Correlation Between Affective Status and Self-care Behaviors in Patients with Heart Failure (original) (raw)
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Predictors of Self-Care Behaviors in Heart Failure Patients: A Cross-Sectional Study
Advances in Nursing & Midwifery, 2020
Introduction: Adherence to self-care behaviors and determining its related factors in patients with chronic illnesses are mandatory. The objective of the present study was two-fold: first, to examine the self-care behaviors adherence among heart failure patients and second, to determine its predictors in a comprehensive study of various factors in patients with heart failure. Methods: This descriptive cross-sectional study was conducted on 239 patients with heart failure referred to Dr.Heshmat hospital as the only heart center in Guilan province (Northern Iran). The consecutive sampling method was used. Data were collected by Self-Care Heart Failure Index, Cardiac Depression Scale, Mini-Mental State Examination, and Charlson Comorbidity Index and were analyzed by descriptive statistics and analytical statistics in SPSS. Results: Results showed educational level, history of receiving information, and cognitive function as predictors of self-care maintenance. Also, monthly income, his...
Positive affect, anhedonia, and compliance with self-care in patients with chronic heart failure
Optimal self-care is crucial in patients with chronic heart failure (HF). While the focus of research has been on negative mood states, adequate psychological resources may be required to successfully engage in HF self-care. Therefore, the longitudinal associations of multiple positive affect measures in explaining HF self-care including consulting behavior were examined while adjusting for depressive symptoms and potential covariates (e.g., disease severity). Methods: In this prospective cohort study, 238 patients (mean age: 66.9 ± 8.6 years, 78% men), with chronic HF completed questionnaires at baseline and 1-year follow-up. Positive affect was assessed with the Positive and Negative Affect Schedule (PANAS) and the Global Mood Scale (GMS). Anhedonia, i.e. diminished interest or pleasure, was assessed with a subscale of the Hospital Anxiety and Depression Scale (HADS). The 9-item European Heart Failure Self-care Behaviour scale was completed to assess HF self-care including consultation behavior. Results: Linear mixed modeling results showed that anhedonia was most strongly associated with both poor self-care (estimate = − .72, P b .001) and consulting behavior (estimate = − .44, P b .001) over time, after adjustment for covariates and depressive symptoms. GMS positive affect was related to better HF self-care adjusting for standard depressive symptoms but not when adjusting for anhedonia. PANAS positive affect was not independently related to self-care. Conclusion: Anhedonia was associated with worse compliance with self-care among chronic HF patients over time, irrespective of disease severity and depression. Associations between positive affect and self-care were dependent on the measures used in multivariable analyses.
Relationship between self-care behaviors and quality of life in patients with heart failure
Heliyon
Background: It has been generally agreed that cardiac failure is one of the common and devastating diseases due to its morbidity, mortality and rates of disability. Moreover, it has negative impacts on quality of life among sufferers. Meanwhile, improving quality of life among heart failure patients is essential. It can be suggested that people with self-care ability have a better quality of life. However, this issue may be affected by some cultural issues. Regarding a paucity of information on this aspect in Iran, this study aims to explore the relationship between self-care behaviors and quality of life in patients with heart failure. Methods: This study is carried out using a descriptive-analytical method. The sample size consists of 77 patients who consented to participate in the study and had ejection fraction <40%. The tools were demographic checklist, European heart failure self-care behavior scale, and SF-36 quality of life questionnaire. Data was gathered from the heart center of Imam Ali in Kermanshah-Iran. Data analysis was done using independent t-test, Mann Whitney, ANOVA, and Kruskal-Wallis tests by SPSS-24 software. Findings: The study sample was 77 participants, of which 45 were female and 51 lived in an urban area. The mean of self-care score was 39.42 AE 7.04, and most of the patients (67.5%) were in moderate level. The mean and SD of quality of life was estimated as 38.45 AE 17.28. The spearman correlation test showed no correlation between selfcare and quality of life. However there was a correlation between marital status and self-care ability, in which it shows the higher scores in unmarried people (K2 ¼ 7.75, P ¼ 0.021), and the results indicated better quality of life in male (t ¼ 2.68, P ¼ 0.009), educated patients at the level of university (F ¼ 7.60, P < 0.001), free job (F ¼ 6.21, P < 0.001) and lived in the urban area (Z ¼ 2.05, P ¼ 0.04). Conclusion: In this study, there is no correlation between self-care behaviors and quality of life in which, this may be attributed to Iranian cultures and perspectives such as valuing live with the children and importance of their attention to elderly patients, which demanded more studies.
Self-Care Behavior in Heart Failure Patients: Impact on Cardiovascular Health Profile
Jurnal Keperawatan, 2021
Introduction: Heart failure is a complex syndrome with characteristic symptoms of shortness of breath, fatigue, and signs of fluid retention. Self-care is the cornerstone of successful heart failure management. The cardiovascular health profile is a direct indicator of successful self-care. Objectives: The objective of the study was to examine the association between self-care and the cardiovascular health profile including smoking status, body mass index, total cholesterol, blood pressure and blood glucose level. Methods: This study is a cross-sectional study of heart failure patients at PKU Muhammadiyah hospital of Yogyakarta between August to October 2020 with sample of 100 participants. Chi square test was used to test the relationship between the two variables. Results: The finding shows that self-care management is the dimension with the highest level of self-care (96.2%) and self-care confidence is the lowest percentage of adequate self-care (13.0%). Among five cardiovascular...
Socio-clinical variables affecting the level of self-care in elderly patients with heart failure
European Journal of Cardiovascular Nursing, 2019
Background: Promoting self-care is the cornerstone of heart failure management. The number of hospitalizations and unscheduled visits could be reduced in elderly patients with heart failure by the patients' active involvement in self-care. Aims: The aim of this study was to measure the level of self-care in elderly patients with heart failure, to examine the influence of socio-clinical variables on the level of self-care, and identify the socio-clinical variables that are predictors of self-care. Methods: The study included 100 heart failure patients (48 female, 52 male) aged between 60 and 88 years, treated at the Oleśno Health Care Center (Poland). The European Heart Failure Self-care Behavior Scale-9 and Mini-Mental State Examination were used. Results: The total classic European Heart Failure Self-care Behavior Scale-9 score was 22.76 points (standard deviation=8.49), and the standardised European Heart Failure Self-care Behavior Scale-9 score was 61.78 (standard deviation=23.59). Patients who were in a relationship, did not take digoxin or diuretics, were in New York Heart Association classes I and II, and had normal scores or cognitive impairment in the Mini-Mental State Examination, had significantly higher levels of self-care. Self-care was also correlated with patient age (r s =−0.36, p<0.001) and left ventricle ejection fraction (r s =0.23, p=0.019). Linear regression analysis demonstrated that only the New York Heart Association class has a significant impact on European Heart Failure Self-care Behavior Scale-9 scores. Compared to classes I and II, New York Heart Association class IV decreases the standardised European Heart Failure Self-care Behavior Scale-9 score by a mean of 23.60 points. Conclusions: Intensified self-care education should be provided to patients living alone, taking digoxin and diuretics, suffering from moderate dementia, and classified in New York Heart Association class IV. These patients may require specific educational strategies to gain the knowledge required for effective self-care.
Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure
Journal of Cardiovascular Nursing, 2019
Background: Self-care is indispensable for health maintenance and well-being. This naturalistic decision-making process involves behavioral choices to maintain physiological stability (self-care maintenance) and response to occurring symptoms (self-care management). However, several factors affect self-care, but some have contradictory results. Objective: We aimed to examine how depressive symptoms, social support, eHealth literacy, and heart failure (HF) knowledge directly and indirectly affect self-care maintenance and management and to identify the mediating role of self-care confidence in self-care maintenance and management. Methods: The study included a total of 141 patients with HF (average age, 65.2 years; male, 55.3%). We analyzed their data, including demographic and clinical characteristics, obtained from the Patient Health Questionnaire-9, Multidimensional Scale of Perceived Social Support, eHealth Literacy Scale, Dutch Heart Failure Knowledge Scale, and Self-Care of Hea...
Self-Care Behaviors among Patients with Heart Failure in Iran
Journal of caring sciences, 2012
Recovery from heart failure and dealing with its effects is significantly influenced by patient's self-care. In order to maximize the effects of behavioral interventions and for educational planning, it is essential to know how much experience and information do patients with heart failure have about their disease and self-care behaviors. The present study aimed to identify self-care behaviors in patients with heart failure. Eighty heart failure patients hospitalized in Shahid Madani Training Center in Tabriz, Iran, participated in this study. Data collection was done through Self-Care of Heart Failure Index (SCHFI) that contained 22 questions in three sections including self-care behaviors, self-care management and confidence in performing self-care behaviors. The patient's self-care behaviors in three behavioral sub categories of maintaining, managing and confidence were low. The most repeated self-care behavior in the participating patients was taking medication and visit...
Iranian Journal of Health Sciences, 2017
Copyright © 2017, Published by Mazandaran University of Medical Sciences on behalf of Iranian Journal of Health Sciences and Health Sciences Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. Abstract Background and objectives: The current study aimed at considering the performance, attitude and awareness level of patients affected by congestive heart failure who were hospitalized in Zahedan hospitals with regard to the self-care behaviors and factors related to it. Method: This was a cross-sectional study conducted on 140 patients with congestive heart failure who were hospitalized in various hospitals during 2015. The required data was collected through interview and a designed questionnaire. In order to analyze...
Self-Care Behaviors in Heart Failure
International journal of nursing knowledge, 2017
To identify self-care behaviors, instruments, techniques, parameters for the assessment of self-care behaviors in people with heart failure, compare these behaviors with the indicators of the Nursing Outcomes Classification outcome, Self Management: Cardiac Disease. Integrative literature review performed in Lilacs, Medline, CINAHL, and Cochrane, including publications from 2009 to 2015. One thousand six hundred ninety-one articles were retrieved from the search, of which 165 were selected for analysis. Ten self-care behaviors and several different assessment instruments, techniques, and parameters were identified. The addition and removal of some indicators are proposed, based on this review. The data provide substrate for the development of conceptual and operational definitions of the indicators, making the outcome more applicable for use in clinical practice.
Psychometric testing of the self-care of heart failure index
Journal of Cardiac Failure, 2004
Background: Self-care is believed to improve outcomes in heart failure (HF) patients. However, research testing this assumption is hampered by difficulties in measuring self-care. The purpose of this study was to evaluate the psychometric properties of a revised instrument measuring self-care in persons with HF, the Self-Care of Heart Failure Index (SCHFI). The SCHFI is a self-report measure comprised of 15 items rated on a 4-point response scale and divided into 3 subscales.