Functional status and self-care of patients with heart failure: a scoping review
Abstract
Objetivo: Mapear as evidências científicas sobre a relação entre capacidade funcional e autocuidado em pacientes com insuficiência cardíaca.
Métodos: Revisão de escopo conduzida de acordo com o Instituto Joanna Briggs e orientada para o PRISMA-ScR. Sete bases de dados eletrônicas e cinquenta e cinco publicações em fóruns foram consultadas. Inclui estudos primários com adultos (com 18 anos ou mais) diagnosticados com insuficiência cardíaca, publicados em qualquer idioma, com seleção independente e duplo-cega.
Resultados: Os estudos sobre o forame de dezoito foram incluídos. O autocuidado foi avaliado predominantemente pelo Índice de Autocuidado para Insuficiência Cardíaca. A capacidade funcional foi avaliada principalmente pela classificação funcional da New York Heart Association. A relação entre as duas é complexa e variada, com correlações positivas, negativas ou ausentes.
Conclusão: Relação entre capacidade funcional e autocuidado em pacientes com insuficiência cardíaca heterogênea. Compreender a relação entre autocuidado e capacidade funcional pode orientar profissionais de saúde na avaliação e no desenvolvimento de intervenções personalizadas (educação, apoio ao exercício, motivação) para pacientes com insuficiência cardíaca.
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References
Vollset SE, Ababneh Hs, Abate YH, Abbafati C, Abbasgholizadeh R, Abbasian M, et al. Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the global burden of disease study 2021. Lancet [Internet]. 2024;403(10440):2204–56. Available from: http://dx.doi.org/10.1016/s0140-6736(24)00685-8
Rohde LEP, Montera MW, Bocchi EA, Clausell NO, Albuquerque DC, Rassi S, et al. Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arq Bras Cardiol [Internet]. 2018;111(3):436–539. Available from: http://dx.doi.org/10.5935/abc.20180190
Cestari VRF, Garces TS, Sousa GJB, Maranhão TA, Souza JD, Pereira MLD, et al. Distribuição Espacial de Mortalidade por Insuficiência Cardíaca no Brasil, 1996–2017. Arq Bras Cardiol [Internet]. 2021;:41–51. Available from: http://dx.doi.org/10.36660/abc.20201325
Savarese G, Becher PM, Lund LH, Seferovic P, Rosano GMC, Coats AJs. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovasc Res [Internet]. 2022;118(17):3272–87. Available from: http://dx.doi.org/10.1093/cvr/cvac013
Chamberlain AM, Hade EM, Haller IV, Horne BD, Benziger CP, Lampert BC, et al. A large, multi-center survey assessing health, social support, literacy, and self-management resources in patients with heart failure. BMC Public Health [Internet]. 2024;24(1):1141. Available from: http://dx.doi.org/10.1186/s12889-024-18533-7
Fuentes-Abolafio IJ, Stubbs B, Pérez-Belmonte LM, Bernal-López MR, Gómez-Huelgas R, Cuesta-Vargas AI. Physical functional performance and prognosis in patients with heart failure: a systematic review and meta-analysis. BMC Cardiovasc Disord [Internet]. 2020;20(1):512–512. Available from: http://dx.doi.org/10.1186/s12872-020-01725-5
Kurogi EM, Butcher RdCG e Silva, Salvetti MdG. Relationship between functional capacity, performance and symptoms in hospitalized patients with heart failure. Rev Bras Enferm [Internet]. 2020;73(4):20190123. Available from: http://dx.doi.org/10.1590/0034-7167-2019-0123
Zou H, et al. Identification of factors associated with self-care behaviors using the COM-B model in patients with chronic heart failure. Eur J Cardiovasc Nurs [Internet]. 2017;16(6):530–38. Available from: http://dx.doi.org/10.1177/1474515117695722
Jaarsma T, Hill L, Bayes‐Genis A, Larocca H‐PB, Castiello T, Čelutkienė J, et al. Self‐care of heart failure patients: practical management recommendations from the heart failure association of the european society of cardiology. Eur J Heart Fail [Internet]. 2021;23(1):157–74. Available from: http://dx.doi.org/10.1002/ejhf.2008
Aghajanloo A, Negarandeh R, Janani L, Tanha K, Hoseini‐Esfidarjani S‐S. Self‐care status in patients with heart failure: systematic review and meta‐analysis. Nursing Open [Internet]. 2021;8(5):2235–28. Available from: http://dx.doi.org/10.1002/nop2.805
Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. JBI Manual for Evidence Synthesis [Internet]. 2024;160–90. Available from: http://dx.doi.org/10.46658/jbimes-24-09
Tricco AC, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med [Internet]. 2018;169(7):467–73. Available from: http://dx.doi.org/10.7326/m18-0850
Zotero. Your Personal Research Assistant [Internet]. Corporation for Digital Scholarship. Available from: https://www.zotero.org/
Ouzzani M, et al. Rayyan—a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016;5(1):1–10. Available from: http://dx.doi.org/10.1186/s13643-016-0384-4
Heo S, Moser DK, Lennie TA, Riegel B, Chung ML. Gender differences in and factors related to self-care behaviors: a cross-sectional, correlational study of patients with heart failure. Int J Nurs Stud. 2008;45(12):1807-15. doi: https://doi.org/10.1016/j.ijnurstu.2008.05.008
Marti CN, Georgiopoulou VV, Giamouzis G, Cole RT, Deka A, Tang WH, et al. Patient-reported selective adherence to heart failure self-care recommendations: a prospective cohort study: the Atlanta Cardiomyopathy Consortium. Congest Heart Fail. 2013;19(1):16-24. doi: https://doi.org/10.1111/j.1751-7133.2012.00308.x
Clark AP, McDougall G, Riegel B, Joiner-Rogers G, Innerarity S, Meraviglia M, et al. Health Status and Self-care Outcomes After an Education-Support Intervention for People With Chronic Heart Failure. J Cardiovasc Nurs. 2015;30(4Supl 1):S3-13. doi: http://dx.doi.org/10.1097/JCN.0000000000000169
McCarthy MM, Dickson VV, Katz SD, Chyun DA. An Exercise Counseling Intervention in Minority Adults With Heart Failure. Rehabil Nurs. 2017;42(3):146-156. doi: https://doi.org/10.1002/rnj.265
Zou H, Chen Y, Fang W, Zhang Y, Fan X. Identification of factors associated with self-care behaviors using the COM-B model in patients with chronic heart failure. Eur J Cardiovasc Nurs. 2017;16(6):530-538. doi: https://doi.org/10.1177/1474515117695722
Gary RA, Paul S, Corwin E, Butts B, Miller AH, Hepburn K, et al. Exercise and Cognitive Training Intervention Improves Self-Care, Quality of Life and Functional Capacity in Persons With Heart Failure. J Appl Gerontol. 2020;41(2): 486-495. doi: https://doi.org/10.1177/0733464820964338
Delgado B, Lopes I, Mendes T, Lopes P, Sousa L, López-Espuela F, et al. Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study. Healthcare (Basel). 2021;9(4):434. doi: https://doi.org/10.3390/healthcare9040434
Chen CW, Wang TJ, Liu CY, Chuang YH, Su CC, Wu SV. Effectiveness of a nurse practitioner-led collaborative health care model on self-care, functional status, rehospitalization and medical costs in heart failure patients: A randomized controlled trial. Int J Nurs Stud. 2025;162:104980. doi: https://doi.org/10.1016/j.ijnurstu.2024.104980
Riegel B, Driscoll A, Suwanno J, Moser DK, Lennie TA, Chung ML, et al. Heart failure self-care in developed and developing countries. J Card Fail. 2009;15(6):508-16. doi: http://dx.doi.org/10.1016/j.cardfail.2009.01.009
Lei X, Cai M. Self-care ability and influencing factors in chronic heart failure patients. Biomed Res. 2018;29(3): 595-601. doi: https://doi.org/10.4066/biomedicalresearch.29-17-3205
Sakane K, Kanzaki Y, Ito T, Hoshiga M. Motivational interviewing as a new approach to improve outcome through self-care behavioural changes in advanced heart failure patient: a case report. Eur Heart J Case Rep. 2021;5(10):395. doi: https://doi.org/10.1093/ehjcr/ytab395
Malhotra C, Chaudhry I, Keong YK, Sim KLD. Multifactorial risk factors for hospital readmissions among patients with symptoms of advanced heart failure. ESC Heart Fail. 2024;11(2):1144-1152. doi: https://doi.org/10.1002/ehf2.14670
Tawalbeh LI. The relationship between perceived social support and self-care behaviors among patients with heart failure in Jordan. Curr Psychol. 2024;43:19775–85. https://doi.org/10.1007/s12144-024-05793-0
Ok JS, Choi H. Factors Affecting Adherence to Self-care Behaviors among Outpatients with Heart Failure in Korea. Korean J Adult Nurs. 2015;27(2):242-250. doi: https://doi.org/10.7475/kjan.2015.27.2.242
Rockwell JM, Riegel B. Predictors of self-care in persons with heart failure. Heart Lung. 2001;30(1):18-25. doi: https://doi.org/10.1067/mhl.2001.112503
Cocchieri A, Riegel B, D'Agostino F, Rocco G, Fida R, Alvaro R, et al. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. Eur J Cardiovasc Nurs. 2015;14(2):126-36. doi: https://doi.org/10.1177/1474515113518443
Kim JS, Hwang SY, Shim JL, Jeong MH. Cognitive Function and Self-Care in Patients with Chronic Heart Failure. Korean Circ J. 2015;45(4):310-6. doi: https://doi.org/10.4070/kcj.2015.45.4.310
Sitotaw E, Tsige Y, Boka A. Practice of self-care behaviours and associated factors among patients with heart failure. Br J Card Nurs. 2022; 17(1). doi: https://doi.org/10.12968/bjca.2021.0121
Riegel B, Dickson VV. A situation-specific theory of heart failure self-care. J Cardiovasc Nurs. 2008;23(3):190-6. doi: http://dx.doi.org/10.1097/01.JCN.0000305091.35259.85
Riegel B, Dickson VV, Faulkner KM. The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated. J Cardiovasc Nurs. 2016;31(3):226-35. doi: http://dx.doi.org/10.1097/JCN.0000000000000244
Avila CW, Riegel B, Pokorski SC, Camey S, Silveira LC, Rabelo-Silva ER. Cross-cultural adaptation and psychometric testing of the brazilian version of the self-care of heart failure index version 6.2. Nurs Res Pract. 2013;2013:178976. doi: https://doi.org/10.1155/2013/178976
Cruz DALMD, Wilson AMMM, Melo MN, Conceição APD, Diaz LJR. SCHFI 6.2 Self-Care Confidence Scale - Brazilian version: psychometric analysis using the Rasch model. Rev Lat Am Enfermagem. 2020;28:e3313. doi: https://doi.org/10.1590/1518-8345.3378.3313
Qiu C, Yu DS, Li PW, Riegel B. Psychometric Evaluation of the Traditional Chinese Version of the Self-Care of Heart Failure Index Version 7.2. J Cardiovasc Nurs. 2025;40(4):304-311. doi: http://dx.doi.org/10.1097/JCN.0000000000001089
Kim J, Kim KH, Lim YH, Heo S, Moon K, Oh MS, et al. Validity and Reliability of the Korean Version of the Revised Self-Care of Heart Failure Index v7.2. Clin Nurs Res. 2022;31(7):1296-1307. doi: https://doi.org/10.1177/10547738221106590
Bozkurt B, Coats AJ, Tsutsui H, Abdelhamid M, Adamopoulos S, Albert N, et al. Universal Definition and Classification of Heart Failure: A Report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure. J Card Fail. 2021:S1071-9164(21)00050-6. doi: http://dx.doi.org/10.1016/j.cardfail.2021.01.022
Louyot C, Portran P, Schweizer R, Glerant JC, Thivolet S, Brassart O, et al. Elaboration of a French version of the Duke Activity Status Index questionnaire and performance to predict functional capacity. Anaesth Crit Care Pain Med. 2023;42(3):101199. doi: https://doi.org/10.1016/j.accpm.2023.101199
Coutinho-Myrrha MA, Dias RC, Fernandes AA, Araújo CG, Hlatky MA, Pereira DG, et al. Duke Activity Status Index em Doenças Cardiovasculares: Validação de Tradução em Português. Arq Bras Cardiol. 2014;102(4):383-90. doi: https://doi.org/10.5935/abc.20140031
Goldman L, Hashimoto B, Cook EF, Loscalzo A. Comparative reproducibility and validity of systems for assessing cardiovascular functional class: advantages of a new specific activity scale. Circulation. 1981;64(6):1227-34. doi: https://doi.org/10.1161/01.CIR.64.6.1227
Azevedo ER , Crescencio JC , Cunha DCP , Schmidt A , Tanaka DM , Oliveira LFL, et al. Escala de atividade específica melhora a detecção de pacientes com insuficiência cardíaca crônica sintomática. ABC Heart Insuficiência Cardiomyop 2023;3(3):e20230046. doi: https://doi.org/10.36660/abchf.20230046
D'Souza PJJ, George LS, Paramasivam G, Devasia T, George A, Nayak BS, et al. Knowledge and self-care behavior among heart failure patients in South India. J Educ Health Promot. 2024;13:384. doi: https://doi.org/10.4103/jehp.jehp_1956_23
Murat S, Çavuşoğlu Y, Yılmaz MB, Yıldırımtürk Ö, Ülvan N, Çelik A, et al. Patient Perception, Knowledge and Adaptation in The Management of Heart Failure: A Multicenter, Cross-Sectional, Observational, Questionnaire-Based Study: ADAPTATION HF. Turk Kardiyol Dern Ars. 2024;52(1):18-26. English. doi: https://doi.org/10.5543/tkda.2023.53574. PMID: 38221834.
Rizzuto N, Charles G, Knobf MT. Decreasing 30-Day Readmission Rates in Patients With Heart Failure. Crit Care Nurse. 2022;42(4):13-19. doi: https://doi.org/10.4037/ccn2022417. Erratum in: Crit Care Nurse. 2022;42(5):7. doi: https://doi.org/10.4037/ccn2022699
Riegel B, Dickson VV, Vellone E. The Situation-Specific Theory of Heart Failure Self-care: An Update on the Problem, Person, and Environmental Factors Influencing Heart Failure Self-care. J Cardiovasc Nurs. 2022;37(6):515-529. doi: https://doi.org/10.1097/JCN.0000000000000919
Dellafiore F, Arrigoni C, Pittella F, Conte G, Magon A, Caruso R. Paradox of self-care gender differences among Italian patients with chronic heart failure: findings from a real-world cross-sectional study. BMJ Open. 2018;8(9):e021966. doi: https://doi.org/10.1136/bmjopen-2018-021966
Mei J, Tian Y, Chai X, Fan X. Gender differences in self-care maintenance and its associations among patients with chronic heart failure. Int J Nurs Sci. 2018;6(1):58-64. doi: https://doi.org/10.1016/j.ijnss.2018.11.008
Hernandez M, Barker C, La Rosa DC. Educational Interventions to Improve Heart Failure Self-Care. J Nurse Pract. 2022;18(7):765-768. doi: https://doi.org/10.1016/j.nurpra.2022.04.018
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