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Abstract
Chronic heart failure disease (CHFD) refers to chronic progressive heart diseases that produce irreversible impairment of the heart function. It is a progressively debilitating illness with multiple symptoms and frequent exacerbations. This study was aiming to determine problems that patients complain of them related to disease and it’s treatment received, and determine self-care strategies used by patients for managing these problems, then develop proposed self-care strategies based on patients ability. To conduct this study a convenience sample of hundred and twenty inpatients with CHFD was selected from the Ain Shams University hospital. The study was conducted. The patients’ knowledge, problems and self-care strategies were determined. The results of this study showed a large number of physical, psychological and social problems related to disease and its’ treatment received and some of the strategies were used for managing these problems. This study concluded that, the patients had unsatisfactory level of knowledge regarding disease, smoking, proper nutrition, physical exercises, treatment received and self-care strategies that used them for managing their problems. This study recommended the presence of centers for cardiac disease rehabilitation in hospitals, education for CHFD patients should be through the collaboration of various team members which include cardiologist, registered nurses, dietician, physio-therapist, occupational therapist, psychologist and a social worker and implementation of a cardiology rehabilitation program for patients with CHFD.
Key words: Self – care strategies, chronic heart failure disease, problems.