Key result
In hospitalized patients with heart failure, younger age was significantly associated with worse overall self-care behaviors, and higher physical activity capacity was associated with worse management behaviors.
Why the study?
The characteristics of hospitalized heart failure patients with poor self-care behaviors are unknown.
Cross-Sectional (n=39)
No
In hospitalized Japanese heart failure patients, higher physical activity capacity was associated with poorer self-care management, and younger age was associated with poorer overall self-care behaviors.
Associations with poor self-care in hospitalized HF patients are hypothesis-generating; leaves open whether targeted interventions improve outcomes.
[Purpose] The characteristics of heart failure in hospitalized patients with poor self-care behaviors are unknown. We investigated factors associated with self-care behaviors by using the European Heart Failure Self-Care Behaviour Scale (EHFScBS) in heart failure patients based on three comprehensive concepts. [Participants and Methods] This was a cross-sectional single-center study of heart failure patients hospitalized at a tertiary-care hospital. We investigated age, gender, family living together/apart, employment, and the Specific Activity Scale (SAS). A physical therapist provided the EHFScBS one time to determine the patients' pre-hospital self-care behavior status. The 12 items of the EHFScBS were classified into the following three categories: Maintenance, Monitoring, and Management. [Results] The median age of the 39 consecutive patients was 81 years. A multiple regression analysis revealed that the factors exhibiting significant associations were the SAS score (β=0.504) for Management and age (β=-0.403) for the total EHFScBS score (adjusted by the number of hospitalizations for heart failure). Maintenance and Monitoring were not significantly associated with the survey items. [Conclusion] These data indicate that self-care education for hospitalized patients with heart failure leads to individualized approaches based on characteristics such as age and physical activity capacity.
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Yoshinaga et al. (2022) conducted a cross-sectional in Heart failure (n=39). Age and physical activity capacity (Specific Activity Scale) was evaluated on Total European Heart Failure Self-Care Behaviour Scale (EHFScBS) score (β=-0.403, 95% CI -0.53 to -0.06, p=0.014). In hospitalized patients with heart failure, younger age was significantly associated with worse overall self-care behaviors, and higher physical activity capacity was associated with worse management behaviors.
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