Self-Concepts of Exercise in Frail Older Adults With Heart Failure: A Literature Review

The co-occurrence of frailty and heart failure (HF) in older adults (65 years or older) can adversely affect the ability to engage in self-care management behaviors, which may alter self-concepts and decrease quality of life. Little is known about how frailty and HF influence older adults' self...

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Bibliographic Details
Published in:Research and theory for nursing practice Vol. 29; no. 2; pp. 113 - 124
Main Authors: Xie, Boqin, Arslanian-Engoren, Cynthia
Format: Journal Article
Language:English
Published: United States Springer Publishing Company 01.01.2015
Subjects:
Aged
Aged, 80 and over
Exercise
Frail Elderly
Heart Failure - physiopathology
Humans
Models, Theoretical
Nursing
Nursing Education
Professional Issues and Trends
Research, Theory, and Measurement
Self Concept
older adults
heart failure
frailty
exercise
self-concept
ISSN:1541-6577, 1945-7286
Online Access:Get full text
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Summary:The co-occurrence of frailty and heart failure (HF) in older adults (65 years or older) can adversely affect the ability to engage in self-care management behaviors, which may alter self-concepts and decrease quality of life. Little is known about how frailty and HF influence older adults' self-concepts or how these self-concepts affect exercise behaviors. Therefore, the aims of this literature review were to identify the self-concepts of older frail adults with HF and to identify how these self-concepts affect their exercise behaviors. Guided by the schema model of self-concept, publications before April 2013 that examined the impact of the self-concepts of older adults with HF and/or frailty on exercise behavior were reviewed. As a result, 6 articles were included. Three of the 6 articles focused on frailty, and 3 of the 6 articles focused on HF. However, no study was found that specifically examined the self-concepts of frail older adults with HF. The self-concepts of older adults with HF and/or frailty are multifaceted and include both cognitive resources (facilitating exercise) and cognitive liabilities (hindering exercise). Studies are needed to determine how the co-occurrence of frailty and HF impact self-concepts and exercise behaviors in older adults.
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ISSN:1541-6577
1945-7286
DOI:10.1891/1541-6577.29.2.113