Current Heart Failure Reports

, Volume 11, Issue 3, pp 307–313

Women with Heart Failure: Do They Require a Special Approach for Improving Adherence to Self-Care?

Self-Care and Health Outcomes (T Jaarsma, Section Editor)

DOI: 10.1007/s11897-014-0199-3

Cite this article as:
Stamp, K.D. Curr Heart Fail Rep (2014) 11: 307. doi:10.1007/s11897-014-0199-3


The purpose of this review is to evaluate research regarding whether women with heart failure (HF) need a special approach for improving their adherence to self-care. Prior research has sampled mostly white, male populations and these results have been generalized to the population of all HF patients. After age 65, women are at a higher risk than men for developing HF. Once women develop HF they are more likely than men with HF to experience greater symptom burden, re-hospitalizations, social isolation, and higher mortality rates. In this review we will explore barriers and facilitators that women experience when performing self-care, and whether they need individualized interventions or approaches to care that are different from those for male patients with HF. Special approaches such as assessment of social support and self-care counseling when treating women with HF will be discussed, as this may improve women’s adherence, thereby slowing the symptom burden and disease progression.


Heart failureWomen and heart failureSelf-careSelf-care behaviorsAdherenceChronic illnessSelf-managementSelf-care maintenanceSelf-care confidenceSelf-efficacy

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Boston CollegeWilliam F. Connell School of NursingChestnut HillUSA