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Social Frailty in Heart Failure: Concept, Impact and Preventive Strategies
Miao Miao1, Polly Wai-Chi Li1, Doris Sau-Fung Yu1
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Journal of Advanced Nursing
|May 15, 2025
Summary
Social frailty significantly impacts heart failure outcomes. Addressing social resources and self-care is crucial for managing this condition and improving patient well-being.
Area of Science:
- Gerontology
- Cardiology
- Public Health
Background:
- Social frailty is a complex, multi-domain construct.
- It involves the balance between available social resources and an individual's capacity to maintain them.
- Social frailty significantly influences health outcomes in heart failure patients.
Purpose of the Study:
- To explore the conceptualization of social frailty.
- To discuss its role in the disease trajectory of heart failure.
- To propose recommendations for prevention and management in heart failure patients.
Main Methods:
- A narrative review of literature from 2008-2024.
- Searched PubMed and Google Scholar databases.
- Discursive paper format.
Main Results:
- Social frailty negatively impacts patient-reported, functional, and clinical outcomes in heart failure.
- Heart failure self-care may mediate the impact of social frailty.
- Improving social frailty may involve diagnostic protocols and optimizing social resources for self-care.
Conclusions:
- Social frailty is a significant risk factor for adverse health outcomes in heart failure.
- Further research is needed on determinants and interventions for social frailty.
- A dual approach targeting social resources and self-care behaviors shows promise.
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