scholarly journals Critical health literacy as an important determinant of self-care behavior among patients with heart failure

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P5131-P5131 ◽  
Author(s):  
S. Matsuoka ◽  
M. Tsuchihashi-Makaya ◽  
N. Kato ◽  
M. Yamada ◽  
T. Kayane
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Important Determinant ◽  
Self Care ◽  
Critical Health Literacy ◽  
Patients With Heart Failure ◽  
Care Behavior

Health literacy is independently associated with self-care behavior in patients with heart failure

2016 ◽  
Vol 99 (6) ◽  
pp. 1026-1032 ◽  
Author(s):  
Shiho Matsuoka ◽  
Miyuki Tsuchihashi-Makaya ◽  
Takahiro Kayane ◽  
Michiyo Yamada ◽  
Rumi Wakabayashi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Self Care ◽  
Patients With Heart Failure ◽  
Care Behavior

The relationship between health literacy and self-care in patients with heart failure

2021 ◽  
pp. 1-10
Author(s):  
Katie Nesbitt ◽  
Huiyun Du ◽  
Paul Nolan ◽  
Susie Cartledge ◽  
Parichat Wonggom ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Patient Group ◽  
Care Management ◽  
Self Care ◽  
Randomised Control Trial ◽  
Adequate Health Literacy ◽  
Patients With Heart Failure ◽  
Literacy Knowledge ◽  
The Relationship

Background/Aims Research has shown that health literacy can influence an individual's ability to practise self-care, particularly for patients with heart failure. This study aimed to assess health literacy and its relationship with heart failure knowledge and self-care practices in this patient group. Methods An observational sub-study was conducted with the data from a large randomised control trial that evaluated the relationship between patients' health literacy, general literacy, knowledge of heart failure and self-care. Results A total of 36 participants were recruited, of which 33 (89.9%) had adequate levels of health literacy. Health literacy was positively associated with heart failure knowledge. However, 67.7% of participants with adequate health literacy were found to have inadequate levels of self-care management. Conclusions Health literacy may facilitate better heart failure knowledge, but it does not necessarily lead to improved self-care management in patients with heart failure. This suggest that clinicians need to put more emphasis on translating knowledge into behavioural changes for self-care in this patient group.

scholarly journals Psychosocial determinants of self-care behavior in outpatients with heart failure: A test of Penderʼs health promotion model

2020 ◽  
Keyword(s):  
Heart Failure ◽  
Health Promotion ◽  
Conceptual Model ◽  
Self Care ◽  
Perceived Benefits ◽  
Cross Sectional ◽  
Health Promotion Model ◽  
Psychosocial Determinants ◽  
Patients With Heart Failure ◽  
Care Behavior

Background: Patients with heart failure need to be engaged in adequate cardiac self-care behaviors helping to prevent the development of the disease and ameliorate their health status. However, the conceptual model of the present study has not been tested in previous studies among patients with heart failure. Objectives: The present study aimed to investigate the psychosocial determinants based on Pender’s health promotion model (HPM) affecting self-care behavior among outpatients suffering from heart failure. Methods: In this cross-sectional study, a total of 200 patients suffering from heart failure were selected from the outpatient clinics of Tabriz, Iran, using convenience sampling and assessed for self-self-care behaviors and major concepts of HPM via self-administered questionnaires. Path analysis was used in order to analyze the conceptual model Results: The present hypothetical model showed a good fit. Perceived benefits and activity-related effects directly affected self-care behaviors. Bootstrapping mediation analyses indicated that perceived self-efficacy, perceived barriers, perceived benefits, and activity-related effects indirectly affected self-care behaviors through commitment to action. Conclusions: The commitment to action can help to promote self-care behaviors among the subjects suffering from heart failure. The interventions should take the role of predictive variables of this study and commitment to action into account in these patients.

Evaluation of self care behaviours, medication and dietary compliance of patients with heart failure

2017 ◽  
Vol 4 (2) ◽  
pp. 86-93
Author(s):  
Sengul Akdeniz
Keyword(s):  
Heart Failure ◽  
Medication Compliance ◽  
Personal Information ◽  
Self Care ◽  
Study Data ◽  
Cross Sectional ◽  
Dietary Compliance ◽  
Patients With Heart Failure ◽  
Moderate Relationship ◽  
Care Behavior

In this study, it was aimed to evaluate the self-care behaviors, dietary and medication compliance of patients with heart failure.The study was conducted as a cross-sectional sampling study between April and August 2016. After identifying the clinical diagnosis and treatment, 120 patients who were diagnosed with HF were included in the study. Data were obtained by using personal information form, Turkish versions of the European Heart Failure Self-care Behavior Scale (EHFScBS), Beliefs about Medication Compliance Scale and Beliefs about Dietary Compliance Scale   for patients with HF. The mean score on EHFSc BS was found to be 31.20± 8.05. Benefit and barrier subscale mean scores were found to be 26.11 ± 4.23 and 13.09 ± 3.5 for dietary compliance and 20.44 ± 2.7 and 22.36 ± 3.8 for medication compliance, respectively. According to the results of the study ıt was found that there was a moderate relationship between self-care behaviors and dietary compliance (r=0,538,p<0,05) benefits and medication compliance (r=0,420, p<0,05 )  benefits.  Keywords: The European Heart Failure self care scale; medication compliance; dietary compliance; heart failure.   

scholarly journals The types of comorbidities are associated with self-care of heart failure, but not the number of comorbidities

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
KS Lee ◽  
DK Moser ◽  
K Dracup
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Comorbid Conditions ◽  
Funding Sources ◽  
Patients With Heart Failure ◽  
Comorbidity Index ◽  
Relationship Of ◽  
The Relationship ◽  
Rural Patients ◽  
Care Behavior

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): RO1HL083176 Improving Self-Care Behavior and Outcomes in Rural Patients with Heart Failure Background/Introduction: Patients with heart failure (HF) experience cardiac and non-cardiac related comorbid conditions. Such comorbidities create challenges to successful engagement in self-care of HF because patients are asked to simultaneously perform a variety of recommended self-care activities for HF and their comorbid conditions. It is possible that patients with a greater number of comorbid conditions experience more difficulty performing activities of HF self-care compared to those with a smaller number of comorbid conditions. However, it is also possible that types of comorbid conditions are more important factors influencing self-care of HF. Purpose To explore whether self-care of HF is associated with the number of comorbid conditions or types of comorbid conditions. Methods A total of 589 patients with HF (66 years, 41% female, 65% NYHA III/IV) were included in this study. The number of comorbid conditions was measured using the list of the conditions in the Charlson Comorbidity Index. Types of comorbidities were defined as follows: concordant conditions, sharing overall pathophysiologic risk profiles with HF, and discordant conditions, not being directly related to HF. Patients were categorized into 4 groups: HF patients without comorbidities; those with concordant conditions; those with discordant conditions; and those with both concordant and discordant conditions. Self-care was measured with the European HF self-care behavior scale. A multivariate linear regression was performed to explore the relationship of HF self-care with the number and types of comorbid conditions after adjusting for relevant covariates. Results The number of comorbid conditions was not associated with self-care of HF. However, the types of comorbid conditions were related to self-care of HF after controlling for covariates. Compared to HF patients without comorbidities, patients with both concordant and discordant conditions were more likely to have poorer self-care (β=0.155, 95% CI 0.29-4.09). However, levels of self-care in patients having either concordant or discordant conditions were not different from levels in patients having no comorbid conditions. Conclusion: Patients’ adherence to HF self-care was associated with the types of comorbidities, but not the simple count of comorbidities. Patients who had both concordant and discordant conditions were more likely to perform poor self-care of HF compared to those who had either concordant or discordant conditions or no comorbid conditions. It appears that HF patients with both concordant and discordant conditions experience difficulty integrating HF self-care in relation to a variety of conditions.

17. Health literacy influences knowledge attainment but not self-care or self-efficacy longitudinally in patients with heart failure

Heart & Lung ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 419-420
Author(s):  
K.S. Yehle ◽  
A.M. Chen ◽  
N.M. Albert ◽  
K.F. Ferraro ◽  
H.L. Mason ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Self Efficacy ◽  
Self Care ◽  
Patients With Heart Failure

scholarly journals Predictors of Better Self-Care in Patients with Heart Failure after Six Months of Follow-Up Home Visits

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Melina Maria Trojahn ◽  
Karen Brasil Ruschel ◽  
Emiliane Nogueira de Souza ◽  
Cláudia Motta Mussi ◽  
Vânia Naomi Hirakata ◽  
...  
Keyword(s):  
Heart Failure ◽  
Regression Model ◽  
Home Visiting ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Home Visits ◽  
Home Based ◽  
Patients With Heart Failure ◽  
Care Behavior

This study aimed to examine the predictors of better self-care behavior in patients with heart failure (HF) in a home visiting program. This is a longitudinal study nested in a randomized controlled trial (ISRCTN01213862) in which the home-based educational intervention consisted of a six-month followup that included four home visits by a nurse, interspersed with four telephone calls. The self-care score was measured at baseline and at six months using the Brazilian version of the European Heart Failure Self-Care Behaviour Scale. The associations included eight variables: age, sex, schooling, having received the intervention, social support, income, comorbidities, and symptom severity. A simple linear regression model was developed using significant variables (P≤0.20), followed by a multivariate model to determine the predictors of better self-care. One hundred eighty-eight patients completed the study. A better self-care behavior was associated with patients who received intervention (P<0.001), had more years of schooling (P=0.016), and had more comorbidities (P=0.008). Having received the intervention (P<0.001) and having a greater number of comorbidities (P=0.038) were predictors of better self-care. In the multivariate regression model, being in the intervention group and having more comorbidities were a predictor of better self-care.

Self care behavior in patients with heart failure in Taiwan

2012 ◽  
Vol 11 (2) ◽  
pp. 175-182 ◽  
Author(s):  
Heng-Hsin Tung ◽  
Shu-Ching Chen ◽  
Wei-Hsian Yin ◽  
Ching-Hui Cheng ◽  
Tsae-Jyy Wang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Patients With Heart Failure ◽  
Care Behavior

4035Impact of qualified nursing education on the care of heart failure patients in a regional physician network

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Huesken ◽  
R Hoffmann
Keyword(s):  
Heart Failure ◽  
Education Program ◽  
Weight Control ◽  
Self Care ◽  
Knowledge Score ◽  
Structured Education ◽  
Disease Knowledge ◽  
Patients With Heart Failure ◽  
Care Behavior

Abstract Background The ESC guidelines on management of patients with heart failure support a multidisciplinary management program including intensive patient teaching and follow-up care. However, adequate information of patients with heart failure on their disease by the treating physician is often limited due to time restrictions. Aim This study evaluated the short and long-term impact of a structured education program by a qualified heart failure nurse on the patient's understanding of his disease and adherence to therapy. Methods 95 consecutive patients (67 male, mean age 66±11 years) hospitalized for heart failure symptoms were included in a structured education program. Each patient underwent an individual one hour teaching program by a qualified heart failure nurse who used structed teaching material. Patients were requested to respond to a questionnaire consisting of 15 questions 1 day before and 1 day after the teaching course as well as at a 6 months follow-up. The questionnaire included the nine questions of the European Heart Failure Self-Care Behaviour Scale (EHFSCB9-Scale) as well as 6 questions on the patient's knowledge about his disease. For each question the patient had to respond to a scale ranging from 1 point (complete disagreement) to 5 points (complete agreement). 6 months follow-up data were obtained by physicians providing the outpatients care and implemented into a password protected software offering all patient data within the local network consisting of the hospital and 4 regional outpatient cardiologists. Results Total self-care behavior and disease knowledge score improved from 48.3±10.1 points before teaching to 64.0±9.9 points after teaching (p<0.001). Before teaching there were significant differences in the scores of individual questions ranging from 2.40±1.36 points on understanding of the own disease to 4.71±0.80 points on complete adherence to the medication protocol. After teaching there was a more homogenous score levels. Greatest gains on individual question scores could be obtained on “the patients understanding of the causes of his disease” (1.52±1.38 points), “the feeling of being completely informed about the disease” (1.44±1.23 points) and “daily weight control” (1.73±1.58 points). At 6-months follow-up total self-care behavior and disease knowledge score was 59.2±13.2 points (p=0.231 to immediately after teaching) in the 67% of patients with complete follow-up. In a logistic regression analyses no parameter could be defined which predicted a low knowledge score before teaching or an insufficient teaching effect. Conclusions A qualified nurse education program significantly improves self-care behavior and disease knowledge. The effect persists at 6 months follow-up. Improvements can be obtained in particular with regards to patients understanding of his disease causes and daily weight control. There are no patient characteristics which obviate the need for teaching or predict a low teaching effect. Acknowledgement/Funding Deutsche Stiftung für chronisch Kranke

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