Relationship between self-care and comprehensive understanding of heart failure and its signs and symptoms

2017 ◽  
Vol 17 (6) ◽  
pp. 496-504 ◽  
Author(s):  
Kyoung Suk Lee ◽  
Debra K Moser ◽  
Kathleen Dracup
Keyword(s):  
Heart Failure ◽  
Confidence Interval ◽  
Self Care ◽  
Signs And Symptoms ◽  
Comprehensive Understanding ◽  
Behavior Scale ◽  
Heart Failure Exacerbation ◽  
The Relationship ◽  
Different Levels ◽  
Care Behavior

Background: Although incomplete understanding of heart failure and its signs and symptoms appears to be a barrier to successful self-care, there are few studies examining the relationship between self-care and levels of comprehensive understanding of heart failure and its signs and symptoms. Aim: To determine whether incomplete understanding of heart failure and its signs and symptoms is associated with self-care in heart failure patients who were recently discharged from the hospital due to heart failure exacerbation. Methods: Patients completed the nine-item European Heart Failure Self-care Behavior scale and questionnaire to assess knowledge of heart failure and its signs and symptoms. Three groups were formed by their different levels of understanding of heart failure and its signs and symptoms. Multivariable linear regression was used to determine whether these three levels of understanding groups predicted self-care after controlling for demographic and clinical variables. Results: Of 571 patients 22.1%, 40.1% and 37.8% had poor, moderate, and complete understanding, respectively. Compared with patients in the poor understanding group, patients in complete and moderate understanding groups were more likely to have better adherence to self-care activities (standardized β = −0.14, 95% confidence interval −3.41, −0.47; standardized β = −0.19, 95% confidence interval −4.26, −1.23, respectively). Conclusions: Fewer than half of the patients had a comprehensive understanding of heart failure and its signs and symptoms, which was associated with poor self-care. Our study suggests that patient education should include contents to promote comprehensive understanding of heart failure and its symptoms, as well as the importance of self-care behaviors.

Illness-related worries as a mediator among depression, anxiety and self-care in heart failure patients

2018 ◽  
Vol 22 (3) ◽  
pp. 134-140
Author(s):  
Nastaran Mansouriyeh ◽  
Hamid Poursharifi ◽  
Mohammad Reza Taban Sadeghi ◽  
Mohammad Raze Seirafi
Keyword(s):  
Heart Failure ◽  
Pearson Correlation ◽  
Self Care ◽  
Depression Anxiety Stress Scale ◽  
Test Analysis ◽  
Content Type ◽  
Behavior Scale ◽  
The Relationship ◽  
Care Behavior

PurposeThe purpose of this paper is to investigate the role of illness-related worries as a mediator among depression, anxiety and self-care in heart failure (HF) patients was the aim of this study.Design/methodology/approachThis study was descriptive and correlational study. In total, 149 patients with HF were selected for sampling in 2016. Patients completed self-care behavior scale, illness-related worries questionnaire and Depression Anxiety Stress Scale (DASS) questionnaires. The Pearson correlation coefficient and Sobel test were also done.FindingsAccording to the analysis of the Sobel test, the role of illness-related worries as a mediator in the relationship between depression and self-care result was −5.37. Sobel test analysis was done to assess the role of illness-related worries as mediator between anxiety and self-care (6.66). The correlation between depression and self-care was 0.488 (p<0.01); correlation between anxiety and self-care was 0.4 (p<0.01); correlation between anxiety and depression was 0.79 (p<0.01); and the correlation between illness-related worries and self-care was 0.71 (p<0.01).Originality/valueIllness-related worries can serve as a mediator in the relationship among depression, anxiety and self-care. There was a significant correlation among the research variables. Therefore, educational programs to reduce depression, anxiety and increase self-care should be given priority to for HF patients.

scholarly journals Cross-cultural adaptation and validation of the European Heart Failure Self-care Behavior Scale for Brazilian Portuguese

2012 ◽  
Vol 20 (5) ◽  
pp. 988-996 ◽  
Author(s):  
Maria Karolina Feijó ◽  
Christiane Wahast Ávila ◽  
Emiliane Nogueira de Souza ◽  
Tiny Jaarsma ◽  
Eneida Rejane Rabelo
Keyword(s):  
Heart Failure ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Self Care ◽  
Signs And Symptoms ◽  
Brazilian Portuguese ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Behavior Scale ◽  
Care Behavior

OBJECTIVE: To adapt and validate a Brazilian Portuguese version of the European Heart Failure Self-Care Behavior Scale. METHODS: The cross-cultural adaptation (translation, synthesis, back-translation, expert committee review, and pretesting) and validation (assessment of face validity, content validity, and internal consistency reliability) were carried out in accordance with the literature. The European Heart Failure Self-Care Behavior Scale assesses key components of self-care: recognition of the signs and symptoms of decompensated heart failure (HF) and decision-making when these signs and symptoms arise. It comprises 12 items (range 12-60, where lower scores indicate better self-care). RESULTS: The sample comprised 124 HF patients with a mean age of 62.3 ± 12 years. The Cronbach's Alpha internal consistency was 0.70 and the intraclass correlation coefficient for reproducibility was 0.87. CONCLUSION: Face and content validity, internal consistency and reproducibility have lended validity and reliability for the use of the instrument in Brazil.

9-item European Heart Failure Self-Care Behavior Scale

2009 ◽  
Author(s):  
Tiny Jaarsma ◽  
Kristofer Franzén Årestedt ◽  
Jan Mårtensson ◽  
Kathleen Dracup ◽  
Anna Strömberg
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Behavior Scale ◽  
Care Behavior

scholarly journals Psychometric evaluation of the nine-item heart failure self-care behavior scale (9-EHFScBS)

2021 ◽  
Author(s):  
Reza Negarandeh ◽  
Elham Ghasemi ◽  
Leila Janani
Keyword(s):  
Heart Failure ◽  
Factor Analysis ◽  
Construct Validity ◽  
Internal Consistency ◽  
Self Care ◽  
Psychometric Evaluation ◽  
The Self ◽  
Failure Index ◽  
Behavior Scale ◽  
Care Behavior

Background & Aim: Self-care in patients with heart failure can improve multiple outcomes and reduce mortality. Measuring self-care requires valid and reliable tools. This study aimed to determine the psychometric properties of the 9-items European Heart Failure Self-Care Behavior Scale. Methods & Materials: The present study is a psychometric evaluation. The original version of the tool was translated from English to Persian using the standard Backward-Forward method. The questionnaire's validity was assessed using face, content, criterion (the Self-Care of Heart Failure Index v.6 as a criterion), and construct validity.  An exploratory factor analysis approach was used to construct validity with a sample of 216 patients with chronic heart failure referred to Dr. Shariati and Imam Khomeini Hospital's heart clinics in Tehran; and Ayatollah Mousavi Hospital in Zanjan. The reliability of the questionnaire was evaluated by internal consistency and stability methods. Results: After the validation process (validity and reliability), all 9 items of the questionnaire were approved and remained. The content validity index of the total content of the questionnaire was calculated to be 0.96. Based on factor analysis, only one factor was confirmed for the questionnaire. The correlation between the present questionnaire and the Self-Care of Heart Failure Index v.6 was positive and significant (p<0.001, r=0.753). Internal consistency (α=0.728) and stability (0.897) of the questionnaire were also confirmed. Conclusion: The European Heart Failure Self-Care Behavior Scale is valid and reliable for measuring Iranian patients' self-care behaviors with heart failure.

Revised Heart Failure Self-Care Behavior Scale

2002 ◽  
Author(s):  
Nancy T. Artinian ◽  
Morris Magnan ◽  
Michelle Sloan ◽  
M. Patricia Lange
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Behavior Scale ◽  
Care Behavior

Validity and reliability of the Danish version of the 9-item European Heart Failure Self-care Behavior Scale

2016 ◽  
Vol 31 (2) ◽  
pp. 405-412 ◽  
Author(s):  
Birte Østergaard ◽  
Romy Mahrer-Imhof ◽  
Jørgen Lauridsen ◽  
Lis Wagner
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Validity And Reliability ◽  
Danish Version ◽  
Behavior Scale ◽  
Care Behavior

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.

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