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.

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 KNOWLEDGE AND THE ROLE OF CADRES IN THE IMPLEMENTATION OF EARLY DETECTION OF TODDLERS DEVELOPMENT USING KPSP

2017 ◽  
Vol 10 (1) ◽  
pp. 22
Author(s):  
Nuryanin Yani ◽  
Ayesha H.N, Nurwening T.W.
Keyword(s):  
Early Detection ◽  
Developmental Disorders ◽  
Early Childhood Development ◽  
Childhood Development ◽  
Rank Test ◽  
Cross Sectional ◽  
Independent Variable ◽  
Relationship Of

Introduction: The development of toddlers is noteworthy considering the population size is large enough. Early detection is an important development with KPSP carried out in an effort to facilitate early detection of developmental disorders that can be given early intervention and referral early in children, in the end the quality of a child's development may be optimal. Trained cadres have the authority to monitor the development of children with KPSP Method: cross sectional analytic approach. Population health cadres in the district Lembeyan with Random sampling techniques with independent variable knowledge and skills of cadres, the role of cadres in the implementation of early detection of early childhood development using KPSP as the dependent variable. Results: Correlation between knowledge and the role of cadres in the implementation of early detection of toddlers development using KPSP analyzed using Spearman Rank test with the results of 0565, while the role and the skills to 0.485 correlation value. Conclusion: there is a relationship of knowledge to the role of cadres and there is a relationship between skill to the role of cadres in the implementation of early detection of toddler development using KPSP. It is hoped the clinic routinely provide refresher material on monitoring developments and increasing the number of screening kit (infrastructure for monitoring developments).

HFrEF other treatment: revascularization

ESC CardioMed ◽  
2018 ◽  
pp. 1881-1884
Author(s):  
Eric Velazquez ◽  
Mark C. Petrie
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Coronary Artery Disease ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Common Cause ◽  
Reduced Ejection Fraction ◽  
Artery Disease

Although coronary artery disease is the most common cause of heart failure with reduced ejection fraction (HFrEF), the role of revascularization as a treatment strategy to improve survival, reduce morbidity, and enhance the quality of life has only begun to be investigated in recent years. To date, a sole randomized controlled clinical trial has been completed. This chapter summarizes what is currently known and what is unknown with respect to revascularization for the treatment of HFrEF.

Study of online learning for accounting subjects in vocational schools during the pandemic period

2021 ◽  
Vol 7 (3) ◽  
pp. 437
Author(s):  
Chandra Situmeang ◽  
Syahrizal Chalil ◽  
Choms G.G.T Sibarani ◽  
Dian Y.T.S Situmorang
Keyword(s):  
Online Learning ◽  
Online Survey ◽  
Student Characteristics ◽  
Cross Sectional ◽  
Moderating Variables ◽  
Learning Satisfaction ◽  
Relationship Of ◽  
The Relationship

Since COVID-19 pandemic has changed the way people conduct things, including educational activities, online learning has become a necessity that schools must adopt. This study aims to analyze the relationship of various variables that affect the success of online learning in accounting subjects in vocational high. This study is a quantitative cross-sectional online survey with 308 respondents from 26 schools in North Sumatra, Indonesia. Data analysis was performed through regression analysis with moderating variables. It concluded that the success of online learning process as measured by Learning Satisfaction was influenced by Student Characteristics, Learning Accessibility, and Textbooks, while Multimedia Materials and other Text Materials did not have any effect. It further observed that teacher Support does not affect learning satisfaction but can moderate the relationship between student characteristics and textbook quality. This means that all related parties need to focus on changing students' mindset, improving the quality of textbooks, and increasing accessibility. On the other hand, to increase success, it is necessary to strengthen the role of teachers.

Health-related quality of life of patients with severe heart failure. A cross-sectional multicentre study

2012 ◽  
Vol 27 (3) ◽  
pp. 686-694 ◽  
Author(s):  
Nikolaos V. Fotos ◽  
Konstantinos Giakoumidakis ◽  
Zoi Kollia ◽  
Petros Galanis ◽  
Panagiota Copanitsanou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Multicentre Study ◽  
Severe Heart Failure ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

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.

Distress and self-care among chaplains working in palliative care

2019 ◽  
Vol 17 (5) ◽  
pp. 542-549 ◽  
Author(s):  
Kelsey B. White ◽  
Patricia E. Murphy ◽  
Jane Jeuland ◽  
George Fitchett
Keyword(s):  
Palliative Care ◽  
Self Care ◽  
Bivariate Analysis ◽  
Clinical Experiences ◽  
Spiritual Beliefs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Low Levels

AbstractBackgroundThe prevalence of burnout and distress among palliative care professionals has received much attention since research suggests it negatively impacts the quality of care. Although limited, research suggests low levels of burnout or distress among healthcare chaplains; however, there has been no research among chaplains working in specific clinical contexts, including palliative care.ObjectiveThis study explored the distress, self-care, and debriefing practices of chaplains working in palliative care.MethodExploratory, cross-sectional survey of professional chaplains. Electronic surveys were sent to members of four professional chaplaincy organizations between February and April 2015. Primary measures of interest included Professional Distress, Distress from Theodicy, Informal Self-care, Formal Self-care, and debriefing practices.ResultMore than 60% of chaplains working in palliative care reported feeling worn out in the past 3 months because of their work as a helper; at least 33% practice Informal Self-care weekly. Bivariate analysis suggested significant associations between Informal Self-care and both Professional Distress and Distress from Theodicy. Multivariate analysis also identified that distress decreased as Informal and Formal Self-care increased.Significance of resultsChaplains working in palliative care appear moderately distressed, possibly more so than chaplains working in other clinical areas. These chaplains also use debriefing, with non-chaplain palliative colleagues, to process clinical experiences. Further research is needed about the role of religious or spiritual beliefs and practices in protecting against stress associated with care for people at the end of life.

scholarly journals Influence of socio-demographic characteristics in the self-care of people with heart failure

2018 ◽  
Vol 71 (suppl 6) ◽  
pp. 2604-2611
Author(s):  
Luiza Marques Cavalcante ◽  
Francisca Elisângela Teixeira Lima ◽  
Ires Lopes Custódio ◽  
Sherida Karanini Paz de Oliveira ◽  
Lidia Stella Teixeira de Meneses ◽  
...  
Keyword(s):  
Heart Failure ◽  
Leisure Activities ◽  
Self Care ◽  
Demographic Characteristics ◽  
The Self ◽  
Support Network ◽  
Dietary Control ◽  
Cross Sectional ◽  
Care Assessment ◽  
Care Practices

ABSTRACT Objective: To determine the influence of socio-demographic characteristics in the self-care of people with heart failure (HF). Method: Cross-sectional, analytical study, held in three private hospitals in Fortaleza, Ceará, Brasil, with 57 hospitalized patients. The data were collected through a demographic characterization form and a self-care assessment scale and were analyzed with inferential statistics, using mean comparison tests. Results: Self-care was best assessed in people with higher education level, higher household income and in a relationship. Conclusion: The socio-demographic characteristics influenced seven self-care practices: dietary control; monitoring of body weight; effort in labor activities; knowledge about HF; up-to-date vaccination record; leisure activities; and family and social support network with strong bonds. The higher prevalence of answers indicating satisfactory self-care practices among the patients occurred in the areas of health promotion and tolerance to stress.

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