Key result
Only 34.1% of patients with heart failure reported good self-care practice, which was associated with being aged 30-50 years, having good knowledge of heart failure, and advanced NYHA class III or IV.
Why the study?
Lack of adherence to self-care behaviour increases morbidity and mortality in heart failure, prompting evaluation of self-care practices and associated factors in southern Ethiopia.
What are the practices of self-care and associated factors among patients with heart failure in southern Ethiopia?
Cross-Sectional (n=229)
Yes
What are the practices of self-care and associated factors among patients with heart failure in southern Ethiopia?
A majority of heart failure patients in southern Ethiopia lack adequate knowledge and practice of self-care behaviors, highlighting the need for targeted educational interventions.
Highlights suboptimal self-care in Ethiopian HF patients; hypothesis-generating and should not yet change practice.
Background/Aims Lack of adherence to self-care behaviour is a major problem among people with heart failure, increasing morbidity and mortality rates. This study aimed to understand practices of self-care and its associated factors among patients with heart failure in southern Ethiopia. Methods A hospital-based cross-sectional study was conducted from March–July 2020 among 229 patients attending follow-up appointments in two public hospitals in Hawassa, Ethiopia. Data were collected through structured interviewer-administered questionnaires. Epi-data (version 4.62) software and the Statistical Package for the Social Sciences (version 25) were used for analysis. Variables were entered into a multivariable logistic regression model to adjust possible confounders. Results Only 34.1% of participants reported good self-care practice. The mean total knowledge score was 7.6 out of a maximum score of 14. Good self-care behaviour was more likely to be practiced by those aged 30–50 years, with good knowledge of heart failure and an advanced New York Heart Association functional classification of III or IV. Conclusions Knowledge of heart failure and practice of self-care behaviours is lacking among patients with heart failure. Interventions are needed to increase knowledge of heart failure, as this may help to increase the practice of self-care among this patient group.
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Sitotaw et al. (2022) conducted a cross-sectional in heart failure (n=229). Patient characteristics and knowledge of heart failure was evaluated on Good self-care practice. Only 34.1% of patients with heart failure reported good self-care practice, which was associated with being aged 30-50 years, having good knowledge of heart failure, and advanced NYHA class III or IV.
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