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Abstract
The concept of self-care is now well established in government policy and guides the clinical management of patients with long-term conditions, including those with heart failure. Self-care is defined here as adherence to medication and recommended lifestyle advice (self-care maintenance), and recognising, monitoring and responding to symptoms (self-care management). In this literature review, the influence of biological, psychological and social factors on self-care in heart failure are considered. Levels of social support, the patient provider relationship, functional and cognitive ability, depression, personal beliefs, knowledge and psychological factors such as motivation and self-efficacy have all been shown to influence self-care in this patient group. The implications for practice in the light of this review are considered.
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