Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition. (April 2022)

• Record Type: Journal Article
• Authors: Zaharova, Svetlana; Litwack, Kim; Gopalakrishnan, Sandeep; Ellis, Julie; Saltzberg, Mitchell Todd
• Is Part Of: Western journal of nursing research. Volume 44:Number 4(2022)
• Page Start: 375
• Page End: 382
• Publication Date: 2022-04
• Subjects: cardiovascular -- descriptive quantitative -- nurses -- heart failure -- self-managemen -- self-care -- comorbidity -- self-regulation -- self-efficacy -- left ventricular ejection fraction -- Self-Care Heart Failure Index; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/0193945921997428
• Languages: English
• ISSNs: 0193-9459

Abstract

Heart failure (HF) is a growing public health problem. Self-management (SM) of HF is an important component of chronic disease management. Guided by the Individual and Family Self-Management Theory (IFSMT), we examined the associations among complexity of condition, self-regulation, and self-efficacy mediation of SM behaviors in a population of HF outpatients. A cross-sectional design was used. Seventy-three outpatients with HF were enrolled. Simple and multiple linear regressions were run for each outcome variable. Only self-regulation was significantly associated with SM behavior. Complexity of condition was not significantly associated with SM behavior. There was no mediation by self-efficacy. Future nursing interventions should explore self-regulation in HF to provide a clearer understanding of the processes used to change health behavior. SM may be particularly useful in HF with preserved ejection fraction (EF), where there is no proven pharmacological treatment.