ReviewThe Journal of cardiovascular nursing
The influence of heart failure self-care on health outcomes: hypothetical cardioprotective mechanisms.
Review in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Self-Care Interventions for Preventing Cardiovascular Diseases After Hypertensive Pregnancy Disorders: A Systematic Review and Meta-Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Self-care status in patients with heart failure: Systematic review and meta-analysis.Nursing open · 2021Pooled it
- Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association.Journal of the American Heart Association · 2017Guideline
- Effectiveness and Cost-effectiveness of an Empowerment-Based Self-care Education Program on Health Outcomes Among Patients With Heart Failure: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Current status and global trends in self-care among patients with heart failure: challenges and opportunities.The journal of cardiovascular aging · 2026Article
- Unveiling Heart Failure: Gender-Specific Insights and Innovations in Women's Cardiac Health.Current pharmaceutical design · 2026Review
- Identifying Predictors of Heart Failure Readmission in Patients From a Statutory Health Insurance Database: Retrospective Machine Learning Study.JMIR cardio · 2024Article
- Expert Recommendations to Bridge Gaps in Heart Failure Patient Support in the Middle East and Africa Region.Anatolian journal of cardiology · 2024Review
- A multicomponent complex intervention for supportive follow-up of persons with chronic heart failure: a randomized controlled pilot study (the UTILE project).Pilot and feasibility studies · 2023Article
- Examining the underlying processes of different dimensions of self-care behavior among persons with heart failure.BMC cardiovascular disorders · 2022Article
- Self-Care and Pathophysiological Function in Patients with Chronic Heart Failure.International journal of behavioral medicine · 2019Article
- Patients' knowledge of heart failure and their perception of the disease.Patient preference and adherence · 2017Article
- Effective management for older people with heart failure: from acute to palliative care paradigms.Journal of geriatric cardiology : JGC · 2016Article
- Mechanism of engaging self-management behavior in rural heart failure patients.Applied nursing research : ANR · 2016Article
- Patient Self-management in Chronic Heart Failure - Establishing Concordance Between Guidelines and Practice.Cardiac failure review · 2015Article
- Tailoring of self-management interventions in patients with heart failure.Current heart failure reports · 2015Review
- Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol.F1000Research · 2014Article
- Cardiovascular disease self-care interventions.Nursing research and practice · 2013Review
- Role of self-care in the patient with heart failure.Current cardiology reports · 2012Review
- Self care in patients with chronic heart failure.Nature reviews. Cardiology · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
Lapses in self-care are commonly cited as a major cause of poor outcomes in persons with heart failure (HF). Not surprisingly, self-care is assumed to be central to improving health outcomes in this patient population. Empirically, however, this assumption is not well supported, and mechanistically, relationships between self-care and outcomes in HF have not yet been described. In this review, it is proposed that effective self-care maintenance (adherence) and self-care management (symptom evaluation and management) practices are complementary to optimal medical management in delaying HF progression and improving health outcomes in this population. Potential mechanisms through which effective HF self-care practices are complementary to pharmacological therapy in improving outcomes include (a) facilitating partial blockade and partial deactivation of deleterious neurohormones, (b) limiting inflammatory processes, (c) decreasing the need for administration of detrimental pharmacological agents, and (d) minimizing myocardial hibernation. Because these mechanisms are hypothetical, research findings are required to establish their validity. Several strategic research questions are proposed.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.