Predictors of successful heart failure self-care maintenance in the first three months after hospitalization

Chriss, Patricia M.; Sheposh, John P.; Carlson, Beverly; Riegel, Bárbara

doi:10.1016/j.hrtlng.2004.03.004

Cited by 94 publications

(127 citation statements)

References 31 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…24. recent studies showing a correlation between social support and self-care, as well as between age and self-care in patients with heart failure. 16,28,29 Nevertheless, several limitations of our study should be noted: 1) Because of the cross-sectional design of the present study, the direction of causality in the relationship between self-care and depression remains unclear. 2) As mentioned above, selfcare of our patients with CHF is self-reported and possibly differs from actual behavior in everyday life.…”

Section: Discussionmentioning

confidence: 83%

Self-care and depression in patients with chronic heart failure

et al. 2009

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 83%

Self-care and depression in patients with chronic heart failure

et al. 2009

View full text Add to dashboard Cite

“…Eleven of the articles were rated as good quality, fifteen as fair quality (the articles are numbered according to quality score in Tables 2 and 4; studies numbered 1-11 are rated as good quality [18][19][20][21][22][23][24][25][26][27][28], and those numbered 12-26 are rated as fair quality [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43]). Four articles were excluded due to a low quality score [44][45][46][47].…”

Section: Resultsmentioning

confidence: 99%

“…Although some studies used the term ''self-care'' [26,27,33,40,43], other studies used other terms, including ''self-management'' [18,32,39], ''adherence'' [35], ''compliance'' [20,29,36] and ''self-care specific behaviours'' [21]. In addition, eight articles reported results on self-care management [22,25,30,31,33,38,41,42] and ten on self-care maintenance [22,25,30,31,33,34,37,38,41,42]. …”

Section: Resultsmentioning

confidence: 99%

Determinants of heart failure self-care: a systematic literature review

et al. 2011

View full text Add to dashboard Cite

Self-care is an important aspect of heart failure (HF) management. Information on the determinants of self-care is necessary for the development of self-care promotion interventions. HF self-care includes self-care management, self-care maintenance, sodium, fluid and alcohol intake restriction, physical activity, smoking cessation, monitoring signs and symptoms and keeping follow-up appointments. To assess the evidence regarding presumed determinants of HF self-care and make recommendations for interventions to promote self-care behavior among HF patients, a systematic literature review was conducted. Based on inclusion and exclusion criteria and a quality assessment, twenty-six articles were included. A best evidence synthesis was used. Results showed that the length of time since patients' diagnosis with HF is positively related to their performance of self-care maintenance. Moreover, it was found that HF patients' perceived benefits and barriers are related to their restriction of sodium intake, and that patients with type-D personality are less likely to consult medical professionals. There was also evidence for a few non-significant relationships. All other evidence was inconsistent, mainly due to insufficient evidence. Interventions that aim to increase the performance of self-care maintenance can teach newly diagnosed patients the skills that are usually attained with experience acquired as a result of living with HF for a longer time. Perceived benefits and barriers of restricting sodium intake could be targeted in interventions for sodium intake reduction among HF patients. Finally, interventions for the promotion of adequate consulting of medical professionals can specifically target HF patients with a type-D personality.

show abstract

“…These studies have been fairly consistent in identifying female gender, 19,20 higher (worse) New York Heart Association (NYHA) functional class, lower education 11 and shorter illness duration 11,17,21 as determinants of poor self-care maintenance while the effects of age and comorbidity are unclear. Some studies have found that younger age is associated with poor self-care maintenance 18,19 but one study reported the contrary. 22 One study 18 found that fewer comorbid conditions were associated with poorer self-care but another one 11 found no relationship between comorbidity and self-care maintenance.…”

Section: Introductionmentioning

confidence: 93%

Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care

Cocchieri

Riegel

D’Agostino

et al. 2013

European Journal of Cardiovascular Nursing

Self Cite

119

107

View full text Add to dashboard Cite

Background: Self-care improves outcomes in patients with heart failure; however, no studies have been conducted on this topic in Italy. Aims: We aimed to describe self-care in Italian adults with heart failure and to identify sociodemographic and clinical determinants of self-care. Methods: A cross-sectional design was used to study 1192 heart failure patients enrolled across Italy. We measured self-care using the Self-Care of Heart Failure Index version 6.2, which measures self-care maintenance, management and confidence. Sociodemographic and clinical data were tested as potential determinants of self-care. Results: The mean age of the sample was 72 (SD = 11) years; 58% were male. In the three areas of self-care, scores ranged from 53.18 to 55.26 and few people were adequate in self-care (14.5% to 24.4% of the sample). Self-care behaviours particularly low in this population were symptom monitoring, exercise, use of reminders to take medicines and symptom recognition. Confidence in the ability to keep oneself free of symptoms and relieve symptoms was low. Taking fewer medications, poor cognition, older age, having a caregiver, being male and having heart failure for a shorter time predicted poor self-care maintenance. Poor cognition, not being employed, being male, and having worse New York Heart Association class predicted poor self-care management. Poor cognition, taking fewer mediations, older age, and male gender predicted poor self-care confidence. Conclusion: Self-care is poor in Italian heart failure patients. Determinants of poor self-care identified in this study can help to target patients' education. Male gender and poor cognition were consistently associated with poor self-care maintenance, management and confidence.

show abstract

Predictors of successful heart failure self-care maintenance in the first three months after hospitalization

Abstract: Elderly men and those with fewer comorbid illnesses were most successful at HF self-care.

Cited by 94 publications

References 31 publications

Self-care and depression in patients with chronic heart failure

Self-care and depression in patients with chronic heart failure

Determinants of heart failure self-care: a systematic literature review

Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care

Contact Info

Product

Resources

About