Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study

Abstract

Background: Self-care helps maintain health, prevents complications and improves the quality of life of patients living with heart failure (HF). Self-care is critical to HF management but has received limited attention in Nepal. Identification of the sociodemographic and clinical characteristics associated with self-care is crucial to tailoring appropriate self-care programs to improve health outcomes including patients' quality of life. Aims: The aims of this study were to describe self-care including the factors influencing self-care and the relationship between self-care and health-related quality of life in patients living with HF in Kathmandu, Nepal. Methods: We used a cross-sectional observational study design to measure self-care maintenance, self-care management, and self-care confidence using the Nepali Self-Care of Heart Failure Index. To analyze data, we used descriptive statistics, bivariate associations and regression modeling. Results: We recruited 221 patients with HF: mean age 57.5 AE 15.76 years, 62% male. The results in this sample indicated poor self-care maintenance (38.5 AE 11.56), management (45.7 AE 15.14), and confidence (40.9 AE 16.31). Patients with higher education were associated with higher self-care maintenance and management. Living alone and a better New York Heart Association functional classification for HF were related to higher selfcare confidence. Higher social support was associated with better self-care. Self-care confidence was an independent predictor of self-care maintenance, management and health-related quality of life on adjusted analyses. Conclusion: Self-care was limited among patients living with HF in Nepal yet was associated with better quality of life. The study identified various sociodemographic and clinical factors related to self-care, which could be crucial while developing self-care interventions.

The Influence of Reminder Book to Adherence of Heart Failure Patients in Malang City

“…Good self-care is correlated to better quality of life. 13 It is hoped that the improvement in therapy adherence reduces the rehospitalization rate dan increased quality of life. [13][14][15] Based on study carried out on the…”

“…Good self-care is correlated to better quality of life. 13 It is hoped that the improvement in therapy adherence reduces the rehospitalization rate dan increased quality of life. 13-15 Based on study carried out on the effect of self-management interventions on heart failure patients, the results showed that respondents in the intervention group experienced fewer hospitalizations and the quality of life of respondents in this group also increased for 12 months.…”

“… 13 It is hoped that the improvement in therapy adherence reduces the rehospitalization rate dan increased quality of life. 13-15 Based on study carried out on the effect of self-management interventions on heart failure patients, the results showed that respondents in the intervention group experienced fewer hospitalizations and the quality of life of respondents in this group also increased for 12 months. 16 One of the selfmanagement techniques that should be carried out by patients is to independently monitor their therapy, for example by providing a reminder book.…”

Intervenção educativa para o autocuidado de adultos com insuficiência cardíaca: estudo piloto

“…Embora o autocuidado adequado seja benéfico, a literatura aponta que a frequência de indivíduos com IC com autocuidado inadequado é elevada (Koirala et al 2020 ;Pape 2019;Flores 2019;Conceição et al 2015). Diversos fatores influenciam a capacidade para o autocuidado, como idade, sexo, QVRS, nível de escolaridade, sintomas depressivos, fração de ejeção ventricular (FEV) (Sedlar et al, 2017), déficits cognitivos (Uchmanowicz et al, 2017a), assim como também o conhecimento sobre a síndrome da IC e seu tratamento (Seid et al, 2019;Liu et al, 2014).…”

“…Tanto a IC como seu tratamento são complexos, necessitam de abordagem multidisciplinar especializada para que o paciente e seus familiares apresentem um adequado manejo do autocuidado (Montes-Muñoz et al, 2012). Diretrizes baseadas em evidências destacam a importância da implementação de programas de educação liderados por enfermeiros com foco na promoção de comportamentos de autocuidado para pacientes com IC (Koirala et al 2020;Rohde et al 2018;Baptiste et al 2016).…”