Factors associated with self-care behaviours among Koreans with heart failure. (15th June 2020)

• Record Type: Journal Article
• Authors: Ryou, Choung; Kang, Seok-Min; Jang, Yeonsoo
• Is Part Of: European journal of cardiovascular nursing. Volume 20:Number 1(2021)
• Page Start: 64
• Page End: 70
• Publication Date: 2020-06-15
• Subjects: Heart failure -- self-care -- self-care confidence -- sleep; Cardiovascular system -- Diseases -- Nursing -- Periodicals; Cardiovascular Diseases -- nursing -- Periodicals; Cardiology -- Periodicals; Nursing -- Periodicals; Vascular Diseases -- Periodicals; 610.7369105
• DOI: 10.1177/1474515120934060
• Languages: English
• ISSNs: 1474-5151

Abstract

Abstract: Background: Self-care behaviours are important to improve health outcomes in patients with heart failure. However, little is known about the factors related to the subdimensions of self-care behaviours in these patients. Aims: To identify the factors associated with the subdimensions of self-care behaviours among South Korean patients with heart failure. Methods: The participants in this cross-sectional descriptive study conducted between October 2016 and January 2017 were 178 patients with heart failure. Self-care behaviours were measured using the EHFScB-9, which has three subdimensions: autonomy-based adherence; provider-directed adherence; and consulting behaviours. Demographic characteristics, experience of heart failure education, physical function, patient health questionnaire-9, Pittsburgh sleep quality index and self-care confidence were also measured. Descriptive statistics and multiple linear regression analysis were conducted. Results: The mean age was 62 ± 12 years, and 37% were women. Younger age ( P =0.023), no experience of heart failure education ( P =0.039), poor physical function ( P =0.003), poor sleep quality ( P =0.037) and lower self-care confidence ( P =0.001) were significantly associated with poor autonomy-based adherence. Being employed ( P =0.042), poor sleep quality ( P =0.042) and lower levels of self-care confidence ( P =0.001) were associated with poor provider-directed adherence. Younger age ( P =0.001) and lower self-care confidence ( P =0.001) were associated with lower engagement in consulting behaviours. Conclusion: The three subdimensions of self-care behaviours were associated with different psychosocial factors, necessitating the development of tailored interventions and educational materials based on unique self-care behaviour patterns in patients with heart failure.