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 The Relationship Between E-health Literacy and Health Failure

2020 ◽  
Author(s):  
Seher Çevik ◽  
Gürkan Özden ◽  
Seyhan Çıtlık Sarıtaş
Keyword(s):  
Heart Failure ◽  
New York ◽  
Health Literacy ◽  
Personal Information ◽  
Self Care ◽  
T Test ◽  
The Self ◽  
Patients With Heart Failure ◽  
Bonferroni Test ◽  
The Relationship

Objective: Theresearchwasconductedtodeterminetherelationshipbetween e-healthliteracyandthecaregivercontributionto self-care of a patientwithheartfailure.The study was carried out with the purpose of determining the effects of e-health literacy on the self-care of patients with heart failure. Methods: Thiswasplanned as a descriptiveandcorrelationalstudy. Itwascarriedoutbetween April andJuly 2018. Thepopulation of thestudyconsisted of patientswhoreceivedtreatmentforheartfailure at thehospitalwhich had a functionalcapacity of class II orhigherbased on theclassification of the New York HeartAssociationandtheircaregivers. Thesampleconsisted of 180 caregiversbypowertorepresentthepopulation. Thedatawerecollectedby a Personal Information Form, theCaregiverContributionto Self-Care of HeartFailure Index andtheeHealthLiteracyScale. Thestatisticalanalysesinvolveddescriptivestatistics, independent-samples t-test, ANOVA, Kruskal Wallis analysis, Bonferroni test, multiplelinearregressionanalysis. Results: Themean e-healthscalescore of thecaregiverswhoparticipated in thestudywas 22.8±7.8. Moreover, themeanscores of theCaregiverContributionto Self-Care of HeartFailure Index, itsdimensions of contributiontocontinuity of self-care, contributiontomanagement of self-careandcontributiontocontinuity of self-carewererespectively 23.2±7.8, 14.2±3.2 and 13.7±4.2. therewas a positiveandweaksignificantrelationshipbetweenthemeanvalues of thecontribution of reliability of caregiver on patient self-caredimension of the Index andtheeHealthLiteracy Index scores (p<0.05). Conclusion: Whilethestudyfoundnosignificantrelationshipbetween e-healthliteracyandthedimensions of contributiontocontinuation of self-careandcontributiontomanagement of self-care of theCaregiverContributionto Self-Care of HeartFailure Index, therewas a positiveandweaksignificantrelationshipbetween e-healthliteracyandthedimension of contribution of reliability of caregivertopatient self-care (p<0.05).

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

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).

scholarly journals Race Moderates the Relationship Between Perceived Social Support and Self-care Confidence in Patients With Heart Failure

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lakeshia Cousin ◽  
Andrew Bugajski ◽  
Harleah Buck ◽  
Terry Lennie ◽  
Misook Lee Chung ◽  
...  
Keyword(s):  
Heart Failure ◽  
Social Support ◽  
Perceived Social Support ◽  
Self Care ◽  
Patients With Heart Failure ◽  
The Relationship

The Most and the Least Performed Self-Care Behaviors Among Patients With Heart Failure in Jordan

2018 ◽  
Vol 29 (2) ◽  
pp. 108-116 ◽  
Author(s):  
Loai Issa Tawalbeh ◽  
Ahmed Mohammad Al-Smadi ◽  
Mohammed AlBashtawy ◽  
Maen AlJezawi ◽  
Mohamad Jarrah ◽  
...  
Keyword(s):  
Heart Failure ◽  
Low Income ◽  
Self Care ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Traditional Treatment ◽  
Patients With Heart Failure ◽  
Low Salt ◽  
Cross Sectional Design ◽  
The Relationship

Assessing self-care is important aspects among patients with heart failure. However, few studies were conducted to assess self-care among patients with heart failure in Jordan. Therefore, this study aimed to assess the most and the least performed maintenance self-care behaviors and to examine the relationship between maintenance self-care behaviors and selected sociodemographics. A cross-sectional design utilizing a convenience sample of 226 patients with heart failure was used. The maintenance self-care mean was 53.89 and considered below the clinical target level (≥70). Asking for low salt item and performing physical exercises were the most performed self-care behaviors, while “trying to avoid getting sick” and “checking ankles for swelling” were the least performed self-care behaviors. Limited self-care behaviors indicated the need to implement cardiac education that may improve self-care behaviors. Cardiac education should target mainly patients with low income, low educational level, elderly, living alone, unemployed, and who are using traditional treatment.

scholarly journals Validity and reliability of the Korean version of self-care of heart failure index

2018 ◽  
Vol 8 (10) ◽  
pp. 96 ◽  
Author(s):  
Jin Shil Kim ◽  
Minjeong An ◽  
Hyojeong Seo ◽  
Seon Young Hwang ◽  
Jae Lan Shim
Keyword(s):  
Heart Failure ◽  
Care Management ◽  
Self Care ◽  
Psychometric Testing ◽  
Validity And Reliability ◽  
Failure Index ◽  
Korean Version ◽  
Reliability Estimates ◽  
Patients With Heart Failure ◽  
Therapeutic Recommendations

Purpose: Self-care and associated decisions for therapeutic recommendations have been a focus of attention recently in Korea. The purpose of this study was to address the dimensionality and reliability of a Korean version of Self-care of Heart Failure Index (SCHFI v.6.2), a measure of self-care of patients with heart failure within a clinical context.Methods: The study sample completed 120 surveys that consisted of demographic variables and the SCHFI v.6.2, which was created to measure self-care maintenance, self-care management, and self-care confidence in HF patients. Confirmatory factor analysis using Mplus verified a robust structural fit of the three dimensionality for each subscale.Results: Self-care maintenance, CFI = .92, TLI = .88, SRMR = .06, RMSEA = .07; self-care management, CFI = .93, TLI = .78, SRMR = .05, RMSEA = .24; self-care confidence, CFI = .95, TLI = .92, SRMR = .05, RMSEA = .13. Multidimensionality yielded the self-care maintenance scale having 4-factor structures, while each self-care management and confidence scale had a unidimensionality. Reliability estimates using methods compatible with each scale’s dimensionality were adequate to high, ranging from .71 to .96.Conclusions: Psychometric testing of the SCHFI demonstrates a sound model fit, with desirable reliability estimates given each scale dimensionality, using Cronbach’s alpha coefficient and alternative options.

scholarly journals Mediation effect of depressive symptoms in the relationship between perceived control and wellbeing in patients with heart failure and their partners

2018 ◽  
Vol 17 (6) ◽  
pp. 527-534 ◽  
Author(s):  
Maria Liljeroos ◽  
Anna Strömberg ◽  
Kristofer Årestedt ◽  
Misook L Chung
Keyword(s):  
Mental Health ◽  
Heart Failure ◽  
Depressive Symptoms ◽  
Health Status ◽  
Perceived Control ◽  
Self Care ◽  
Mental Health Status ◽  
Mediation Effect ◽  
Patients With Heart Failure ◽  
The Relationship

Background: As treatment has improved, patients with heart failure live longer, and the care mostly takes place at home with partners providing the main assistance. Perceived control over heart failure is important in managing self-care activities to maintain health in patients and their family. Depressive symptoms are associated with impaired health status in patients with heart failure and their family. However, there is limited knowledge about how depressive symptoms affect the relationship between health status and perceived control over heart failure in patients with heart failure and their cohabiting partners. Aim: The aim of this study was to examine whether the relationship between perceived control and health status (i.e. mental and physical) was mediated by depressive symptoms in patients with heart failure and their partners. Methods: In this secondary data analysis, we included 132 heart failure patients and 132 partners who completed measures of depressive symptoms (the Beck depression inventory II), perceived control (the control attitude scale), and physical and mental health status (the short form-36) instruments. The mediation effect of depression was examined using a series of multiple regression in patients and their family caregivers separately. Results: We found a mediator effect of depressive symptoms in the relationship between perceived control and mental health status in both patients and partners. The relationship between perceived control and physical health status was mediated by depressive symptoms in the patients, not in the partners. Conclusion: Efforts to improve self-care management and maintenance by targeting perceived control may be more effective if depressive symptoms are also effectively managed.

scholarly journals Health Literacy Mediates the Relationship Between Age and Health Outcomes in Patients With Heart Failure

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Jia-Rong Wu ◽  
Debra K. Moser ◽  
Darren A. DeWalt ◽  
Mary Kay Rayens ◽  
Kathleen Dracup
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Health Outcomes ◽  
Patients With Heart Failure ◽  
The Relationship

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

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

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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