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Abstract

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.

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

“…Keluarga dan pasien dengan gagal jantung perlu memiliki informasi yang cukup tentang penyakit mereka dan menentukan perawatan diri yang tepat sehingga dapat digunakan untuk kelangsungan hidupnya (Salahodinkolah et al, 2019;Ulfa & Purwanti, 2019). Tingkat pengetahuan dan sikap keluarga yang kurang mengenai perawatan pasien gagal jantung dapat menyebabkan perilaku yang tidak sesuai dengan perawatan pasien gagal jantung ketika di rumah (Hudiyawati et al, 2021;Podvorica et al, 2021).…”

E-Health Based Heart Failure Intervention: Systematic Literature Review

“…Outcome the main thing is the increase in self-care which has a significant effect on the QoL of HF patients. It is mentioned that e-health telemonitoring can improve self-care so that QoL in patients HF increases [33]. Outcome secondary like medication adherence, use of electronic devices, patient knowledge, medical personnel have a significant influence.…”

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“…Furosemide is mainly used to treat fluid retention in body tissues or edema caused by heart failure, pulmonary edema, and liver and kidney disease; it is particularly effective in treating people with impaired kidney function who do not respond well to thiazide diuretics. It is also used to treat high blood pressure [3][4][5][6]. Several techniques and different analytical methods have been used for the furosemide determination such as spectrophotometric methods [7][8][9][10][11][12][13][14], flow injection [15,16], highperformance liquid chromatography methods [17-19], gas chromatography/mass spectrometry (GC/MS) [20, 21], electrochemical methods [22-24], potentiometric method [25], and atomic absorption spectroscopy [26].…”