Self-Care Behavior in Heart Failure Patients: Impact on Cardiovascular Health Profile (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...
Self-care and Its Predictors in Patients With Chronic Heart Failure in Western Iran
Background: Chronic heart failure (CHF) is an increasing and costly health problem worldwide. Effective self-care behaviors reduce the cost and improve CHF outcomes. Interventions targeting improvement of self-care need to identify the baseline status of patients and factors associated with self-care to tailor the programs to patients' needs. Aim: The aim of this study was to describe self-care and its predictors in patients with CHF in western Iran. Methods: In a cross-sectional study, 255 patients with CHF in Kermanshah were recruited and 231 (mean [SD] age, 66 [13] years; 51.5% women) completed the interviews. Self-care maintenance, self-care management, and self-care confidence were evaluated using a Persian heart failure self-care index. Each of these 3 measures had a total possible score of 100, with 22 indicators. Results: The mean (SD) self-care scores were low: maintenance, 33.8 (10.7); management, 32.2 (12.0); and confidence, 43.6 (15.6). Self-care maintenance was significantly and positively associated with education, disease duration, and living conditions. Self-care management was significantly and positively associated with education and number of hospital admissions. However, the parameter estimates in all those relationships were small. Conclusion: Self-care in patients with CHF in Iran needs major improvement, and many determinants of self-care identified by other studies were not consistently associated with poor self-care scores in Iran. Further research considering a wide range of factors associated with self-care (eg, socioeconomic and health systemYrelated factors) and application of culturally relevant interventional strategies is recommended.
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...
Azerbaijan Medical Journal, 2023
Heart failure is a prolonged and progressive syndrome that leads to low quality of life and hospital readmissions. Avoiding or early recognizing health problems in heart failure is associated with proper self-care and recovering overall health-related quality of life. To describe the self-care behaviors and association of sociodemographic and clinical factors that affect patients' quality of life. The quantitative, cross-sectional convenience sample technique was used to collect 200 patients diagnosed with heart failure admitted to Sulaimani Cardiac Hospital, Iraq, from January to May 2022. The data were collected through direct interviews, a validated questionnaire, and the Self-Care of Heart Failure Index. About 50% of the participants were aged 62-77 years, 65.5% were males, 66% were illiterate, and 65.5% had a low economic state. According to the classification of the New York Heart Association, 48% of them were class III heart failure. The mean scores of 1.67, 1.56, and 1.80 were observed on self-care confidence, poor self-care management, and poor self-care maintenance using the Self-Care of Heart Failure Index without significant difference (p≤0.05). The outcomes of this study demonstrated that most patients had inappropriate scores in selfcare maintenance, management, and confidence subscales. The study also found that higher scores were associated with certain factors, such as age group, residence, number of recent hospital admissions for heart failure, and severity of heart failure.
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.
Practice of self-care behaviours and associated factors among patients with heart failure
British Journal of Cardiac Nursing, 2022
Background/Aims Lack of adherence to self-care behaviour is a major problem among people with heart failure, increasing morbidity and mortality rates. This study aimed to understand practices of self-care and its associated factors among patients with heart failure in southern Ethiopia. Methods A hospital-based cross-sectional study was conducted from March–July 2020 among 229 patients attending follow-up appointments in two public hospitals in Hawassa, Ethiopia. Data were collected through structured interviewer-administered questionnaires. Epi-data (version 4.62) software and the Statistical Package for the Social Sciences (version 25) were used for analysis. Variables were entered into a multivariable logistic regression model to adjust possible confounders. Results Only 34.1% of participants reported good self-care practice. The mean total knowledge score was 7.6 out of a maximum score of 14. Good self-care behaviour was more likely to be practiced by those aged 30–50 years, wit...
Self-care behaviors in patients with systolic heart failure
Journal of Nursing and Midwifery Sciences, 2015
Background and Purpose: To improve life quality, and lower mortality and rehospitalization for heart failure patients, awareness and adherence to self-care behaviors are essential. This study aims to determine the adherence level to self -care behaviors in the patients with systolic heart failure hospitalized in Alborz hospital in Karaj andShahriar hospital, and it was conducted in 2013. Methods: In this cross-sectional study, 100 patients with at least one year experience of developing heart failure and ejection fraction below 40% were studied. They were admitted to Alborz Social Security hospital of Karaj and the Social Security Hospital Shahriar during 2012-2013. They were selected through convenience sampling. Demographic data and European Heart Failure Selfcare Behavior questionnaires were completed through interviews. Data analysis has been done using SPSS, V.18 and independent t-test and ANOVA. Results: 84% of the subjects had moderate and 10% had poor adherence to self-care....
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.
International Journal of Nursing Studies, 2016
Background Self-care is vital for patients with heart failure to maintain health and quality of life, and it is even more vital for those who are also affected by diabetes mellitus, since they are at higher risk of worse outcomes. The literature is unclear on the influence of diabetes on heart failure self-care as well as on the influence of sociodemographic and clinical factors on self-care. Objectives (1) To compare self-care maintenance, self-care management and self-care confidence of patients with heart failure and diabetes versus those heart failure patients without diabetes; (2) to estimate if the presence of diabetes influences self-care maintenance, self-care management and self-care confidence of heart failure patients; (3) to identify socio-demographic and clinical determinants of self-care maintenance, self-care management and self-care confidence in patients with heart failure and diabetes. Design Secondary analysis of data from a multicentre cross-sectional study. Setting Outpatient clinics from 29 Italian provinces. Participants 1192 adults with confirmed diagnosis of heart failure. Methods Socio-demographic and clinical data were abstracted from patients' medical records. Self-care maintenance, self-care management and self-care confidence were measured with the Self-Care of Heart Failure Index Version 6.2; each scale has a standardized score from 0 to 100, where a score <70 indicates inadequate selfcare. Multiple linear regression analyses were>performed. Results Of 1192 heart failure patients, 379 (31.8%) had diabetes. In these 379, heart failure self-care behaviours were suboptimal (means range from 53.2 to 55.6). No statistically significant differences were found in any of the three self-care measures in heart failure patients with and without diabetes. The presence of diabetes did not influence self-care maintenance (p = 0.12), self-care management (p = 0.21) or self-care confidence (p = 0.51). Age (p = 0.04), number of medications (p = 0.01), presence of a caregiver (p = 0.04), family income (p = 0.009) and self-care confidence (p < 0.001) were determinants of self-care maintenance. Gender (p = 0.01), number of medications (p = 0.004) and self-care confidence (p < 0.001) were significant determinants of self-This technical report is available at ScholarlyCommons: https://repository.upenn.edu/nrs/174 care management. Number of medications (p = 0.002) and cognitive function (p < 0.001) were determinants of self-care confidence. Conclusions Self-care was poor in heart failure patients with diabetes mellitus. This population needs more intensive interventions to improve self-care. Determinants of self-care in heart failure patients with diabetes mellitus should be systematically assessed by clinicians to identify patients at risk of inadequate self-care.
Self-care behaviors among patients with heart failure
Heart & Lung, 2002
Background: Heart failure necessitates self-care; therefore, self-care training should be based on learning needs (LNs) of patients. Aim: This study aimed to determine the impact of a training program based on learning needs on selfcare behaviors among patients with heart failure Method: This clinical trial was performed on 73 patients suffering from heart failure in Zanjan teaching hospitals in 2015. The subjects were randomly divided into three groups (based on having LNs assessment and family involvement). The intervention group received education based on LNs and family involvement. Control group 1 (without LNs assessment with family involvement), and control group 2 (without LNs assessment, and family involvement). The groups received three sessions of face-to-face training (lasting 15-20 minutes) on medical symptoms, necessary measures for the disease, diet, and medication regimen. Self-care behaviors before and 90 days after the intervention were evaluated using a self-care of heart failure index. To analyze the data, analysis of variance (ANOVA) and Bonferroni post-hoc test were used in SPSS, version 11. Results: The mean age of the participants was 65.5±14.1 years. According to the results of ANOVA, the total self-care score before the intervention was not significantly different among the three study groups (P<0.05); however, this difference was statistically significant following the intervention (P<0.001). The results of the Bonferroni post-hoc test also showed a significant difference between the intervention group, control group 1 (P =0.005), and control group 2 (P<0.001). Moreover, the findings revealed a significant difference between the control group 1 and control group 2 (P<0.001). Implications for Practice: Patient education based on LNs assessment could improve self care behaviors in patients with heart failure. Further family involvement needs to be considered in the process of patient education.