Polish adaptation and reliability testing of the nine-item European Heart Failure Self-care Behaviour Scale (9-EHFScBS)

Uchmanowicz, Izabella; Wleklik, Marta

doi:10.5603/kp.a2015.0239

Cited by 13 publications

(21 citation statements)

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“…In our study, the group of patients that were treated conservatively had a much worse compliance with the therapeutic recommendations. 18 The literature states that only 80% of patients were taking a new medication at discharge, 1 month after hospitalization, and in the following months, and the percentage of people taking these medications dropped to 60% and continued at this level for a year. 25 Only 34% of patients discharged from the hospital after a HF decompensation event take medication according to the directions on the discharge instructions.…”

Section: Discussionmentioning

confidence: 99%

“…To facilitate the interpretation of results and to be able to handle them with another self-care assessment tool described in the literature, the overall level of self-care has been transformed to the 1–100 scale proposed by Vellone et al 33 The EHFScBS-9 scale that was adapted to Polish conditions by Uchmanowicz has a reliability of alpha =0.787, which means that the scale is characterized by a good reliability index. 18 …”

Section: Methodsmentioning

confidence: 99%

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Capability for self-care of patients with heart failure

Młynarska

Gołba

Młynarski

2018

CIA

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BackgroundA thorough analysis of the capability for self-care in patients with heart failure (HF) reduces the frequency of hospitalizations that are caused by decompensation. The aim of the study was to assess the effect of the method of therapy for HF, the degree of the acceptance of illness, and the occurrence of frailty syndrome on adherence to the therapeutic recommendations and self-care in patients with HF.MethodsThe study included 180 patients who were hospitalized after being diagnosed with HF. In all, we used the Polish versions of three validated instruments: the nine-item European Heart Failure Self-care Behavior Scale, Illness Acceptance Scale, and The Tilburg Frailty Indicator.ResultsThe capability for self-care of patients with HF was 27.8%. More than 65% of the patients followed the recommendations for taking medication and also followed a low-sodium diet, while only 5.5% of the patients followed the recommendations for physical exercise. Positive correlations were found between the capability for self-care and frailty syndrome and its components: general frailty components vs the capability for self-care: r=0.4449, P=0.0000; physical frailty components vs the capability for self-care: r=0.3974, P=0.0000; emotional frailty components vs the capability for self-care: r=0.2831, P=0.0001; social frailty components vs the capability for self-care: r=0.2180, P=0.0032, and a negative correlation between the capability for self-care and the degree of the acceptance of the illnesses (r=−0.4662, P=0.0000).ConclusionA relatively low capability for self-care was found in patients with HF. The presence of frailty syndrome and a low level of the acceptance of illness are connected with a low capability for self-care.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Capability for self-care of patients with heart failure

Młynarska

Gołba

Młynarski

2018

CIA

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“…Self-reported maintenance behaviors were measured using the nine-item version of the EHFScBS-9, Polish version 24,25…”

Section: Methodsmentioning

confidence: 99%

Cognitive deficits and self-care behaviors in elderly adults with heart failure

Uchmanowicz¹,

Jankowska‐Polańska²,

Mazur³

et al. 2017

CIA

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IntroductionElderly adults with heart failure (HF) may have problems with self-care behaviors because of cognitive deficits. Self-care deficits have been found to be significantly associated with negative health care outcomes among HF patients. The aim of this paper was to assess cognitive deficits and the level of self-care ability in elderly patients with HF, and to determine if a relationship exists between cognitive deficits and self-care.Materials and methodsThe study included 270 elderly patients (mean age: 72.5 years) with HF. We used the Mini Mental State Examination Scale (MMSE) to evaluate cognitive functioning, and the European Heart Failure Self-care Behavior Scale, revised into a nine-item scale (EHFScBS-9), to evaluate self-care behaviors. Associations between the variables were examined using multiple regression analysis.ResultsLower scores in both MMSE and EHFScBS-9 questionnaires were correlated with older age, living alone, lower education, longer duration of illness, higher number of rehospitalizations, as well as lower left ventricular ejection fraction and higher New York Heart Association (NYHA) class. The multiple regression analysis was used for evaluation of the impact of the following predictors: MMSE score, age, duration of illness, ejection fraction, number of hospitalizations, sex, residence, education, relationship status, and NYHA class on EHFScBS-9 score.ConclusionsElderly patients with HF may have worse self-care behaviors because of their cognitive deficits. Age was the strongest predictor of worse MMSE scores. Multidisciplinary health teams should pay attention to the special needs of elderly patients who live with their illness for many years and have no social support because of living alone.

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“…19 Collecting data that portrays the state of health from the perspective of the patient will be a novelty in the Polish system. 20 As part of patient-reported outcome measure, short questionnaires comprising of a few questions (eg, hospitals to obtain planned services as well as processing patient data. Furthermore, the crucial point of the agreement is to create a sense of community with shared goals.…”

Section: Information Systemmentioning

confidence: 99%