scholarly journals Role of Family in Increasing Self Efficacy Patient Heart Failure

2020 ◽  
Vol 8 (4) ◽  
pp. 435
Author(s):  
Suwardha Yunus ◽  
Ariyanti Saleh ◽  
Takdir Tahir
Keyword(s):  
Heart Failure ◽  
Self Efficacy ◽  
Self Care ◽  
The Self ◽  
Mortality And Morbidity ◽  
The Family ◽  
Structural Abnormalities ◽  
Life Threatening

Heart failure is a collection of clinical and complex problems that can be life-threatening due to structural abnormalities or heart dysfunction. In both developed and developing countries. The role of the family is needed in the handling of HF patients to prevent the occurrence of mortality and morbidity, also has an impact on self-efficacy. This review identifies the role of the family in increasing self-efficacy. Metode of discursive with a literature review of several articles related to the 2010-2019 scientific search using PubMed, Cochran, ScienceDirect, google scholar, there are 117 articles. Article exclusion is not in English and not in full text. The remaining 36 articles are. The inclusion of articles according to the study were 5 articles. Results are obtained 5 articles consisting of 1 article discussing the role of the family as caregivers for self-care, 2 articles discuss increasing the self-efficacy of HF patients and their treatment. And 2 articles discuss the role of the family as a supporter of HRQoL. The role of the family in the care of patients with HF as caregivers fulfills the patient's self-care, and affect the patient's self-efficacy to improve the quality of life.

scholarly journals Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 434
Author(s):  
Bruno Delgado ◽  
Ivo Lopes ◽  
Tânia Mendes ◽  
Patrícia Lopes ◽  
Luís Sousa ◽  
...  
Keyword(s):  
Heart Failure ◽  
Multicentre Study ◽  
Self Care ◽  
Mean Value ◽  
The Self ◽  
Cross Sectional ◽  
Reduced Ejection Fraction ◽  
Relationship Of

Heart failure is often characterised by low exercise capacity and a great impairment of performance in the activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. The aims of this study are to understand the relationship of gender and pathophysiological characteristics with self-care behaviour and to evaluate the self-care behaviour in a sample of Portuguese heart failure inpatients, using the Self-Care of Heart Failure Index (SCHFI). A cross-sectional multicentre study enrolling 225 heart failure inpatients from eight hospitals from Portugal was performed. At admission, each patient’s functional capacity was evaluated as well as their self-care behaviour, using the SCHFI Portuguese v6.2. A comparison between self-care behaviour with gender was performed. The patients’ mean age was 68.4 ± 10.7 years old, 68% were male and 82.3% had reduced ejection fraction. A mean value of 47.9, 35.6 and 38.8 points was found in the SCHFI score of the sections self-care maintenance, self-care management and self-care confidence, respectively. Heart failure inpatients present inadequate levels of self-care behaviour. The results do not suggest a relationship between gender and pathophysiological characteristics with self-care behaviour.

The role of health literacy, depression, disease knowledge, and self-efficacy in self-care among adults with heart failure: An updated model

Heart & Lung ◽  
2020 ◽  
Vol 49 (6) ◽  
pp. 702-708
Author(s):  
Aleda M.H. Chen ◽  
Karen S. Yehle ◽  
Kimberly S. Plake ◽  
Lisa D. Rathman ◽  
J.Wes Heinle ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Literacy ◽  
Self Efficacy ◽  
Self Care ◽  
Disease Knowledge

scholarly journals Predictors of hospitalization and quality of life in heart failure: A model of comorbidity, self-efficacy and self-care

2015 ◽  
Vol 52 (11) ◽  
pp. 1714-1722 ◽  
Author(s):  
Harleah G. Buck ◽  
Victoria Vaughan Dickson ◽  
Roberta Fida ◽  
Barbara Riegel ◽  
Fabio D’Agostino ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Self Efficacy ◽  
Self Care

scholarly journals Self-Efficacy of Older People Using Technology to Self-Manage COPD, Hypertension, Heart Failure, or Dementia at Home: An Overview of Systematic Reviews

2020 ◽  
Author(s):  
Garuth Chalfont ◽  
Céu Mateus ◽  
Sandra Varey ◽  
Christine Milligan
Keyword(s):  
Heart Failure ◽  
Older People ◽  
Systematic Reviews ◽  
Self Efficacy ◽  
Patient Activation ◽  
Self Care ◽  
The Self ◽  
Self Management ◽  
Overview Of Systematic Reviews ◽  
At Home

Abstract Background and Objectives Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results Five included articles contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease, hypertension, heart failure, or dementia. Evidence for self-care telehealth technology supporting the self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and dropout rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient activation, or mastery. Discussion and Implications Future research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient activation, and motivation are critical components to telehealth’s adoption by the patient and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.

scholarly journals Confirmation of Factors Affecting Self-Care Activities of Patients with Hypertension

2021 ◽  
Vol 11 (01) ◽  
Author(s):  
Hari Ghanesia Istiani ◽  
Eka Rokhmiati
Keyword(s):  
Health Literacy ◽  
Health Center ◽  
Self Efficacy ◽  
Structural Equation ◽  
Health Workers ◽  
Self Care ◽  
The Self ◽  
Direct Influence ◽  
Family Function

Introduction: Hypertension is one of the non- communicable diseases that causes the highest mortality. Self-care activities are factors that determine the health status and quality of life of people with hypertension. Objectives: The aim of the study was to determine the direct and indirect effects and the magnitude of the variables of the role of health workers, family functions, health literacy, and self-efficacy on self-care activities for hypertension sufferers at the Tanah Sareal Health Center, Bogor City in 2018. Methods: The method used in the study this is a quantitative approach that uses adesign cross-setional. The sample used was 80 hypertension patients. The analysis used is the Structural Equation Model (SEM) using SmartPLS 2.0. Results: The results of   hypothesis   testing   with smartPLS resulted   in   research   findings,   namely    that the self-care activities of hypertension sufferers were influenced by the role of health workers   (16.98%), family function factors (12.32%),factors health literacy (26.66%), and self-efficacy factor (25.27%). The total amount of direct influence on self-care activities of hypertension sufferers is 81.23% and the indirect effect is 1.53%. The analysis result model can explain 99.1% of the diversity of data and is able to study   the phenomena used in the study, while 0.9% is explained by other components that are not present in this study. Conclusion: There is a direct influence between the role of health workers, family function, health literacy and self-efficacy on the self-care activities of hypertension sufferers at Tanah Sareal Health Center.

scholarly journals Heart failure inpatient"s self-care behaviour: mulricenter approach focousing on gender differences

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
BM Delgado ◽  
IVO Lopes ◽  
E Mendes ◽  
MARIA Loureiro ◽  
L Preto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Confidence Interval ◽  
Ejection Fraction ◽  
Self Care ◽  
Left Ventricular ◽  
The Self ◽  
Positive Correlation ◽  
Significant Difference

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Heart failure is often characterized by low exercise capacity and great impairment on performance in activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. Self-care behaviour plays an important role on patient"s quality of life. Aim The aims of this study are to evaluate the self-care behaviour in a sample of heart failure inpatients, using the Self-Care Heart Failure Index (SCHFI) and to understand whether gender and patophisiologic characteristics does interfere on it. Methods Cross-sectional multicenter study enrolling 225 heart failure inpatients from eight hospitals. At admission, patient’s functional capacity was evaluated as well as their self-care behaviour, using the SCHFI Portuguese v6.2. Comparison between self-care behaviour with gender was performed. Also some correaltions were perfomed with the total sample of patients, aiming to understand which were the variables that may interfere with the socre of each sub-scale of the self-care HF index.  Results Patients’ mean age was 68.4 ± 10.7 years old, 68% were male and 82.3% have reduced ejection fraction. A mean value of 47.9, 35.6 and 38.8 points was found in the SCHFI score of the sections self-care maintenance (SCMt), self-care management (SCMg) and self-care confidence (SCC), respectively. Heart failure inpatients present inadequate levels of self-care behaviour. No difference was found between genders on any section of the SCHFI. Among all variables, only the number of CVRFs and the left ventricular ejection fraction had significant differences. Males had better results, but not with a statistically significant difference. Association tests (ANOVA) between different variables and the score of each section of the SCHFI were perfomred. Only in the NYHA there are variables associated with a better self-care, namely in the SCMg (p = 0.011) and in SCC (p = 0.010). Correlations were made using the numeric variables age, CVRF, BI, LCADL, SCMt, SCMg and SCC, in order to understand the influence of the variables with each other. All the three dimesnions present a positive correlation, at 99% confidence interval between them (SCMt with SCMg: r = 0.365, p < 0.000; SCMt with SCC: r = 0.272, p < 0.000 and SCMg with SCC: r = 0.670, p < 0.000). In addition, SCMt presents a positive correlation with age at a 95% confidence interval (r = 0.158, p = 0.018). Negative correlations were found between 1) BI and age (r=-0.151, p = 0.023), at a 95% confidence interval and 2) BI with LCALD (r=-0.407, p < 0.000), at a 99% confidence interval. Regarding NYHA functional class and left ventricular systolic function, only NYHA class II patients present a statistically significant difference in SCMg and SCC comparing to Class III and IV patients (who do not present differences between them).  Conclusion The results do not suggest a relationship between gender and pathophysiological characteristics with self-care behaviour.

scholarly journals A Smartphone App for Self-Management of Heart Failure in Older African Americans: Feasibility and Usability Study

JMIR Aging ◽  
10.2196/17142 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e17142 ◽  
Author(s):  
Sue P Heiney ◽  
Sara B Donevant ◽  
Swann Arp Adams ◽  
Pearman D Parker ◽  
Hongtu Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
African American ◽  
Health Literacy ◽  
African Americans ◽  
Self Care ◽  
The Self ◽  
Maintenance Management ◽  
Self Management

Background Mobile health (mHealth) apps are dramatically changing how patients and providers manage and monitor chronic health conditions, especially in the area of self-monitoring. African Americans have higher mortality rates from heart failure than other racial groups in the United States. Therefore, self-management of heart failure may improve health outcomes for African American patients. Objective The aim of the present study was to determine the feasibility of using an mHealth app, and explore the outcomes of quality of life, including self-care maintenance, management, and confidence, among African American patients managing their condition after discharge with a diagnosis of heart failure. Methods Prior to development of the app, we conducted qualitative interviews with 7 African American patients diagnosed with heart failure, 3 African American patients diagnosed with cardiovascular disease, and 6 health care providers (cardiologists, nurse practitioners, and a geriatrician) who worked with heart failure patients. In addition, we asked 6 hospital chaplains to provide positive spiritual messages for the patients, since spirituality is an important coping method for many African Americans. These formative data were then used for creating a prototype of the app, named Healthy Heart. Specifically, the Healthy Heart app incorporated the following evidence-based features to promote self-management: one-way messages, journaling (ie, weight and symptoms), graphical display of data, and customized feedback (ie, clinical decision support) based on daily or weekly weight. The educational messages about heart failure self-management were derived from the teaching materials provided to the patients diagnosed with heart failure, and included information on diet, sleep, stress, and medication adherence. The information was condensed and simplified to be appropriate for text messages and to meet health literacy standards. Other messages were derived from interviews conducted during the formative stage of app development, including interviews with African American chaplains. Usability testing was conducted over a series of meetings between nurses, social workers, and computer engineers. A pilot one-group pretest-posttest design was employed with participants using the mHealth app for 4 weeks. Descriptive statistics were computed for each of the demographic variables, overall and subscales for Health Related Quality of Life Scale 14 (HQOL14) and subscales for the Self-Care of Heart Failure Index (SCHFI) Version 6 using frequencies for categorical measures and means with standard deviations for continuous measures. Baseline and postintervention comparisons were computed using the Fisher exact test for overall health and paired t tests for HQOL14 and SCHFI questionnaire subscales. Results A total of 12 African American participants (7 men, 5 women; aged 51-69 years) diagnosed with heart failure were recruited for the study. There was no significant increase in quality of life (P=.15), but clinically relevant changes in self-care maintenance, management, and confidence were observed. Conclusions An mHealth app to assist with the self-management of heart failure is feasible in patients with low literacy, low health literacy, and limited smartphone experience. Based on the clinically relevant changes observed in this feasibility study of the Healthy Heart app, further research should explore effectiveness in this vulnerable population.

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.

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