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Clinical and socio-demographic determinants of self-care behaviours in patients with heart failure and diabetes mellitus: A multicentre cross-sectional study
- Source :
- International Journal of Nursing Studies. 63:18-27
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Background Self-care is vital for patients with heart failure to maintain health and quality of life, and it is even more vital for those who are also affected by diabetes mellitus, since they are at higher risk of worse outcomes. The literature is unclear on the influence of diabetes on heart failure self-care as well as on the influence of socio-demographic and clinical factors on self-care. Objectives (1) To compare self-care maintenance, self-care management and self-care confidence of patients with heart failure and diabetes versus those heart failure patients without diabetes; (2) to estimate if the presence of diabetes influences self-care maintenance, self-care management and self-care confidence of heart failure patients; (3) to identify socio-demographic and clinical determinants of self-care maintenance, self-care management and self-care confidence in patients with heart failure and diabetes. Design Secondary analysis of data from a multicentre cross-sectional study. Setting Outpatient clinics from 29 Italian provinces. Participants 1192 adults with confirmed diagnosis of heart failure. Methods Socio-demographic and clinical data were abstracted from patients’ medical records. Self-care maintenance, self-care management and self-care confidence were measured with the Self-Care of Heart Failure Index Version 6.2; each scale has a standardized score from 0 to 100, where a score
- Subjects :
- Male
Diabetes mellitu
medicine.medical_specialty
Cross-sectional study
Population
MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE
Psychological intervention
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
Heart failure
Self-Care
030204 cardiovascular system & hematology
Settore MED/01 - Statistica Medica
Diabetes Complications
03 medical and health sciences
Diabetes mellitus
0302 clinical medicine
Quality of life
Internal medicine
medicine
Humans
Outpatient clinic
Clinical determinants, Diabetes mellitus, Heart failure, Self-Care, Self-Efficacy, Social determinants
030212 general & internal medicine
Social determinants
Intensive care medicine
education
General Nursing
Aged
Aged, 80 and over
education.field_of_study
business.industry
Medical record
Clinical determinants
medicine.disease
Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche
Self Care
Cross-Sectional Studies
Socioeconomic Factors
Self-Efficacy
Female
Clinical determinant
business
Subjects
Details
- ISSN :
- 00207489
- Volume :
- 63
- Database :
- OpenAIRE
- Journal :
- International Journal of Nursing Studies
- Accession number :
- edsair.doi.dedup.....e781b2bba030f0637d7b2df5c8558ae8