Predictors of Self-Care Behaviors in Heart Failure Patients: A Cross-Sectional Study
Advances in Nursing & Midwifery,
Vol. 29 No. 2 (2020),
15 April 2020
,
Page 19-26
Abstract
Abstract 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, history of receiving information, and ventricular dysfunction were predictors of self-care management. Monthly income, admission status, number of hospitalizations, history of receiving information, and cognitive function are mentioned as predictors of self-confidence. Predictors of total self-care were monthly income, history of receiving information, and cognitive function. (P . 0.05). Conclusions: Promoting self-care behaviors could prevent the adverse effects of diseases such as readmission, prolonged hospitalization, and bed occupancy ratio. The majority of the participants had non-adherent self-care, and, according to the results, it is recommended that assessing predictors in these patients and planning. Also, it is suggested that more observational, qualitative, and mixed-method studies be done in the future.
- Depression
- Executive Function
- Heart Failure
- Patients
- Self-Care
How to Cite
References
Riegel B, Lee C, Dickson V. Self-care in patients with chronic heart failure. Nat Rev Cardiol 2011;8(11):644-54.
http://dx.doi.org/10.1038/nrcardio.2011.95
Adib-Hajbaghery M, Maghaminejad F, Abbasi A. The role of continuous care in reducing readmission for patients with heart failure. J Caring Sci 2013; 2(4):255-67.
http://dx.doi.org/10.5681/jcs.2013.031
Heydari A, Ahrari S, Vaghee S. The relationship between self-concept and adherence to therapeutic regimens in patients with heart failure. J Cardiovasc Nurs 2011; 26(6):475-80.
http://dx.doi.org/10.1097/JCN.0b013e318215bb78
Ghahramani A, Kamrani F, Mohamadzadeh S, et al. [Effect of self-care education on knowledge, performance and readmission of heart failure patients admitted in city hospitals of Ardabil]. Iran J Nurs Res 2013; 8(29):65-72. Persian.
Rahimi K, Patel A, Macmahon S. Two decades of research on innovative models of care delivery for patients with heart failure: the end or just the beginning? Arch Iran Med 2012; 15(7):439-45.
http://dx.doi.org/012157/AIM.0013
Bonow R, Mann D, Zipes D, et al. Braunwald’s heart disease: a textbook of cardiovascular medicine. 9th ed. Philadelphia, PA: Saunders Co; 2012.
Shojaee A, Nehrir B, Naderi N, et al. Assessment of the effect of patient’s education and telephone follow up by nurse on readmissions of the patients with heart failure. Iran J Crit Care Nurs 2013; 6(1):29-38.
Mohammad Hassani M, Farahani B, Zohour A, et al. Self-care ability based on Orem’s theory in individuals with coronary artery disease. Iran J Crit Care Nurs 2010; 3(2):87-91.
Vellone E, Jaarsma T, Stromberg A, et al. The European heart failure self-care behaviour scale: new insights into factorial structure, reliability, precision and scoring procedure. Patient Educ Couns 2014; 94:97–102.
http://dx.doi.org/10.1016/j.pec.2013.09.014
Zhang KM, Dindoff K, Arnold JMO, et al. What matters to patients with heart failure? The influence of non-health-related goals on patient adherence to self-care management. Patient Educ Couns 2015; 98(8):927-34.
http://dx.doi.org/10.1016/j.pec.2015.04.011
Cameron J, Worrall-Carter L, Riegel B, et al. Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure. Heart Lung 2009; 38(5):410-8.
http://dx.doi.org/10.1016/j.hrtlng.2008.11.004
Ditewig JB, Blok H, Havers J, et al. Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient Educ Couns 2010; 78:297–315.
http://dx.doi.org/10.1016/j.pec
Tung H, Chen S, Yin W, et al. Self-care behavior in patients with heart failure in Taiwan. Eur J Cardiovasc Nurs 2012; 11(2):175-82.
http://dx.doi.org/10.1016/j.ejcnurse
Chriss P, Sheposh J, Carlson B, et al. Predictors of successful heart failure self- care maintenance in the first three months after hospitalization. Heart Lung 2004; 33(6):345-53.
PMID: 15597287
Sedlar N, Lainscak M, Mårtensson J, Strömberg A, Jaarsma T, Farkas J. Factors related to self-care behaviours in heart failure: A systematic review of European Heart Failure Self-Care Behaviour Scale studies. Eur J Cardiovasc Nurs 2017; 16(4):272-282.
PMID: 28168895 & DOI: 10.1177/1474515117691644
Cameron J, Worrall L, Page K, et al. Dose cognitive impairment predict poor self-care in patients with heart failure?. Eur J Heart Fail 2010; 12(5):508-15.
http://dx.doi.org/10.1093/eurjhf/hfq042
Riegel B, Carlson B, Moser D, et al. Psychometric testing of the self-care of heart failure index. J Card Fail 2004; 10(4):350-60.
PMID: 15309704
Wise F, Harris D, Carter L. Validation of the cardiac depression scale in a cardiac rehabilitation population. J Psychosom Res 2006; 60:177-83.
PMID: 16439271
Tatari F, Farnia V, Kazemi F. Mini Mental State Examination (MMSE) in First Episode of Psychosis. Iran J Psychiatry 2011; 6(4):158-60.
PMID: 22952542
Kiropoulos L, Meredith I, Tonkin A, et al. Psychometric properties of the cardiac depression scale in patients with coronary heart disease. BMC Psychiatry 2012; 12:1-8.
http://dx.doi.org/10.1186/1471-244X-12-216
Foroughan M, Jafari Z, Shirin Bayan P, et al. [Validation of mini mental state examination (MMSE) in the elderly population of Tehran]. Advance Cog Sci 2008; 2(38):29-37. Persian.
Seyedian M, Falah M, Nourouzian M, et al. [Validity of the Farsi version of the mini-mental state examination]. J Med Coun IRI 2008; 25(4):408-14. Persian.
Hall W, Ramachandran R, Narayan S, et al. An electronic application for rapidly calculating Charlson co-morbidity index. BMC Cancer 2004; 4(94).
PMID: 15610554
Smeltzer S, Bare B, Hinkle J, et al. Brunner & Suddarth’s textbook of medical-surgical nursing. 12th ed. Philadelphia: Williams & Wilkins; 2010.
Riegel B, Driscoll A, Suwanno J, et al. Heart failure self-care in developed and developing countries. J Card Fail 2009; 15(6):508-16.
http://dx.doi.org/10.1016/j.cardfail.2009.01.009
Peters-Klimm F, Freund T, Kunz C, et al. Determinants of heart failure self-care behaviour in community-based patients: a cross-sectional study. Eur J Cardiovasc Nurs 2013; 12(2):167-76.
http://dx.doi.org/10.1177/1474515112439964
Smeulders ESTF, Haastregt JCMV, Ambergen T, et al. Heart failure patients with a lower educational level and better cognitive status benefit most from a self-management group programme. Patient Educ Couns 2010; 81:214–221.
http://dx.doi.org/10.1016/j.pec.2010.01.003
Cameron J, Worrall-Carter L, Page K, et al. Self-care behaviors and heart failure: dose experience with symptoms really make a difference?. Eur J Cardiovasc Nurs 2010; 9(2):92-100.
http://dx.doi.org/10.1016/j.ejcnurse.2009.10.004
Holzapfel N, Löwe B, Wild B, et al. Self-care and depression in patients with chronic heart failure. Heart Lung 2009; 38(5):392-7.
http://dx.doi.org/10.1016/j.hrtlng.2008.11.001
Lee C, Riegel B, Driscoll A, et al. Gender differences in heart failure self-care: a multinational cross-sectional study. Int J Nurs Stud 2009; 46(11):1485-95.
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