Background: Heart failure (HF) is a prevalent cardiovascular disease. Despite the crucial role of self-care behaviors in reducing complications and hospitalizations, many patients still struggle to adhere to these behaviors. However, the specific barriers that impede self-care behaviors among Jordanian patients with HF remain insufficiently understood.Purpose: This study sought to develop a comprehensive understanding of the barriers to self-care behaviors among Jordanian patients with HF.Methods: A descriptive qualitative study was conducted in outpatient medical clinics. Using purposive sampling, 22 Jordanian adults aged ≥18 years who had a confirmed diagnosis of HF and were receiving regular care were recruited. Data were gathered through semi-structured in-depth interviews and analyzed using the six-phase reflexive thematic analysis framework.Results: The qualitative analysis identified four main themes reflecting barriers to self-care behaviors: lack of self-care knowledge, financial burden, difficulty of changing habits, and disturbance of feelings. Participants described inadequate knowledge of disease management and self-care, financial constraints affecting access to medications and healthcare, difficulty modifying long-established health behaviors, and emotional challenges that interfered with adherence to recommended self-care practices.Conclusion: Patients with HF encounter various barriers to self-care behaviors, including knowledge-related, financial, behavioral, and emotional challenges. These findings highlight the need for healthcare providers to recognize these barriers and implement interventions to enhance self-care behaviors among patients with HF.
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