Page 10 - Petelin, Ana. 2021. Ed. Zdravje starostnikov / Health of the Elderly. Proceedings. Koper: University of Primorska Press.
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avje starostnikov | health of the elderly 8 economy, the non-governmental sector and others can we achieve better
health for all of us.

Keywords: heart failure, health promotion, self-care, self-management

Introduction
Heart failure (HF) is a common cardiovascular disease associated with high
morbidity, mortality, and hospital admission. Heart failure is a major public
health problem, the incidence of which is increasing. Current treatment of a
patient with HF requires a multidisciplinary approach and includes four areas
of care related to biomedical care, psychosocial care, self-care or self-manage-
ment, and palliative care. The disease requires daily self-care, which is a major
part of successful disease management. Self-management and self-care in HF
refer to how the individual is responsible for the active management of daily ac-
tivities such as compliance and regular use of medications, weight monitoring,
and lifestyle change. Many factors can affect a person’s ability to independent-
ly manage HF, these include the socioeconomic status of the patient, the level
of health literacy, access to ongoing family support, educational interventions,
and the care model in a given health system (Cui et al., 2019).

Self-care includes activities performed by the patient to maintain life,
healthy functioning, and well-being. Koirala and colleagues (2020) believe that
the ability to perform self-care activities can improve both self-sufficiency and
self-care management. The goal of self-care in HF is to improve the health out-
comes of patients and to maintain the symptoms of HF in order to avoid avoid-
able complications. Optimal self-care includes proper medication, adherence
to dietary instructions and a healthy lifestyle, monitoring of symptoms, taking
appropriate measures to manage symptoms, and regular collaboration with
healthcare professionals. Through these activities and measures, self-care helps
to reduce direct and indirect health care expenditure, reduces hospitalizations
and increases the health-related quality of life of patients.

Methods
We used a descriptive method of work; a review of Slovenian and English liter-
ature was made. Data for were selected from May 2021 to June 2021. Literature
was searched in the Cochrane Library, CINAHL, PubMed and MedNar data-
bases using the following keywords: heart failure, self-management, heart fail-
ure AND education. The Google Scholar web browser was also used to search
the literature. The age of literature was limited from 2010 to 2021, the empha-
sis was on more recent literature. Articles with full access to the text related to
the topic of heart failure were included. The exclusion criteria were: articles that
did not have a complete article structure, articles that did not relate to the top-
ic. In addition, the relevance of the content was also a selection criterion. 21 ar-
ticles were reviewed, of which 10 articles were excluded according to the exclu-
sion criteria. Articles that were not in Slovene or English were also excluded.
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