Self‐care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology

  • Tiny Jaarsma
    Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden
  • Loreena Hill
    School of Nursing and Midwifery Queen's University Belfast UK
  • Antoni Bayes‐Genis
    Heart Institute Hospital Universitari Germans Trias i Pujol, Badalona, Spain; and CIBERCV, Instituto de Salud Carlos III Madrid Spain
  • Hans‐Peter Brunner La Rocca
    Department of Cardiology Maastricht University Medical Centre Maastricht The Netherlands
  • Teresa Castiello
    Department of Cardiology, Croydon Health Service and Department of Cardiovascular Imaging Kings College London London UK
  • Jelena Čelutkienė
    Clinic of Cardiac and Vascular Diseases, Institute of Clinical Medicine, Faculty of Medicine Vilnius University Vilnius Lithuania
  • Elena Marques‐Sule
    Department of Physiotherapy University of Valencia Valencia Spain
  • Carla M. Plymen
    Cardiology Department Hammersmith Hospital, Imperial College Healthcare NHS Trust London UK
  • Susan E. Piper
    Department of Cardiology King's College Hospital London UK
  • Barbara Riegel
    School of Nursing University of Pennsylvania Philadelphia PA USA
  • Frans H. Rutten
    Department of General Practice. Julius Center, University Medical Center Utrecht Utrecht University Utrecht The Netherlands
  • Tuvia Ben Gal
    Heart Failure Unit, Cardiology department, Rabin Medical Center, Petah Tikva and Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
  • Johann Bauersachs
    Department of Cardiology and Angiology Hannover Medical School Hannover Germany
  • Andrew J.S. Coats
    IRCCS San Raffaele Pisana Rome Italy
  • Ovidiu Chioncel
    University of Medicine Carol Davila/Institute of Emergency for Cardiovascular Disease Bucharest Romania
  • Yuri Lopatin
    Department of Cardiology, Cardiology Centre Volgograd State Medical University Volgograd Russia
  • Lars H. Lund
    Department of Medicine Karolinska Institutet and Department of Cardiology Karolinska University Hospital Stockholm Sweden
  • Mitja Lainscak
    Department of Internal Medicine, General Hospital Murska Sobota Faculty of Medicine, University of Ljubljana Ljubljana Slovenia
  • Brenda Moura
    Hospital das Forças Armadas and Cintesis‐ Faculdade de Medicina da Universidade do Porto Porto Portugal
  • Wilfried Mullens
    Department of Cardiology, Ziekenhuis Oost‐Limburg, Genk, Belgium; and Biomedical Research Institute, Faculty of Medicine and Life Sciences Hasselt University Diepenbeek Belgium
  • Massimo F. Piepoli
    Department of Cardiology G. da Saliceto Hospital Piacenza Italy
  • Giuseppe Rosano
    Centre for Clinical and Basic Research IRCCS San Raffaele Roma Rome Italy
  • Petar Seferovic
    Faculty of Medicine University of Belgrade Belgrade Serbia
  • Anna Strömberg
    Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden

抄録

<jats:title>Abstract</jats:title><jats:p>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.</jats:p>

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