Health promotion in heart failure--a paradigm shift.
For people living with heart failure, levels of health exist along a continuum in correlation with the illness experience. A focus on health promotion rather than only disease or symptom management expands opportunities for self-care and presents an emerging paradigm shift in the care of people with heart failure. Results from 2 studies revealed that few health-promoting behaviors were reported by patients with heart failure until a focused intervention that emphasized health promotion as part of self-care was implemented.
Clark
Angela P
AP
University of Texas at Austin School of Nursing, 78701, USA. apclark@mail.utexas.edu
Stuifbergen
Alexa
A
Gottlieb
Nell H
NH
Voelmeck
Wayne
W
Darby
Dorothy
D
Delville
Carol
C
D000368:Aged; D001294:Attitude to Health; D002908:Chronic Disease; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006333:Heart Failure / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation*; D006694:Holistic Health; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods; D012648:Self Care / Q000379:methods*