Social Support and Self-Care of Patients with Heart Failure

Introduction: Self-care is recognized as a means for improving outcomes of heart failure (HF), yet studies have not addressed what predicts successful self-care in collectivist cultures like Lebanon. Methodology: Self-care was measured, using the Arabic Self-Care of HF index, in 100 participants with HF (76% males; mean age 67.59) recruited from a tertiary medical center. Results: Self-care was suboptimal, with mean scores of 67.26, 66.96, and 69.5 for self-care maintenance, management, and confidence. Better HF knowledge, social support, and self-care confidence and lower New York Heart Association score predicted better self-care maintenance. Better knowledge, social support, and self-care maintenance, no recent hospitalization, and being unemployed predicted better self-care confidence. Better self-care confidence, maintenance, and HF knowledge predicted better self-care management. Discussion: HF self-care in Lebanon is suboptimal. Nurses need to identify facilitators of and barriers to self-care particular to this population. Interventions targeting HF knowledge, confidence, and caregiver support are expected to improve self-care in Lebanese patients.

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Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure

Korean Journal of Adult Nursing ◽

10.7475/kjan.2016.28.3.302 ◽

2016 ◽

Vol 28 (3) ◽

pp. 302 ◽

Cited By ~ 1

Author(s):

In-Suk Yang

Keyword(s):

Heart Failure ◽

Social Support ◽

Self Care ◽

Emotional Status ◽

Patients With Heart Failure

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Social support predicts self-care confidence in patients with heart failure

European Journal of Cardiovascular Nursing ◽

10.1177/1474515118762800 ◽

2018 ◽

Vol 17 (7) ◽

pp. 598-604 ◽

Cited By ~ 14

Author(s):

Hayley C Fivecoat ◽

Steven L Sayers ◽

Barbara Riegel

Keyword(s):

Heart Failure ◽

Social Support ◽

Emotional Support ◽

Self Care ◽

Self Report ◽

Instrumental Support ◽

Patients With Heart Failure ◽

Family Based ◽

Using Data

Background: Self-care for patients with heart failure includes engaging in behaviours that maintain medical stability and manage problematic symptoms, as well as the confidence in one’s ability to carry out such behaviours. Given the social context of self-care behaviours in heart failure, there has been increasing interest in social support as a predictor of self-care. Aim: The goal of the present study was to examine the role of social support in self-care across time for persons with heart failure. Methods: Using data from an observational study of patients with chronic heart failure ( n = 280), we examined the role of three types of support – instrumental support, emotional support and assistance with self-care – in the longitudinal course of self-care maintenance, management and confidence. Self-report questionnaire data were collected at baseline and at three and six months later. Results: We found that instrumental and emotional support predicted better self-care confidence on average and that self-care confidence improved at a faster rate for those with less instrumental support. Emotional support was positively associated with self-care management and self-care confidence, and assistance with self-care was positively associated with self-care maintenance. Conclusion: These findings highlight the contribution of social support to self-care in heart failure and provide guidance for future family-based interventions to improve self-care.

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299 Relation between self-care behaviors and self-care needs in patients with heart failure, 2006

European Journal of Heart Failure Supplements ◽

10.1016/s1567-4215(07)60176-3 ◽

2007 ◽

Vol 6 (1) ◽

pp. 64-64

Author(s):

M AZARBAD ◽

F SHAHPOURIAN ◽

Z MOHAMMADALIHA ◽

F RAFIEE

Keyword(s):

Heart Failure ◽

Self Care ◽

Care Needs ◽

Patients With Heart Failure

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An Innovative Mobile Health Intervention to Improve Self-care in Patients With Heart Failure

Case Medical Research ◽

10.31525/ct1-nct04262544 ◽

2020 ◽

Author(s):

Keyword(s):

Heart Failure ◽

Mobile Health ◽

Self Care ◽

Health Intervention ◽

Patients With Heart Failure

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Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial

Nursing Reports ◽

10.3390/nursrep11020040 ◽

2021 ◽

Vol 11 (2) ◽

pp. 418-429

Author(s):

Joana Pereira Sousa ◽

Hugo Neves ◽

Miguel Pais-Vieira

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Care Management ◽

Controlled Trial ◽

Self Care ◽

Fluid Restriction ◽

Symptom Recognition ◽

Patients With Heart Failure ◽

Randomised Controlled

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).

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