Evidence map›Paper›PMID 41839957›Full record

ArticleScientific reports2026

Self-care management in patients with heart failure in Nakhon Si Thammarat Province, Thailand: a descriptive qualitative study.

Suppakarn Opasrattanakon, Urai Jaraeprapal, Chuchard Punsawad

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Suppakarn OpasrattanakonSchool of Nursing, Walailak University, Nakhon Si Thammarat, Thailand.
Urai JaraeprapalSchool of Nursing, Walailak University, Nakhon Si Thammarat, Thailand. jurai0902@gmail.com.
Chuchard PunsawadSchool of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure remains a major global health burden, characterized by high mortality, frequent hospital readmissions, and poor quality of life. These outcomes are closely linked to inadequate self-care behaviors, limited patient knowledge, and insufficient ongoing support. This study aimed to describe self-care behaviors, self-awareness of severe symptoms requiring hospitalization, and symptom management strategies among patients with heart failure, and to provide evidence-based recommendations to inform improved care delivery. A descriptive qualitative study was conducted using individual in-depth interviews with 19 adults living with heart failure in community settings in Nakhon Si Thammarat Province, Thailand. Data were analyzed using content analysis to identify recurring patterns and themes related to self-care experiences. Three key themes were identified. (1) Self-care behaviors shaped patients’ lifestyles, with family caregiving influencing engagement in daily activities, medication adherence, and integrated self-care practices that supported physical and emotional well-being, knowledge-seeking, and healthcare support. (2) Self-awareness of severe symptoms requiring hospitalization, developed through continuous self-monitoring, was central to living with heart failure. Patients relied on physical sensations to guide symptom management, while engagement in daily activities reflected varying levels of self-care capacity or reliance on healthcare professionals. (3) Early self-management of symptoms supported timely rest, effective swelling control, and adherence to professional advice, contributing to reduced hospital readmission and mortality. Effective heart failure management requires individualized self-care approaches that are responsive to patients’ personal and cultural contexts. Enhanced self-awareness of symptoms such as orthopnea and weight gain enables timely self-management actions, including activity pacing, limb elevation, and medication adjustment. Furthermore, digital health tools and home-monitoring devices play an increasingly important role in supporting patient education, symptom tracking, and sustained self-care in heart failure.

Indexed as

Heart FailureSelf CareAdultAgedFemaleHealth Knowledge, Attitudes, PracticeHospitalizationHumansMaleMiddle AgedQualitative ResearchQuality of LifeThailandCommunity health nursingPatients with heart failureQualitative studySelf-awarenessSelf-care behaviorsSelf-care management

Identifiers

PMID41839957
PMCPMC13125531

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