Key result
Self-care in patients with chronic heart failure in western Iran was poor, with mean scores of 33.8 for maintenance, 32.2 for management, and 43.6 for confidence out of a possible 100.
Why the study?
What are the levels and predictors of self-care in patients with chronic heart failure in western Iran?
Cross-Sectional (n=231)
What are the levels and predictors of self-care in patients with chronic heart failure in western Iran?
Self-care scores among patients with chronic heart failure in western Iran are low, highlighting the need for culturally relevant interventions to improve self-care behaviors.
Signals need for culturally tailored HF self-care programs in western Iran; leaves open predictors, causality, and intervention efficacy.
BACKGROUND: Chronic heart failure (CHF) is an increasing and costly health problem worldwide. Effective self-care behaviors reduce the cost and improve CHF outcomes. Interventions targeting improvement of self-care need to identify the baseline status of patients and factors associated with self-care to tailor the programs to patients' needs. AIM: The aim of this study was to describe self-care and its predictors in patients with CHF in western Iran. METHODS: In a cross-sectional study, 255 patients with CHF in Kermanshah were recruited and 231 (mean [SD] age, 66 [13] years; 51.5% women) completed the interviews. Self-care maintenance, self-care management, and self-care confidence were evaluated using a Persian heart failure self-care index. Each of these 3 measures had a total possible score of 100, with 22 indicators. RESULTS: The mean (SD) self-care scores were low: maintenance, 33.8 (10.7); management, 32.2 (12.0); and confidence, 43.6 (15.6). Self-care maintenance was significantly and positively associated with education, disease duration, and living conditions. Self-care management was significantly and positively associated with education and number of hospital admissions. However, the parameter estimates in all those relationships were small. CONCLUSION: Self-care in patients with CHF in Iran needs major improvement, and many determinants of self-care identified by other studies were not consistently associated with poor self-care scores in Iran. Further research considering a wide range of factors associated with self-care (eg, socioeconomic and health system-related factors) and application of culturally relevant interventional strategies is recommended.
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Siabani et al. (2014) conducted a cross-sectional in Chronic heart failure (n=231). Self-care in patients with chronic heart failure in western Iran was poor, with mean scores of 33.8 for maintenance, 32.2 for management, and 43.6 for confidence out of a possible 100.
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