Abstract
BackgroundThe cornerstone of effective management in heart failure (HF) is the ability to self-care.Aims include i) To determine factors influencing self-care in HF patients with cognitive impairment (CI) and ii) to determine the influence of cognitive domains on self-care in patients with HF and CI.MethodsMEDLINE, CINAHL, EMBASE, EBSCOHost, PsychINFO, ProQuest Research Library, Health Technology Assessment Database, The Cochrane Library, Web of Science and Scopus databases were systematically searched. Original research describing the relationship between cognition and HF self-care in community-dwelling older persons with dementia/CI in English, published in a peer-reviewed journal from 1stJanuary(2000)-22ndMarch(2016) was identified. Study and population characteristics, data sources, self-care processes, methods of cognitive assessment, cognitive domains affected, study outcomes, impact of impairment, and other risk factors of self-care impairment were abstracted by two reviewers.ResultsOf 10,688 studies identified, 14 met the inclusion criteria. Patients with HF and CI ranged from 14 to 73%. Where reported, self-care maintenance adequacy ranged from 50 to 61%; self-care management adequacy ranged from 14 to 36% and self-care confidence adequacy ranged from 0 to 44% on the Self-care of Heart Failure Index (SCHFI). All but one study predicted poor self-care ability according to poor outcome on cognitive testing. Additionally, specific cognitive domain deficits impaired self-care. Subjects with lower cognitive scores were less likely to seek assistance while subjects with depression had poor self-care abilities.ConclusionsClinicians must consider the type and severity of impairments in cognitive domains to tailor management. Awareness of depression, self-confidence and support access may modulate self-care ability.
Highlights
The cornerstone of effective management in heart failure (HF) is the ability to self-care
Cognitive impairment (CI) is already commonplace being present in 25–75% of those with Heart failure (HF) [6]
We describe domains of self-care identified in the Self Care of Heart Failure
Summary
The cornerstone of effective management in heart failure (HF) is the ability to self-care. HF has a prevalence of 1–2% in the general population rises to ≥10% of those above 70 years of age and contributed to one-in-nine deaths in 2009 [3]. The prevalence of HF is projected to rise, which requires considering the management. Dementia (a severe form of cognitive impairment) is expected to double in prevalence every 20 years, reaching an estimated 74.7 million persons worldwide by 2030 [5]. Key self-care behaviors in HF comprise adhering to complex medication regimens, ensuring dietary sodium and fluid restrictions, appropriate exercise as well as recognizing, managing, and seeking health care advice when changes in symptoms arise [7, 8]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
