Key result
Heart failure inpatients show inadequate self-care across domains, with no differences by gender or clinical profile.
Why the study?
To evaluate self-care behaviour in Portuguese heart failure inpatients and understand its relationship with gender and pathophysiological characteristics.
Are gender and pathophysiological characteristics associated with self-care behaviour in heart failure inpatients?
Cross-Sectional (n=225)
Yes
Are gender and pathophysiological characteristics associated with self-care behaviour in heart failure inpatients?
Heart failure inpatients present universally inadequate levels of self-care behavior regardless of gender, highlighting a critical need for structured educational interventions.
Answers are grounded in this paper and cite their sources.
Inadequate self-care common in HF inpatients regardless of gender; hypothesis-generating for targeted education, prospective trials needed.
Heart failure is often characterised by low exercise capacity and a great impairment of performance in the activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. The aims of this study are to understand the relationship of gender and pathophysiological characteristics with self-care behaviour and to evaluate the self-care behaviour in a sample of Portuguese heart failure inpatients, using the Self-Care of Heart Failure Index (SCHFI). A cross-sectional multicentre study enrolling 225 heart failure inpatients from eight hospitals from Portugal was performed. At admission, each patient's functional capacity was evaluated as well as their self-care behaviour, using the SCHFI Portuguese v6.2. A comparison between self-care behaviour with gender was performed. The patients' mean age was 68.4 ± 10.7 years old, 68% were male and 82.3% had reduced ejection fraction. A mean value of 47.9, 35.6 and 38.8 points was found in the SCHFI score of the sections self-care maintenance, self-care management and self-care confidence, respectively. Heart failure inpatients present inadequate levels of self-care behaviour. The results do not suggest a relationship between gender and pathophysiological characteristics with self-care behaviour.
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Delgado et al. (2021) conducted a cross-sectional in Heart Failure (n=225). Gender and pathophysiological characteristics was evaluated on Self-care behaviour evaluated by the Self-Care of Heart Failure Index (SCHFI). Portuguese heart failure inpatients presented inadequate levels of self-care behavior across maintenance, management, and confidence domains, with no significant differences by gender or pathophysiological characteristics.
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