scholarly journals Influence of of education on the self-care of patients with the chronic heart failure

2016 ◽  
Vol 11 (10-11) ◽  
pp. 578-579
Author(s):  
Nevenka Vila ◽  
Tanja Mikulandra
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Care ◽  
The Self

scholarly journals Comparative analysis of self-care assessment scales in patients with chronic heart failure, advantages and disadvantages

Kardiologiia ◽  
2020 ◽  
Vol 60 (8) ◽  
pp. 84-89
Author(s):  
E. D. Kartamysheva ◽  
Yu. M. Lopatin
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Care ◽  
Functional Class ◽  
The Self ◽  
Advantages And Disadvantages ◽  
Care Assessment ◽  
Detailed Assessment ◽  
Assessment Scales ◽  
Care Behavior

Aim To compare Russian versions of the scales for assessment of self-care ability in patients with chronic heart failure (CHF), European Heart Failure Self-Care Behavior Scale (EHFScBS_9) and The Self-Сare of Heart Failure Index (SCHFI, version 6.2).Materials and methods Assessment of the self-care ability was performed with Russian versions of EHFScBS_9 and SCHFI (version 6.2) scales in 130 patients with NYHA functional class II-IV CHF primarily of ischemic origin (78.5 %). Mean age of patients was 63.2±9.6 years; most of the patients were men (n=92; 70.8 %). Patients were managed in accordance with effective guidelines ESC / HFA 2016 and Russian guidelines 2018.Results Along with an increase in SСHFI scores, a decrease in EHFScBS_9 scores was observed (r= –0.31, p<0.001). The patients participating in the study showed a low self-care ability at baseline according to results of both scales.Conclusion The presence of certain differences between the study scales does not exclude a possibility of using them alone or together for more detailed assessment of the self-care ability.

scholarly journals Motivational interviewing to improve the self-care behaviors for patients with chronic heart failure: A randomized controlled trial

2018 ◽  
Vol 5 (3) ◽  
pp. 213-217
Author(s):  
Juan Chen ◽  
Hongwei Zhao ◽  
Shumin Hao ◽  
Jiajia Xie ◽  
Yixue Ouyang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Randomized Controlled Trial ◽  
Chronic Heart Failure ◽  
Motivational Interviewing ◽  
Controlled Trial ◽  
Self Care ◽  
The Self ◽  
Randomized Controlled

The self‐care coping process in patients with chronic heart failure: A qualitative study

2018 ◽  
Vol 28 (3-4) ◽  
pp. 509-519 ◽  
Author(s):  
Chia‐Chien Li ◽  
Shiow‐Ru Chang ◽  
Shiow‐Ching Shun
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Qualitative Study ◽  
Self Care ◽  
The Self ◽  
Coping Process

scholarly journals Self-care Status and Influencing Factors of Patients with Chronic Heart Failure in Community from The Perspective of Health Ecology

2021 ◽  
Author(s):  
Bingying Zhou ◽  
Cuirong Xu ◽  
Xiaolu Xu ◽  
Yong Chen ◽  
Weihong Tang
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Influencing Factors ◽  
Self Care ◽  
Current Situation ◽  
The Self ◽  
Object A ◽  
Anxiety Depression ◽  
Community Patients

Abstract Objective To explore the current situation and influencing factors of self-care of patients with chronic heart failure in community. Methods Patients with chronic heart failure in four community health service centers of a third class hospital in Nanjing were selected as the research object. A questionnaire was formed based on health ecology to understand the current situation and influencing factors of self-care. The data were analyzed by one-way ANOVA and multiple linear regression.Results The self-care status of community patients with chronic heart failure was poor, and they were in the state of "low maintenance, low management and low confidence"; Social support level, anxiety, depression, number of complications, course of disease, education level and income were independent influencing factors of self-care ability of community patients with chronic heart failure (P < 0.05). Conclusion The self-care ability of community patients with chronic heart failure needs to be improved, which is affected by many factors. Personalized evaluation and active intervention should be carried out to improve the self-care ability and quality of life of patients with chronic heart failure.

scholarly journals A qualitative, grounded theory exploration of the determinants of self-care behavior among Indian patients with a lived experience of chronic heart failure

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245659
Author(s):  
Deepak Y. Kamath ◽  
K. B. Bhuvana ◽  
Luke Joshua Salazar ◽  
Kiron Varghese ◽  
Anant Kamath ◽  
...  
Keyword(s):  
Heart Failure ◽  
Grounded Theory ◽  
Chronic Heart Failure ◽  
Lived Experience ◽  
Treatment Adherence ◽  
South Asian ◽  
Self Care ◽  
The Self ◽  
Care Process ◽  
Asian Patients

Background Prior reports have documented extremely poor adherence to evidence-based medications among South Asian patients with established chronic cardiovascular diseases. Treatment adherence is now considered a part of the ‘self-care’ process, the determinants of which have not been adequately explored or explained among South Asian patients with chronic heart failure (CHF). Our objective was to qualitatively ascertain the determinants of the self-care process among Indian patients with a lived experience of heart failure. Methods We conducted in-depth interviews (audio-recorded) among 22 purposively sampled patients living with chronic heart failure, diagnosed at least 4 weeks prior to the interview and 17 caregivers (n = 39) in a tertiary care teaching hospital in Southern India. We employed an inductive analytical approach using Charmaz’s constructivist grounded theory. Initial line-by-line coding and categorization was followed by memo writing, reflexive analysis after interviewing and analyzing four, eight and twelve patients, and at each stage further theoretical sampling was carried out until we reached thematic saturation. We used NVivo ver. 12 to analyze and organize data. Results The mean age of our patients was 61 years and they represented 5 Indian states and spoke seven languages, distributed across socio-economic strata and literacy levels. We classified self-care determinants into 3 broad, simple categories and defined underlying themes namely, negative determinants (passivity, entrenched beliefs, negative affect, lack of knowledge, financial difficulties, and fatalism), intermediate factors (patient expectations, provider/hospital hopping) and facilitators or positive self-care determinants (intrinsic and extrinsic facilitators). Gender and the cultural background of patients’ upbringing appear to shape these determinants, thereby affecting self-care decision making in chronic heart failure. Conclusion We have empirically described a unique set of self-care determinants among Indian chronic heart failure patients, which in turn are shaped by economic and socio-cultural factors. Assessing for and addressing these determinants during clinical interactions through multi-factorial approaches may help improve self-care among Indian CHF patients, thus improving treatment adherence and clinical outcomes.

700 Influence of perceived psychosocial support on self care behaviour of patients with chronic heart failure managed in nurse-led heart failure clinics

2006 ◽  
Vol 5 (1) ◽  
pp. 160-160
Author(s):  
A ORTEGAGUTIERREZ ◽  
J COMINCOLET ◽  
S QUINONES ◽  
J MORALES ◽  
V RUIZ ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Psychosocial Support ◽  
Self Care

Association between self-care and prognosis in 1123 patients with chronic heart failure

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
E Calero ◽  
E Hidalgo ◽  
R Marin ◽  
L Rosenfeld ◽  
I Fernandez ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Acute Heart Failure ◽  
Nyha Class ◽  
Self Care ◽  
P Value ◽  
Funding Source ◽  
Class Iii ◽  
Cox Models ◽  
Lower Tertile

Abstract Background Self-care is a crucial factor in the education of patients with heart failure (HF) and directly impacts in the progression of the disease. However, little is published about its major clinical implications as admission or mortality in patients with HF. Aims and methods The aim of the study was to analyze time to admission due to acute heart failure and mortality associated with poor self-care in patients with chronic HF. We prospectively recruited consecutive patients with stable chronic HF referred to a nurse-led HF programme. Selfcare was evaluated at baseline with the 9 item European Heart Failure Self-Care Behavior Scale. Scores were standardized and reversed from 0 (worst selfcare) to 100 (better self care). For the purpose of this study we analyzed the associations of worse self-care (defined as scores below the lower tertile of the scale) with demographic, disease-related (clinical) and psychosocial factors in all patients at baseline. Results We included 1123 patients, mean age 72±11, 639 (60%) were male, mean LVEF 45±17 and 454 (40,4%) were in NYHA class III or IV. Mean score of the 9-item ESCBE was 69±28. Score below 55 (lower tertile) defined impaired selfcare behaviour. Those patients with worse self-care had more ischaemic heart disease, more COPD, and they achieved less distance in the 6 minute walking test. Regarding psychosocial items patients in lower tertile of self-care needed a caregiver more frequently, they present more cognitive impairment, depressive symptoms and worse score in terms of health self-perception. Multivariate Cox Models showed that a score below 55 points in 9-item ESCBE was independently associated with higher readmission due to acute heart failure [HR 1.26 (1.02–1.57), p value=0.034] and with mortality [HR 1.24 CI95% (1.02–1.50), p value=0.028] Conclusion Poor self-care measured with the modified 9-item ESCBE was associated with higher risk of admission due to acute decompensation and higher risk of mortality in patients with chronic heart failure. These results highlight the importance of assessing self-care and provide measures to improve them. Funding Acknowledgement Type of funding source: Public hospital(s). Main funding source(s): Hospital Univesitario de Bellvitge

scholarly journals Self-care in heart failure patients

2015 ◽  
Vol 23 (4) ◽  
pp. 578-586 ◽  
Author(s):  
Ana Paula da Conceição ◽  
Mariana Alvina dos Santos ◽  
Bernardo dos Santos ◽  
Diná de Almeida Lopes Monteiro da Cruz
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Left Ventricular ◽  
The Self ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Failure Index ◽  
Joint Monitoring ◽  
The Mean ◽  
Care Behavior

AbstractObjective: to describe self-care behavior and its associated factors in a sample of heart failure Brazilian patients.Method: descriptive cross-sectional study with non-probabilistic sample of 116 ambulatory patients undergoing heart failure treatment. Self-care was evaluated using the Self-Care of Heart Failure Index, (scores ≥70 points=appropriate self-care). Association tests were applied, considering a descriptive level of 0.05.Results: the mean age of participants was 57.7 (SD =11.3) years; 54.3% were male; the mean schooling was 5.5 (SD = 4.0) years; and 74.1% had functional class II-III. The mean scores on the subscales of the Self-Care of Heart Failure Index indicated inappropriate self-care (self-care maintenance: 53.2 (SD =14.3), selfcare management: 50.0 (SD = 20.3) and self-care confidence: 52.6 (SD=22.7)) and it was found low frequencies of participants with appropriate self-care (self-care maintenance, 6.9%), self-care management (14.7%) and self-care confidence (19%). Higher scores of the Self-Care of Heart Failure Index were associated with: reduced left ventricular ejection fraction (p=0.001), longer time of experience with the disease (p=0.05) and joint monitoring by physician and nurse (p=0.007).Conclusion: investments are needed to improve the self-care behavior and the nursing can play a relevant role in this improvement.

scholarly journals Transcultural Adaptation and Theoretical Models of Validation of the Spanish Version of the Self-Care of Heart Failure Index Version 6.2 (SCHFI v.6.2)

2021 ◽  
Vol 18 (2) ◽  
pp. 569
Author(s):  
Raúl Juárez-Vela ◽  
Angela Durante ◽  
Rosa Antonio-Oriola ◽  
Vicente Gea-Caballero ◽  
Michał Czapla ◽  
...  
Keyword(s):  
Heart Failure ◽  
Factor Analysis ◽  
Psychometric Properties ◽  
Exploratory Factor Analysis ◽  
Self Care ◽  
Public Health Problem ◽  
The Self ◽  
Spanish Version ◽  
Factorial Validity ◽  
Failure Index

Background: Heart failure (HF) is a major and growing public health problem worldwide. Across the world, heart failure is associated with high mortality, high hospitalization rates, and poor quality of life. Self-care is defined as a naturalistic decision-making process involving the choice of behaviors that maintain physiologic stability, the response to symptoms when they occur, and the ability to follow the treatment regimen and control symptoms. One instrument used to measure self-care is the Self Care of Heart Failure Index. Aim: The purpose of this study was to test the psychometric properties of the Spanish version of the Self Care of Heart Failure Index v.6.2 (SCHFI v.6.2). Methodology: Before testing its psychometric properties, the SCHFI v.6.2 was translated and adapted from its original English version into Spanish. Subsequently, we tested the instrument’s psychometric properties on a sample of 203 participants with HF. Descriptive statistics were used to analyze the sociodemographic and clinical variables, and to describe item responses. We tested the factorial validity of the SCHFI v.6.2 using confirmatory and exploratory factor analysis. Results: Confirmatory factor analysis (CFA) was performed using the our pre-existing models which resulted with poor fit indices. Thus, we performed exploratory factor analysis (EFA) on each of the SCHFI v.6.2 scales. Conclusion: The Spanish version of the SCHFI v.6.2. has good characteristics of factorial validity and can be used in clinical practice and research to measure self-care in patients with HF.

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