European Journal of Heart Failure · 2020 · 507 citations · 70 references
MedicineCardiologyInternal MedicineChronic Illness Self-managementPalliative CareSelf-management SupportCardiovascular DiseaseHeart FailureLifestyle ModificationPatient AdherenceSelf-care PracticesSelf-managementChronic Heart Failure CareChronic Heart Failure ManagementHeart Failure NutritionHeart Failure Patient EducationHeart Failure Self-careHeart Failure SymptomsPatient Self-managementSymptom Monitoring
Self‑care is essential for chronic heart failure, improving quality of life and reducing mortality and readmissions, yet current guidelines only provide general advice. The paper aims to give clinicians practical, actionable guidance for delivering heart‑failure self‑care. The authors present evidence‑based recommendations covering nutrition, exercise, medication adherence, mental health, sleep, leisure, travel, smoking cessation, immunization, infection prevention, symptom monitoring, and symptom management.
Abstract Self‐care is essential in the long‐term management of chronic heart failure. Heart failure guidelines stress the importance of patient education on treatment adherence, lifestyle changes, symptom monitoring and adequate response to possible deterioration. Self‐care is related to medical and person‐centred outcomes in patients with heart failure such as better quality of life as well as lower mortality and readmission rates. Although guidelines give general direction for self‐care advice, health care professionals working with patients with heart failure need more specific recommendations. The aim of the management recommendations in this paper is to provide practical advice for health professionals delivering care to patients with heart failure. Recommendations for nutrition, physical activity, medication adherence, psychological status, sleep, leisure and travel, smoking, immunization and preventing infections, symptom monitoring, and symptom management are consistent with information from guidelines, expert consensus documents, recent evidence and expert opinion.
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