Key result
Dialysis dependence is linked to ~16-fold higher odds of adequate heart failure self-care maintenance.
Why the study?
The study was conducted to identify the predictors of self-care behaviors in individuals with heart failure.
Cross-Sectional (n=405)
No
Specific sociodemographic and clinical factors, such as family structure, comorbidities, and medication burden, predict self-care behaviors in heart failure patients, highlighting targets for tailored education.
May inform targeted HF self-care education; leaves open whether modifying these factors improves outcomes.
OBJECTIVE: To identify the predictors of self-care behaviors in individuals with heart failure. METHOD: A cross-sectional study including 405 patients with heart failure. Self-care behaviors were assessed by the Self-Care of Heart Failure Index. Sociodemographic and clinical characteristics were investigated as predictors of self-care maintenance, management and confidence through logistic regressions. RESULTS: The predictors of self-care maintenance were number of children (p<0.01), left ventricular ejection fraction (p<0.01), positive feeling about disease (p=0.03), obesity (p=0.02) and dialytic chronic kidney disease (p<0.01). The predictors of self-care management were having married children (p<0.01) and sleep apnea (p<0.01). The predictors of self-care confidence were family income (p<0.01), number of hospitalizations in the previous 12 months (p=0.01), number of daily medication doses (p<0.01) and sedentarism (p<0.01). CONCLUSION: Some predictors related to the self-care behaviors were found, so some intensified education and social aid should be aimed at patients with these specific characteristics.
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Silva et al. (2023) conducted a cross-sectional in Heart failure (n=405). Sociodemographic and clinical characteristics was evaluated on Adequate self-care maintenance, management, and confidence assessed by the Self-Care of Heart Failure Index. Specific sociodemographic and clinical characteristics, such as dialytic chronic kidney disease (OR 15.69) and positive disease feelings (OR 2.49), strongly predicted adequate self-care maintenance.
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