitative study
10.3760/cma.j.cn115682-20240709-03816
- VernacularTitle:基于理论域框架的老年慢性心力衰竭患者认知衰弱管理障碍因素的质性研究
- Author:
Siqian LI
1
;
Weiying ZHANG
;
Kongyan ZHANG
;
Rui ZHANG
;
Lili ZHANG
Author Information
1. 安徽医科大学附属阜阳医院老年医学科，阜阳 236000
- Publication Type:Journal Article
- Keywords:
Aged;
Chronic heart failure;
Cognitive frailty;
Barriers;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(10):1351-1356
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the barriers encountered by nurses in managing cognitive frailty in elderly patients with chronic heart failure (CHF) .Methods:Using purposive sampling, 15 nurses working in the Cardiovascular and Geriatric Departments of Fuyang Hospital of Anhui Medical University were recruited for semi-structured interviews from January to April 2024. The interview guide was developed based on the Theoretical Domains Framework (TDF), and data were analyzed using thematic analysis.Results:The study identified barriers related to five TDF domains: knowledge/skills, beliefs about consequences, motivation and goals, environmental context and resources, and behavioral regulation. Further refinement revealed specific challenges, including a lack of systematic knowledge and skills in cognitive frailty management for elderly CHF patients, inadequate incentive mechanisms, limited policy support from government and healthcare institutions, and the absence of standardized management protocols for cognitive frailty.Conclusions:Nurses face multiple barriers in managing cognitive frailty in elderly CHF patients. Addressing these challenges requires strengthening training on cognitive frailty knowledge and skills, improving incentive mechanisms, enhancing policy support from governments and healthcare institutions, and establishing standardized quality management systems to enhance nurses' ability to manage cognitive frailty in elderly CHF patients.
