June 13, 2019European Journal of Cardiovascular Nursing
Socio-clinical variables affecting the level of self-care in elderly patients with heart failure
Key result
NYHA class IV was the only significant independent predictor of self-care, decreasing the standardized European Heart Failure Self-care Behavior Scale-9 score by a mean of 23.60 points compared to classes I and II.
Why the study?
Promoting self-care is central to heart failure management and may reduce hospitalizations in elderly patients, but the socio-clinical variables influencing and predicting self-care levels required examination.
Population
100 heart failure patients aged 60 to 88 years at Oleśno Health Care Center (Poland)
Authors
Discussion
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Member takes
Implication
NYHA class IV was associated with poorer self-care in elderly HF; hypothesis-generating for targeted support strategies in advanced disease.
Study Design
Type
Cross-Sectional (n=100)
Multicenter
No
Structured PICO
P
Population
100 elderly patients (aged 60-88 years) with heart failure treated at a single center in Poland.
O
Outcome
Level of self-care measured by the European Heart Failure Self-care Behavior Scale-9 (EHFScB-9)patient reported
Main Result
Mean Difference: -23.6
Higher NYHA class significantly decreases self-care behavior scores in elderly heart failure patients, indicating a need for intensified, targeted education in this vulnerable subgroup.
Cite This Study
Prochota et al. (2019) conducted a cross-sectional in Heart failure (n=100). New York Heart Association (NYHA) class IV vs. NYHA classes I and II was evaluated on Standardised European Heart Failure Self-care Behavior Scale-9 score (MD -23.60). NYHA class IV was the only significant independent predictor of self-care, decreasing the standardized European Heart Failure Self-care Behavior Scale-9 score by a mean of 23.60 points compared to classes I and II.