Key result
In older patients with heart failure, self-reported assessment of self-care did not significantly correlate with actual self-care implementation rates (r= -0.160, p=0.207).
Why the study?
Self-care in HF is important for preventing rehospitalisation, but it is difficult to assess and does not always reflect actual practices.
Does self-reported self-care assessment reflect actual self-care practices in older patients with heart failure?
Cross-Sectional (n=64)
Does self-reported self-care assessment reflect actual self-care practices in older patients with heart failure?
Effect estimate: r= -0.160
p-value: p=0.207
In older patients with heart failure, self-reported self-care assessments do not accurately reflect actual self-care performance, highlighting the need for more reliable assessment tools.
Self-reported self-care may not match actual practices in older HF patients; leaves open need for validated objective measures in research.
Background: Self-care as a disease management strategy in heart failure (HF) is important for the prevention of rehospitalisation, but it is difficult to assess and does not always reflect actual self-care practices. This study aimed to compare self-reported self-care assessments and actual self-care practices in older patients with HF and examine factors influencing self-care performance. Methods: We included 64 patients with HF aged ≥65 years who had been hospitalised and prescribed rehabilitation with stable symptoms between April 2019 and September 2020. We assessed the B-type natriuretic peptide levels and New York Heart Association (NYHA) classification, Short Physical Performance Battery (SPPB), grip strength, and the Japanese version of the Montreal Cognitive Assessment (MoCA-J). We used the European Heart Failure Self-care Behaviour Scale (EHFScBS) to assess self-care behaviour in patients with HF. The patients filled in a self-assessment chart during their stay, which was used to work out the self-care implementation rate. Results: No significant correlation between the self-care implementation rate and the EHFScBS was identified (r= −0.160, p=0.207). Multiple regression analysis of factors associated with the rate of self-care and EHFScBS revealed that age, NYHA classification, SPPB and MoCA-J scores were significantly associated with the rate of self-care; however, no factors were associated with EHFScBS. The results were similar irrespective of the presence or absence of cognitive decline. Conclusion: In older patients with HF, the self-reported assessment of self-care did not reflect actual self-care performance. A reliable self-care behaviour scale needs to be developed.
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Soma et al. (2023) conducted a cross-sectional in Heart failure (n=64). Self-reported self-care assessment (EHFScBS) vs. Actual self-care practices was evaluated on Correlation between the self-care implementation rate and the EHFScBS (r= -0.160, p=0.207). In older patients with heart failure, self-reported assessment of self-care did not significantly correlate with actual self-care implementation rates (r= -0.160, p=0.207).
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