Concept Analysis of Self-monitoring for Heart Failure Patients

Abstract

[Objective] Self-monitoring is an important concept in order for support of patients to self observe the condition of their heart failure and grasp the actuality of its progression, but its meaning in the context of care for heart failure patients has not been sufficiently clarified. Thus, we have now clarified the concept of self-monitoring in heart failure patients. [Methods] The concept is identified with reference to the concept analysis method of Rodgers et al. (2000). [Results] In the results from analysis of 31 cases from the literature, self-monitoring in heart failure patients involved staying aware of the changes in physical symptoms, changes in physical activity and the status of health management, and conceptual attributes were composed of three aspects: 'awareness,' 'measurement,' and 'interpretation.' 'Knowledge,' 'skills,' and 'concern' exist as antecedents of the concepts, and 'adequate self management' and 'QOL improvements' were the consequences observed. [Conclusions] It is suggested that novel concepts extracted from the present work be applied as the basis for nursing care support to strengthen self monitoring by heart failure patients.