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Adult nursing
Trajectory patterns of self-care behaviour over 1 year provide nurses insights to tailor individualised care for patients with heart failure
  1. Wan-Tzu Chang1,
  2. Hsing-Mei Chen2
  1. 1Department of Nursing, National Cheng Kung University Hospital, Tainan, Taiwan
  2. 2Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan
  1. Correspondence to Dr Hsing-Mei Chen, NCKU, Tainan, Taiwan; hsingmei{at}

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Commentary on: Son YJ, Jang I. One-year trajectories of self-care behaviours and unplanned hospital readmissions among patients with heart failure: A prospective longitudinal study. J Clin Nurs. 2023 Sep;32(17-18):6427-6440. doi: 10.1111/jocn.16658. Epub 2023 Feb 23.

Implications for practice and research

  • Timely identifying self­care behaviour patterns over time may reduce the risk of hospital readmissions in patients with heart failure (HF).

  • Further research studies are required to examine the effects of every 3–6 months self-care intervention on hospital readmissions among patients with HF.


Unplanned readmissions within 30 days and 6 months postdischarge are notably common in patients with HF.1 2 Effective self-care behaviours are essential to lower readmissions. However, the trajectories of self-care behaviours throughout the HF progression can vary among patients.3 Limited research studies have examined the relationships among the influencing variables, self-care behaviours and readmissions over …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.