scholarly journals Self-care Behavior and Frailty Syndrome among Elderly Patients with Heart Failure

2021 ◽  
Vol 9 (T4) ◽  
pp. 231-235
Author(s):  
Erna Rochmawati ◽  
Sarah Amalia
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Frailty Index ◽  
Self Care ◽  
The Elderly ◽  
Frailty Syndrome ◽  
Outpatient Unit ◽  
Patients With Heart Failure ◽  
Patients Experience ◽  
Care Behavior

BACKGROUND: The development of technology gives an impact on life expectancy in the elderly. In Yogyakarta, the total of the elderly was higher than in other provinces in Indonesia. The elderly experience a decreased functional state that may lead to impaired body organs, such as heart failure. Heart failure has increasingly become a serious health problem. At present, 80% of elderly patients experience heart failure because of a decrease in functional status. The elderly may also experience frailty syndrome, which can provide a poor prognosis in terms of mortality, rehospitalization, and quality of life. It needs complex management; one of these is self-care behavior that can prevent the spread of frailty syndrome. AIM: The study aims to assess the correlation between self-care behavior and frailty syndrome in elderly patients with heart failure. METHODS: The study included 87 elderly patients with heart failure who visited the cardiology outpatient unit in two private hospitals. Self-care was measured using the self-care heart failure index, and frailty syndrome was assessed using the frailty index. A correlation test was conducted using Spearman rho. RESULTS: The result showed inadequate self-care behavior with a mean score of 48.70. The mean score of frailty syndrome was 0.142, categorized in the pre-frail phase. No correlation was found between self-care behavior and frailty syndrome with p=0.20. CONCLUSION: Self-care behavior in elderly patients with heart failure is still inadequate and in the pre-frail phase. Nurses and other health professionals should consider intervention to increase self-care behavior among the elderly and screening to increase their awareness of frailty syndrome.

Socio-clinical variables affecting the level of self-care in elderly patients with heart failure

2019 ◽  
Vol 18 (7) ◽  
pp. 628-636 ◽  
Author(s):  
Barbara Prochota ◽  
Katarzyna Szwamel ◽  
Izabella Uchmanowicz
Keyword(s):  
Heart Failure ◽  
New York ◽  
Elderly Patients ◽  
Self Care ◽  
Heart Association ◽  
York Heart Association Class ◽  
Patients With Heart Failure ◽  
New York Heart Association ◽  
Behavior Scale ◽  
Care Behavior

Background: Promoting self-care is the cornerstone of heart failure management. The number of hospitalizations and unscheduled visits could be reduced in elderly patients with heart failure by the patients’ active involvement in self-care. Aims: The aim of this study was to measure the level of self-care in elderly patients with heart failure, to examine the influence of socio-clinical variables on the level of self-care, and identify the socio-clinical variables that are predictors of self-care. Methods: The study included 100 heart failure patients (48 female, 52 male) aged between 60 and 88 years, treated at the Oleśno Health Care Center (Poland). The European Heart Failure Self-care Behavior Scale-9 and Mini-Mental State Examination were used. Results: The total classic European Heart Failure Self-care Behavior Scale-9 score was 22.76 points (standard deviation=8.49), and the standardised European Heart Failure Self-care Behavior Scale-9 score was 61.78 (standard deviation=23.59). Patients who were in a relationship, did not take digoxin or diuretics, were in New York Heart Association classes I and II, and had normal scores or cognitive impairment in the Mini-Mental State Examination, had significantly higher levels of self-care. Self-care was also correlated with patient age ( rs=−0.36, p<0.001) and left ventricle ejection fraction ( rs=0.23, p=0.019). Linear regression analysis demonstrated that only the New York Heart Association class has a significant impact on European Heart Failure Self-care Behavior Scale-9 scores. Compared to classes I and II, New York Heart Association class IV decreases the standardised European Heart Failure Self-care Behavior Scale-9 score by a mean of 23.60 points. Conclusions: Intensified self-care education should be provided to patients living alone, taking digoxin and diuretics, suffering from moderate dementia, and classified in New York Heart Association class IV. These patients may require specific educational strategies to gain the knowledge required for effective self-care.

Thiamine level in the elderly patients with heart failure

2004 ◽  
Vol 10 (5) ◽  
pp. S172
Author(s):  
Terada Hajime ◽  
Katoh Hideki ◽  
Satoh Hiroshi ◽  
Hayashi Hideharu
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
The Elderly ◽  
Patients With Heart Failure ◽  
Thiamine Level

scholarly journals Psychosocial determinants of self-care behavior in outpatients with heart failure: A test of Penderʼs health promotion model

2020 ◽  
Keyword(s):  
Heart Failure ◽  
Health Promotion ◽  
Conceptual Model ◽  
Self Care ◽  
Perceived Benefits ◽  
Cross Sectional ◽  
Health Promotion Model ◽  
Psychosocial Determinants ◽  
Patients With Heart Failure ◽  
Care Behavior

Background: Patients with heart failure need to be engaged in adequate cardiac self-care behaviors helping to prevent the development of the disease and ameliorate their health status. However, the conceptual model of the present study has not been tested in previous studies among patients with heart failure. Objectives: The present study aimed to investigate the psychosocial determinants based on Pender’s health promotion model (HPM) affecting self-care behavior among outpatients suffering from heart failure. Methods: In this cross-sectional study, a total of 200 patients suffering from heart failure were selected from the outpatient clinics of Tabriz, Iran, using convenience sampling and assessed for self-self-care behaviors and major concepts of HPM via self-administered questionnaires. Path analysis was used in order to analyze the conceptual model Results: The present hypothetical model showed a good fit. Perceived benefits and activity-related effects directly affected self-care behaviors. Bootstrapping mediation analyses indicated that perceived self-efficacy, perceived barriers, perceived benefits, and activity-related effects indirectly affected self-care behaviors through commitment to action. Conclusions: The commitment to action can help to promote self-care behaviors among the subjects suffering from heart failure. The interventions should take the role of predictive variables of this study and commitment to action into account in these patients.

A Correlational Study of Illness Knowledge, Self-Care Behaviors, and Quality of Life in Elderly Patients With Heart Failure

2014 ◽  
Vol 22 (2) ◽  
pp. 136-145 ◽  
Author(s):  
Min-Hui Liu ◽  
Chao-Hung Wang ◽  
Yu-Yen Huang ◽  
Wen-Jin Cherng ◽  
Kai-Wei Katherine Wang
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Elderly Patients ◽  
Self Care ◽  
Correlational Study ◽  
Illness Knowledge ◽  
Patients With Heart Failure

Evaluation of self care behaviours, medication and dietary compliance of patients with heart failure

2017 ◽  
Vol 4 (2) ◽  
pp. 86-93
Author(s):  
Sengul Akdeniz
Keyword(s):  
Heart Failure ◽  
Medication Compliance ◽  
Personal Information ◽  
Self Care ◽  
Study Data ◽  
Cross Sectional ◽  
Dietary Compliance ◽  
Patients With Heart Failure ◽  
Moderate Relationship ◽  
Care Behavior

In this study, it was aimed to evaluate the self-care behaviors, dietary and medication compliance of patients with heart failure.The study was conducted as a cross-sectional sampling study between April and August 2016. After identifying the clinical diagnosis and treatment, 120 patients who were diagnosed with HF were included in the study. Data were obtained by using personal information form, Turkish versions of the European Heart Failure Self-care Behavior Scale (EHFScBS), Beliefs about Medication Compliance Scale and Beliefs about Dietary Compliance Scale   for patients with HF. The mean score on EHFSc BS was found to be 31.20± 8.05. Benefit and barrier subscale mean scores were found to be 26.11 ± 4.23 and 13.09 ± 3.5 for dietary compliance and 20.44 ± 2.7 and 22.36 ± 3.8 for medication compliance, respectively. According to the results of the study ıt was found that there was a moderate relationship between self-care behaviors and dietary compliance (r=0,538,p<0,05) benefits and medication compliance (r=0,420, p<0,05 )  benefits.  Keywords: The European Heart Failure self care scale; medication compliance; dietary compliance; heart failure.   

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 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.

scholarly journals Predictors of Better Self-Care in Patients with Heart Failure after Six Months of Follow-Up Home Visits

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Melina Maria Trojahn ◽  
Karen Brasil Ruschel ◽  
Emiliane Nogueira de Souza ◽  
Cláudia Motta Mussi ◽  
Vânia Naomi Hirakata ◽  
...  
Keyword(s):  
Heart Failure ◽  
Regression Model ◽  
Home Visiting ◽  
Controlled Trial ◽  
Intervention Group ◽  
Self Care ◽  
Home Visits ◽  
Home Based ◽  
Patients With Heart Failure ◽  
Care Behavior

This study aimed to examine the predictors of better self-care behavior in patients with heart failure (HF) in a home visiting program. This is a longitudinal study nested in a randomized controlled trial (ISRCTN01213862) in which the home-based educational intervention consisted of a six-month followup that included four home visits by a nurse, interspersed with four telephone calls. The self-care score was measured at baseline and at six months using the Brazilian version of the European Heart Failure Self-Care Behaviour Scale. The associations included eight variables: age, sex, schooling, having received the intervention, social support, income, comorbidities, and symptom severity. A simple linear regression model was developed using significant variables (P≤0.20), followed by a multivariate model to determine the predictors of better self-care. One hundred eighty-eight patients completed the study. A better self-care behavior was associated with patients who received intervention (P<0.001), had more years of schooling (P=0.016), and had more comorbidities (P=0.008). Having received the intervention (P<0.001) and having a greater number of comorbidities (P=0.038) were predictors of better self-care. In the multivariate regression model, being in the intervention group and having more comorbidities were a predictor of better self-care.

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