Self-care confidence mediates self-care maintenance and management in patients with heart failure

Massouh, Angela; Skouri, Hadi; Cook, Paul F.; Huijer, Huda Abu Saad; Khoury, Maurice; Meek, Paula

doi:10.1016/j.hrtlng.2019.07.008

Cited by 28 publications

(33 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Factors influencing self-care behaviours of patients with heart failure include sociodemographic factors, such as age, sex, cognitive function, educational attainment, and income (Bidwell et al, 2015;Massouh et al, 2020;Uchmanowica et al, 2017); clinical factors, such as ejection fraction, New York Heart Association (NYHA) class, duration of the heart failure diagnosis and comorbidities (Bidwell et al, 2015;da Conceicao et al, 2015); and psychosocial factors, such as depression, anxiety, social support, and Type D personality (Bidwell et al, 2015;Fivecoat et al, 2018;Graven & Grant, 2014;Su & He, 2019).A distressed personality type (Type D personality) is a risk factor for general psychological distress, which affects mental and physical health status (Denollet, 2005). Type D personality is defined as having a high score on two stable personality traits, negative affectivity, and social inhibition (Denollet, 2005).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients

Park

Won

Son

2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims Patients with heart failure exhibit poor adherence to self‐care behaviours. Recent studies have shown a link between Type D personality, social support, and self‐care behaviours of patients with chronic diseases. However, the mechanisms underlying this relationship have received little empirical attention in those with heart failure. This study aimed to identify the mediating effects of social support in the relationship between Type D personality and self‐care behaviours in patients with heart failure. Design This study employed a descriptive cross‐sectional design. Methods The sample comprised 170 patients aged over 18 years who had been diagnosed with heart failure for over 6 months and visited a tertiary care university hospital in Seoul. From April–July 2019, data were collected through an interview conducted using a structured questionnaire and a review of medical records by two trained research assistants. Multiple regression models were tested using the SPSS PROCESS procedure with bootstrapping to determine the significance of the mediation. Results The prevalence of Type D personality in patients with heart failure was 20.0%. Significant associations were identified among Type D personality, social support, and self‐care behaviours. Results revealed an indirect effect, suggesting that the effects of Type D personality on self‐care behaviours were mediated by social support. Conclusion Heart failure patients with Type D personality were likely to lack social support, which may have influenced their low adherence to self‐care behaviours. Thus, to facilitate long‐lasting self‐care behaviours, it is vital to provide supportive care or educational programs for patients with Type D personality. Impact Providing sustainable social support can have a positive impact on the long‐term self‐care maintenance of patients with heart failure patients who have a Type D personality. Future studies are required to further elucidate the underlying mechanisms of the relationship between Type D personality, social support, and self‐care behaviours.

show abstract

Section: Backg Rou N Dmentioning

confidence: 99%

Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients

Park

Won

Son

2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…It is supported by research conducted by Morgan et al [23], stating that the number of CHF patients in men was more than in women, by 66 men (53%). Massouh also reported that males experience CHF than women by 76 respondents [24]. In the opinion of Reyes in Indonesia, which is one of the nine countries in Asia, patients with CHF in male patients (66%) is more dominant than female patients (34%) [7].…”

Section: Results and Dissectionmentioning

confidence: 99%

Untitled

2021

View full text Add to dashboard Cite

Self-care is an essential factor that affects the improvement of the health conditions of patients with heart failure. It is known that several variables affect self-care, including self-efficacy, family support, social support, distress, age, duration of illness. However, there are still few studies that have addressed these variables together. This study aimed to determine the factors that affect self-care among heart failure patients. This research used an analytic observational research design through a cross-sectional approach. The sampling method used an accidental sampling technique and resulted in 73 respondents who were selected based on pre-determined sample criteria.Participants were asked to fill out questionnaires, including self-care, selfefficacy, family support, anxiety, and demography variables. The data analysis included bivariate (Pearson) and multivariate regression analysis to estimate the correlation between self-care and self-efficacy, family support, anxiety, age, and disease length. 73 patients with heart failure in this study had an average self-care score of 31.33, which means that patients can do self-care well. From the five variables carried out in the multivariate analysis, there were only two variables (family support and self-efficacy) that had a significant effect on patient self-care. Family support is the main factor affecting self-care (β= 1,949, p= 0.000), followed by self-efficacy (β= 0.226, p= 0.001), then self-efficacy, where both had a positive correlation. The results indicated that a strategy is needed to improve self-care for heart failure patients, which includes family support and self-efficacy to achieve optimal results.

show abstract

“…Compliance with self-care activities, such as diet, exercise, and medication adherence, are important factors in managing chronic conditions such as CHF given that successful disease management is, in part, dependent on patients’ ability and willingness to carry out self-care activities [ 17 ]. Moreover, confidence in undertaking self-management activities, particularly the ability to reliably self-identify symptoms associated with clinical deterioration and take appropriate action in a timely manner is an important component of chronic disease management [ 28 ]. The observation that telemonitoring is beneficial for weight surveillance represents an important clinical outcome given that fluctuations in body weight are a reliable way of detecting fluid imbalance, which can be associated with poor self-care compliance or disease exacerbation [ 29 - 31 ].…”

Section: Discussionmentioning

confidence: 99%

Patient Perspectives on Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure (ITEC-CHF): Usability Study

Chen¹,

Edwards²,

Jayasena³

et al. 2021

JMIR Cardio

View full text Add to dashboard Cite

Background Telemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but little is known about the usability and patients’ willingness to engage with this technology. Objective This study aims to evaluate feedback from patients with CHF following participation in the Innovative Telemonitoring Enhanced Care program for CHF (ITEC-CHF) study. Methods The telemonitoring intervention consisted of three components: remote weight monitoring, structured telephone support, and nurse-led collaborative care. Participants were provided with electronic weighing scales (W550; ForaCare), and a computer tablet (Galaxy Tab A; Samsung). They were asked to weigh themselves on the provided scales daily. Telemonitoring was integrated with a personal assistance call service and a nurse care service according to their workflows in usual care. Feedback on the usability of ITEC-CHF was collected via survey from study participants following 6 months of receiving telemonitoring care for their body weight. Survey responses were provided on a 5-point Likert scale and through open-ended questions to determine participants’ perceived benefits and barriers to using ITEC-CHF. Results A total of 67 participants (49/67, 73% male), with a mean age of 69.8 (SD 12.4) years completed the survey. The majority of participants agreed or strongly agreed that the ITEC-CHF program was easy to use (61/67, 91%), easy to navigate (51/65, 78%), useful (59/65, 91%), and made them feel more confident in managing their weight (57/67, 85%). Themes related to participants’ perceptions of telemonitoring included increased support for early intervention of clinical deterioration, improved compliance to daily weighing, a sense of reassurance, and improved self-care and accountability, among others. Conclusions ITEC-CHF was rated highly on usability and was well accepted by users as part of their routine self-management activities. Participants were willing to use telemonitoring because they perceived a broad spectrum of benefits for CHF management. Trial Registration Australian New Zealand Clinical Trial Registry ID ACTRN 12614000916640; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366691.

show abstract

Self-care confidence mediates self-care maintenance and management in patients with heart failure

Cited by 28 publications

References 47 publications

Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients

Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients

Untitled

Patient Perspectives on Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure (ITEC-CHF): Usability Study

Contact Info

Product

Resources

About