Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan

Kato, Naoko; Kinugawa, Koichiro; Ito, Naomi; Yao, Atsushi; Watanabe, Masafumi; Imai, Yasushi; Takeda, Norihiko; Hatano, Masaru; Kishi, Kazuma

doi:10.1016/j.hrtlng.2008.11.002

Cited by 68 publications

(79 citation statements)

References 39 publications

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“…Inclusion criteria were as described previously. 22,23 In short, patients were included when they were diagnosed with HF in accordance with Framingham HF criteria 24 and were at least 20 years of age. Exclusion criteria were physical inability to complete the questionnaire and inability or unwillingness to give informed consent, as described previously.…”

Section: Methods Study Design and Study Patientsmentioning

confidence: 99%

Relationship of Depressive Symptoms With Hospitalization and Death in Japanese Patients With Heart Failure

Kato

Kinugawa

Yao

et al. 2009

Journal of Cardiac Failure

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Section: Methods Study Design and Study Patientsmentioning

confidence: 99%

Relationship of Depressive Symptoms With Hospitalization and Death in Japanese Patients With Heart Failure

Kato

Kinugawa

Yao

et al. 2009

Journal of Cardiac Failure

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“…The results from a previous study [23] suggested that patients who implemented better selfcare behaviors reduced their symptoms and that the tendency of those with more severe symptoms to implement better self-care behaviors was counterproductive. Therefore, we speculate that better self-care may have led to lower physical symptom experiences scores in our study, which could lead to lower biomarker levels.…”

Section: Discussionmentioning

confidence: 94%

“…Adhering to self-care management protocols is an important aspect of heart failure treatment [18,20,23]. The findings from a previous study that investigated self-care and the NT-proBNP levels indicated that better self-care management was associated with reduced NT-proBNP levels [16].…”

Section: N-terminal Pro-b-type Natriuretic Peptide (Nt-probnp) Is Secmentioning

confidence: 99%

Factors Related to N-Terminal Pro-B-Type Natriuretic Peptide as a Biomarker for Heart Failure

Lee¹,

Choi²,

Oh³

2016

jkbns

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ly leads to hospitalization and high treatment costs which are more than 800 billion won per year [4].Patients with heart failure experience physical symptoms, including fatigue, dyspnea, and generalized edema, depending on the condition's severity. These physical symptoms can have psychological effects, for example, anxiety, depression, and reduced self-efficacy, which can hinder daily activities, work, and a person's social life [6]. Heart failure is difficult to cure, and its characteristics often include recurrent cycles of deterioration and improvement. Consequently, rehospitalization rates con- Purpose: This study aimed to examine the relationships between the N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels with the sociodemographic and clinical factors, self-care behaviors, and the physical symptom experiences in patients with heart failure. Methods: This cross-sectional study utilized a convenience sample of adult outpatients and inpatients who attended a cardiology department in a tertiary hospital in Seoul, Korea. The data from 154 patients with heart failure were collected using a questionnaire, and their clinical data were extracted from their electronic medical records. Results: Compared with the patients with high NTproBNP levels, those with low NT-proBNP levels had significantly lower physical symptom experiences scores. Patients with low-and mid-NT-proBNP levels were more likely to be employed compared with those with high NT-proBNP levels. Patients with low NT-proB-NP levels had higher left ventricular ejection fractions, and were less likely to have arrhythmias and comorbidities. Conclusion: The results from this study showed that patients with more severe heart failure had higher physical symptom experiences scores; hence, individualizing treatment approaches based on heart failure severity is necessary. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…The limitations of existing interventions to promote self-management adherence in rural heart failure patients include: lack of theoretical guidance for the development of a rural-based intervention 18, 19 , unclear mechanism of intervention 8, 17, 20 , and reliance on self-report measures of self-management adherence 21– 23 .…”

Section: Study Rationalementioning

confidence: 99%

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol

Young

Barnason

2014

F1000Res

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Background Heart failure is one of the most prevalent chronic conditions in adults, leading to prolonged morbidity, repeated hospitalizations, and placing tremendous economic burden on the healthcare system. Heart failure patients discharged from rural hospitals, or primarily critical access hospitals, have higher 30-day readmission and mortality rates compared to patients discharged from urban hospitals. Self-management improves heart failure patients’ health outcomes and reduces re-hospitalizations, but adherence to self-management guidelines is low. We propose a home based post-acute care service managed by advanced practice nurses to enhance patient activation and lead to the improvement of self-management adherence in heart failure patients discharged from rural hospitals. Objective This article describes the study design and research methods used to implement and evaluate the intervention. Method Our intervention is a 12-week patient activation (Patient AcTivated Care at Home [PATCH]) to improve self-management adherence. Patients were randomized into two parallel groups (12-week PATCH intervention + usual care vs. usual care only) to evaluate the effectiveness of this intervention. Outcomes were measured at baseline, 3 and 6 months. Discussion This study aimed to examine the effectiveness of a rural theory based, advance practice nurse led, activation enhancing intervention on the self-management adherence in heart failure patients residing in rural areas. Our expectation is to facilitate adherence to self-management behaviors in heart failure patients following discharge from rural hospitals and decrease complications and hospital readmissions, leading to the reduction of economic burden. Clinical Trial Registration Information: ClinicalTrials.gov; https://register.clinicaltrials.gov/ NCT01964053

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Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan

Cited by 68 publications

References 39 publications

Relationship of Depressive Symptoms With Hospitalization and Death in Japanese Patients With Heart Failure

Relationship of Depressive Symptoms With Hospitalization and Death in Japanese Patients With Heart Failure

Factors Related to N-Terminal Pro-B-Type Natriuretic Peptide as a Biomarker for Heart Failure

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol

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