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The Level of Self-Care among Patients with Chronic Heart Failure
Introduction: In a long-term approach to the treatment of heart failure, importance is given to the process of self-care management and behaviors. The number of rehospitalizations and unscheduled medical visits can be reduced by actively engaging patients in the self-care process. Methods: The study...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8472321/ https://www.ncbi.nlm.nih.gov/pubmed/34574953 http://dx.doi.org/10.3390/healthcare9091179 |
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author | Pobrotyn, Piotr Mazur, Grzegorz Kałużna-Oleksy, Marta Uchmanowicz, Bartosz Lomper, Katarzyna |
author_facet | Pobrotyn, Piotr Mazur, Grzegorz Kałużna-Oleksy, Marta Uchmanowicz, Bartosz Lomper, Katarzyna |
author_sort | Pobrotyn, Piotr |
collection | PubMed |
description | Introduction: In a long-term approach to the treatment of heart failure, importance is given to the process of self-care management and behaviors. The number of rehospitalizations and unscheduled medical visits can be reduced by actively engaging patients in the self-care process. Methods: The study included 403 patients with chronic heart failure (mean LVEF 40.53%), hospitalized in the Cardiology Department. Medical record analysis and a self-report questionnaire were used to obtain basic sociodemographic and clinical data. The European Heart Failure Self-care Behavior Scale, revised into a nine-item scale (EHFScBS-9), was used to evaluate self-care behavior. Results: Analysis of the EHFSc-9 self-care behavior scale showed that the mean score was 49.55 out of 100 possible points (SD = 22.07). Univariate analysis revealed that significant (p < 0.05) negative predictors of the EHFScB-9 self-care scale included: male sex (b = −5146), hospitalizations in the last year (b = −5488), NYHA class II (b = −11,797) and NYHA IV class (b = −15,196). The multivariate linear regression model showed that a significant (p ˂ 0.05) negative predictor of the EHFScB-9 self-care scale was male sex (b = −5.575). Conclusions: Patients with chronic HF achieve near optimal self-care behavior outcomes. A patient prepared to engage with self-care will have fewer rehospitalizations and a better quality of life. |
format | Online Article Text |
id | pubmed-8472321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84723212021-09-28 The Level of Self-Care among Patients with Chronic Heart Failure Pobrotyn, Piotr Mazur, Grzegorz Kałużna-Oleksy, Marta Uchmanowicz, Bartosz Lomper, Katarzyna Healthcare (Basel) Article Introduction: In a long-term approach to the treatment of heart failure, importance is given to the process of self-care management and behaviors. The number of rehospitalizations and unscheduled medical visits can be reduced by actively engaging patients in the self-care process. Methods: The study included 403 patients with chronic heart failure (mean LVEF 40.53%), hospitalized in the Cardiology Department. Medical record analysis and a self-report questionnaire were used to obtain basic sociodemographic and clinical data. The European Heart Failure Self-care Behavior Scale, revised into a nine-item scale (EHFScBS-9), was used to evaluate self-care behavior. Results: Analysis of the EHFSc-9 self-care behavior scale showed that the mean score was 49.55 out of 100 possible points (SD = 22.07). Univariate analysis revealed that significant (p < 0.05) negative predictors of the EHFScB-9 self-care scale included: male sex (b = −5146), hospitalizations in the last year (b = −5488), NYHA class II (b = −11,797) and NYHA IV class (b = −15,196). The multivariate linear regression model showed that a significant (p ˂ 0.05) negative predictor of the EHFScB-9 self-care scale was male sex (b = −5.575). Conclusions: Patients with chronic HF achieve near optimal self-care behavior outcomes. A patient prepared to engage with self-care will have fewer rehospitalizations and a better quality of life. MDPI 2021-09-08 /pmc/articles/PMC8472321/ /pubmed/34574953 http://dx.doi.org/10.3390/healthcare9091179 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pobrotyn, Piotr Mazur, Grzegorz Kałużna-Oleksy, Marta Uchmanowicz, Bartosz Lomper, Katarzyna The Level of Self-Care among Patients with Chronic Heart Failure |
title | The Level of Self-Care among Patients with Chronic Heart Failure |
title_full | The Level of Self-Care among Patients with Chronic Heart Failure |
title_fullStr | The Level of Self-Care among Patients with Chronic Heart Failure |
title_full_unstemmed | The Level of Self-Care among Patients with Chronic Heart Failure |
title_short | The Level of Self-Care among Patients with Chronic Heart Failure |
title_sort | level of self-care among patients with chronic heart failure |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8472321/ https://www.ncbi.nlm.nih.gov/pubmed/34574953 http://dx.doi.org/10.3390/healthcare9091179 |
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