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Trajectory of self-care behaviour in patients with heart failure: the impact on clinical outcomes and influencing factors.
- Source :
-
European Journal of Cardiovascular Nursing . Jun2020, Vol. 19 Issue 5, p421-432. 12p. - Publication Year :
- 2020
-
Abstract
- Background: Patients' self-care behaviour is still suboptimal in many heart failure (HF) patients and underlying mechanisms on how to improve self-care need to be studied. Aims: (1) To describe the trajectory of patients' self-care behaviour over 1 year, (2) to clarify the relationship between the trajectory of self-care and clinical outcomes, and (3) to identify factors related to changes in self-care behaviour. Methods: In this secondary analysis of the COACH-2 study, 167 HF patients (mean age 73 years) were included. Self-care behaviour was assessed at baseline and after 12 months using the European Heart Failure Self-care Behaviour scale. The threshold score of ⩾70 was used to define good self-care behaviour. Results: Of all patients, 21% had persistent poor self-care behaviour, and 27% decreased from good to poor. Self-care improved from poor to good in 10%; 41% had a good self-care during both measurements. Patients who improved self-care had significantly higher perceived control than those with persistently good self-care at baseline. Patients who decreased their self-care had more all-cause hospitalisations (35%) and cardiovascular hospitalisations (26%) than patients with persistently good self-care (2.9%, p < 0.05). The prevalence of depression increased at 12 months in both patients having persistent poor self-care (0% to 21%) and decreasing self-care (4.4% to 22%, both p < 0.05). Conclusion: Perceived control is a positive factor to improve self-care, and a decrease in self-care is related to worse outcomes. Interventions to reduce psychological distress combined with self-care support could have a beneficial impact on patients decreasing or persistently poor self-care behaviour. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHI-squared test
*CONFIDENCE intervals
*MENTAL depression
*FISHER exact test
*HEALTH behavior
*HEART failure
*HOSPITAL care
*LONGITUDINAL method
*REGRESSION analysis
*HEALTH self-care
*STATISTICAL hypothesis testing
*T-test (Statistics)
*SECONDARY analysis
*CROSS-sectional method
*DATA analysis software
*DESCRIPTIVE statistics
*KAPLAN-Meier estimator
*LOG-rank test
*MANN Whitney U Test
*KRUSKAL-Wallis Test
*ONE-way analysis of variance
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 19
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 143590757
- Full Text :
- https://doi.org/10.1177/1474515120902317