Self-care behaviors and related factors in chronic heart failure patients

Abstract

Introduction: Heart failure is a chronic disease that requires special lifelong self-care behaviors. These patients require to have self-care behaviors to confront their disease problems. Therefore, this study was designed and conducted to determine the status of self-care behaviors and its related factors. Methods: This cross-sectional study was conducted on 150 patients with chronic heart failure who were chosen purposively and were hospitalized in the cardiac wards of Tohid hospital in Sanandaj. Data collection tools included two questionnaires. The first one was a demographic questionnaire and information about the disease. The second one was the European scale of self-care behaviors of heart failure patients which were completed through patient interviews. The collected data was analyzed by using SPSS (Ver 16). Result: The average rate of self-care behaviors by most patients was (39.54 ± 7.22) and it has correlation with factors such as: Level of education, place of residence and education about the disease (P<0.05). However, its relationship with age, gender, occupation, marital status, class of patients, smoking, drugs and alcohol was not statistically significant (P>0.05). Conclusion: The results of this study indicated that the level of self-care behaviors in patients with heart failure was moderate. Therefore, it is required to train and educate patients with chronic heart failure.

Kronik Kalp Yetersizliği Olan Hastalarda Öz Bakım Gücü ve Yorgunluk

“…Yapılmış bir çalışmada yaş, cinsiyet, meslek, medeni durum, sigara, ilaç ve alkol kullanımı ile öz bakım davranışları arasında ilişki bulunmazken, eğitim düzeyi, ikamet yeri ve hastalık hakkında eğitim alma durumu gibi faktörlerle ilişki olduğu belirtilmektedir. [22] Ayrıca, öz bakım gücü toplam puanı ile tedavi şekli, NYHA sınıflaması, sol ve sağ ventrikül ejeksiyon fraksiyonu arasında ilişki bulunmaktadır. Literatürde NYHA sınıf III-IV kalp yetersizliği olan hastaların kronik yorgunluktan şikayetçi olduğu belirtilmektedir.…”

“…[24] Bu çalışmalardan farklı olarak ise, Bagheri-Saweh ve arkadaşlarının (2018) çalışmasında hastalık sınıfı ve öz bakım davranışları arasında fark bulunmamaktadır. [22] Çalışmamızda hastaların yaklaşık yarısının (%47.7) hafif kısıtlı NYHA sınıfında (sınıf II) yer almasının ve yaş ortalamasının yüksek olmamasının öz bakım gücünün iyi olmasında etkili olabileceği düşünülmektedir.…”

The Relationship Between Self-care Behaviors with Religious Attitudes, Anxiety, and Depression in Patients with Heart Failure

“…The study of Bagheri Saveh et al showed that the level of self-care behaviours by patients was mostly moderate and the level of education and living and education about the disease had a signi cant relationship. As a result, the level of self-care behaviours in patients with heart failure was not satisfactory, so training and strengthening self-care behaviours in these patients is necessary [29]. In Zeighami Mohammadi et al…”

Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients

“…[5][6][7] Several factors that contribute to self-care behavior include patients' sociodemographic factors, knowledge of HF, and physical activity levels. [8][9][10] A previous study suggested that depression, cognitive function, and patients' cognitive function are the predictors of self-care behavior. 11 The identification of these predictors is essential to support the formulation of effective educational strategies to meet individuals' needs.…”