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Date of Award

Spring 2019

Document Type

Thesis

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

Thesis Committee Chairperson

Wencan Lu, FNP

Second Reader

Noel Ridge

Keywords

congestive heart failure, self-management, barriers, facilitators, quality of life, qualitative research

Abstract

Background: Congestive heart failure (CHF) is a chronic condition impacting millions of adults worldwide with hospital readmission rates averaging 21-69% annually (Sharifi, Rezaei, Heydari, Khayat & Mohammadinia, 2018). Self-management is an important factor in symptom control and can have a significant impact in preventing hospital readmissions, reducing the cost burden of the health care system, and strain on patients and their family members. Aim: The aim of this study was to look at barriers and facilitators to self-management at different intervals of enrollment of patients participating in an outpatient home monitoring program. Method: This was an action research study conducted via semi-structured interviews using purposeful sampling and achieving saturation using semi-structured interviews. Results: Health Care Provider support, family support, and daily routine were important facilitators to self-management of congestive heart failure. Barriers included medication adherence, lack of knowledge of illness, and lack of symptom recognition. Conclusion: Patients need support in maintaining and understanding their health. The addition of the Heart Failure Home Monitoring Program has made a significant difference in the lives of those interviewed.

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