Why the study?
Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.
Individual factors such as depression, social support, and disease duration directly impact self-care agency and quality of life in Arab American older adults with heart failure.
Depression, social support, and HF duration warrant separate assessment in self-care models; extends theory but leaves open causal inference pending longitudinal data.
A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.
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Attaallah et al. (2021) studied this question.
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