Key result
Among patients with heart failure in Nepal, self-care was poor, but self-care confidence independently predicted self-care maintenance, management, and health-related quality of life.
Why the study?
Self-care is critical to heart failure management but has received limited attention in Nepal, where identifying sociodemographic and clinical factors associated with self-care is needed to tailor interventions.
Cross-Sectional (n=221)
In Nepalese patients with heart failure, self-care is generally poor, but higher self-care confidence independently predicts better self-care behaviors and health-related quality of life.
Self-care confidence may guide assessment in resource-limited HF settings; leaves open whether interventions improve outcomes prospectively.
BACKGROUND: Self-care helps maintain health, prevents complications and improves the quality of life of patients living with heart failure (HF). Self-care is critical to HF management but has received limited attention in Nepal. Identification of the sociodemographic and clinical characteristics associated with self-care is crucial to tailoring appropriate self-care programs to improve health outcomes including patients' quality of life. AIMS: The aims of this study were to describe self-care including the factors influencing self-care and the relationship between self-care and health-related quality of life in patients living with HF in Kathmandu, Nepal. METHODS: We used a cross-sectional observational study design to measure self-care maintenance, self-care management, and self-care confidence using the Nepali Self-Care of Heart Failure Index. To analyze data, we used descriptive statistics, bivariate associations and regression modeling. RESULTS: We recruited 221 patients with HF: mean age 57.5 ± 15.76 years, 62% male. The results in this sample indicated poor self-care maintenance (38.5 ± 11.56), management (45.7 ± 15.14), and confidence (40.9 ± 16.31). Patients with higher education were associated with higher self-care maintenance and management. Living alone and a better New York Heart Association functional classification for HF were related to higher self-care confidence. Higher social support was associated with better self-care. Self-care confidence was an independent predictor of self-care maintenance, management and health-related quality of life on adjusted analyses. CONCLUSION: Self-care was limited among patients living with HF in Nepal yet was associated with better quality of life. The study identified various sociodemographic and clinical factors related to self-care, which could be crucial while developing self-care interventions.
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Koirala et al. (2020) conducted a cross-sectional in Heart failure (n=221). Self-care confidence and sociodemographic factors was evaluated on Self-care maintenance, self-care management, and self-care confidence. Among patients with heart failure in Nepal, self-care was poor, but self-care confidence independently predicted self-care maintenance, management, and health-related quality of life.
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