Self-Care Management Education Through Health Coaching for Heart Failure Patients

Mutuality in patient–caregiver dyad may improve heart failure (HF) patient self-care and caregiver contribution to self-care, but literature is scarce. We evaluated the influence of mutuality and its dimensions on patient–caregiver dyad self-care. A sample of 366 HF patient–caregiver dyads was enrolled. The Actor–Partner Interdependence Model was used to identify the influence of individual patient and caregiver mutuality on their own self-care (actor effect) and on partner self-care (partner effect). The total mutuality score had an actor effect on patient self-care maintenance (i.e., behaviors aimed at maintaining HF stability) and on patient and caregiver self-care confidence. Total score of patient mutuality also had a partner effect on caregiver self-care management (i.e., responses to symptoms of HF exacerbation). Specific mutuality dimensions had different actor and partner effects on patient and caregiver self-care. Interventions to improve mutuality in HF patient–caregiver dyads may influence patient self-care and caregiver contribution to self-care.

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Perawatan Diri Pada Pasien Gagal Jantung

JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ◽

10.17509/jpki.v4i2.13443 ◽

2018 ◽

Vol 4 (2) ◽

Author(s):

Dwi Prihatiningsih ◽

Tiwi Sudyasih

Keyword(s):

Heart Failure ◽

Care Management ◽

Financial Burden ◽

Self Care ◽

Chi Square ◽

Cross Sectional ◽

Low Frequencies ◽

Heart Failure Patients ◽

Failure Index ◽

Care Behavior

ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this.

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A psychometric evaluation of the Caregiver Contribution to Self-Care of Heart Failure Index in a Thai population

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01814-9 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Nittaya Srisuk ◽

Nutchanath Wichit ◽

David R. Thompson ◽

Chantal F. Ski

Keyword(s):

Heart Failure ◽

Factor Analysis ◽

Care Management ◽

Self Care ◽

The Self ◽

Thai Population ◽

Heart Failure Patients ◽

Failure Index ◽

Patients With Heart Failure ◽

Confirmatory Factor

Abstract Background Caregivers are major contributor to the self-care of patients with heart failure. The Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI) measures these contributions across three scales: self-care maintenance (symptom monitoring and treatment adherence); self-care management (dealing with symptoms); and confidence in contributing to the self-care (self-efficacy in managing self-care) of patients with heart failure. Informal caregivers play a vital role in supporting family members with heart failure in Thailand, yet no validated tool exists to measure their contribution. We examined the psychometric properties of the CC-SCHFI in a Thai population. Methods The CC-SCHFI was translated into Thai using a standard forward and backward translation procedure. A cross-sectional design was used to examine the psychometric properties of the Thai version of the CC-SCHFI in 100 family caregivers of heart failure patients in Southern Thailand. Confirmatory factor analysis was used to assess construct validity, and factor score determinacy coefficients were computed to evaluate internal consistency reliability. Results The Thai version of the CC-SCHFI demonstrated acceptable internal consistency (composite reliability of each scale ranged from 0.76 to 0.99). Reliability estimates were adequate for each scale (McDonald’s omega ranged from 0.75 to 0.96). Confirmatory factor analysis supported the original factor structure of the instrument, with good fit indices for all three scales (comparative fit index = 0.98–1.00; root-mean-square error of approximation = 0.00–0.07). Conclusions The Thai version of the CC-SCHFI appears to be a valid and reliable instrument for measuring caregiver contributions to self-care maintenance and self-care management as well as contributing to caregiver confidence in the self-care of Thai heart failure patients.

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Heart Failure Patients' Use of Computer Technology for Self-Care Management

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2008.06.277 ◽

2008 ◽

Vol 14 (6) ◽

pp. S98 ◽

Cited By ~ 2

Author(s):

Jill R. Quinn ◽

Rebecca Tucker ◽

Leway Chen ◽

Cecelia Horwitz ◽

George Ferguson

Keyword(s):

Heart Failure ◽

Computer Technology ◽

Care Management ◽

Self Care ◽

Heart Failure Patients

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A Study to Develop and Evaluate the Effectiveness of a Mobile App: Samrudheart on Self-Care Management of a Patient with Heart Failure in Terms of Knowledge, Practice, and Adherence to Treatment among Heart Failure Patients in Safdarjung Hospital, New Delhi

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210637 ◽

2021 ◽

Vol 11 (6) ◽

pp. 234-248

Author(s):

Poonam . ◽

Madhumita Dey ◽

R. G Mathur

Keyword(s):

Heart Failure ◽

Care Management ◽

Self Care ◽

Mobile App ◽

New Delhi ◽

Adherence To Treatment ◽

Heart Failure Patients ◽

Knowledge Practice ◽

Safdarjung Hospital

Topic: A study to develop and evaluate the effectiveness of mobile app: Samrudheart on self-care management of patient with heart failure in terms of knowledge, practice, and adherence to treatment among heart failure patients in Safdarjung Hospital, New Delhi. Objectives: The objectives of the study were to develop and evaluate the effectiveness of mobile app: Samrudheart on self-care management of patient with heart failure, to assess and evaluate the knowledge, practice, and adherence to the treatment of heart failure patients, to find the relationship between knowledge, practice, and adherence to treatment after the administration of mobile app, on heart failure patients, to find the association between knowledge, practice, and adherence to treatment of heart failure patients after the administration of mobile app on selfcare management of heart failure with selected variables like age, sex, education status, family income, BMI, duration of illness, smoking, tobacco use, alcohol intake, lifestyle, diet, regular follow-up. Methodology: The research approach was the quasi-experimental approach. The Research design was one group pre-test and post-test control group design. The research setting selected for the study was cardiology OPD of VMMC and Safdarjung Hospital, New Delhi. The sample was comprised of (60) Heart Failure patients attending cardiology OPD. The independent variable in the study was a mobile app: Samrudheart and reminder call for adherence to treatment on self-care management of a patient with heart failure and the dependent variable was knowledge, practice, and adherence to treatment on self-care management of heart failure. The tool used for data collection were demographic data of sample characteristics, health determinant data of sample characteristics, structured knowledge questionnaire, structured practice checklist, structured adherence to the treatment rating scale, and structured opinionnaire. The KR-20, inter-observer and cronbach alpha formula was used to assess the reliability of tools. Results: Major findings of the study revealed that initially, the heart failure patients had poor knowledge, practice, and adherence to treatment on self-care management of heart failure. The mobile app was found to be effective in improving the knowledge, practice, and adherence to treatment of heart failure patients. There was no significant association between the knowledge, treatment adherence and not influenced by the selected variables except the practice scores are influenced by the regular follow up. Conclusion: Findings revealed that the mobile app: Samrudheart was found to be an effective strategy in improving the knowledge, practice, and adherence to treatment on self-care management of a patient with heart failure. Key words: Mobile App, Self-care management, Knowledge, Practice, Adherence, Heart Failure Patients.

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Intervensi Health Coaching dalam Meningkatkan Self-Care Management Pasien Heart Failure

Jurnal Keperawatan Silampari ◽

10.31539/jks.v4i2.1935 ◽

2021 ◽

Vol 4 (2) ◽

pp. 487-496

Author(s):

Asriyani Hamid ◽

Elly L Sjattar ◽

Kusrini S Kadar

Keyword(s):

Heart Failure ◽

Care Management ◽

Total Duration ◽

Self Care ◽

Health Coaching ◽

Training Methods ◽

Salt Diet ◽

Cochrane Database ◽

Low Salt ◽

Literature Reviews

This study aims to identify the literature that explores health coaching interventions in improving Heart Failure (HF) self-care management, focusing on the total duration and type of health coaching media. The research method uses literature reviews by tracing publications between 2017-2020, the Cochrane database, PubMed, ScienceDirect, ProQuest, and Garuda. The results identified five health coaching studies according to inclusion criteria and resulted in significant improvements in HF self-care management, including symptom reporting, increased physical activity, low-salt diet, fluid and drug intake, self-efficacy, adherence to measuring body weight and blood pressure, and changes. Lifestyle, even though there are differences in the health training methods used. In conclusion, the duration and different media from each study did not significantly influence improving HF self-care management. Keywords: Heart Failure, Self-Care Management, Health Development

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Improving Self-Care Management in Heart Failure Patients

10.22371/07.2017.020 ◽

2017 ◽

Author(s):

Slble Rebello

Keyword(s):

Heart Failure ◽

Care Management ◽

Self Care ◽

Heart Failure Patients

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Self-care management, knowledge, self-efficacy for medication and Quality of Life in chronic heart failure patients

Health & Research Journal ◽

10.12681/healthresj.26094 ◽

2021 ◽

Vol 7 (1) ◽

pp. 4

Author(s):

Elpida Kroustalli ◽

Constantinos H Papadopoulos ◽

Ioannis Vasileiadis ◽

Athena Kalokairinou ◽

Sotirios Kiokas ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Medication Adherence ◽

Self Efficacy ◽

Care Management ◽

Nyha Class ◽

Self Care ◽

Knowledge Test ◽

Heart Failure Patients

Background: The management of Heart Failure (HF) is the cornerstone for the appropriate therapy and the knowledge obtained concerning the disease is known to affect self-care behaviours. Aim: The aim was to test the association between self-care management, knowledge, self-efficacy for medication and quality of life in chronic HF patients.Material and Method: A cross-sectional study was conducted and four questionnaires were used: Atlanta Heart Failure Knowledge Test (AHFK), Minnesota Living with Heart Failure (HMLHFQ), Self-Efficacy for Appropriate Medication Use Scale (SEAMS), European Heart Failure Self-care Behaviour Scale (EHFScBS-9). Multiple linear regression analysis was performed to identify independently associated variables with study subscales.Results: The sample consisted of 122 Heart Failure patients (102 men-20 women) with mean age 67.1 years (SD=12.3). Scores on Fluid and sodium management, Physical activity and recognition of deteriorating symptoms were significantly greater as compared with scores on Adhering to recommendations (p<0.001), indicating that the needs concerning Adhering to recommendations were greater. Linear regression analyses showed that score on knowledge-test and New York Heart Association (NYHA) class were predictive of medication adherence factors. Better knowledge was associated with better medication adherence, while worse scores were found in subjects with NYHA class III or IV as compared to those with NYHA class I or II. Additionally, Knowledge and years of Education were associated with Self-care behaviour factors (β=0.44, SE=0.08, p<0.001). Conclusions: Patients at a higher level of HF knowledge show better adherence to the Medication. Self-care behavior and life quality are improved.

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