Key result
Poor self-care management was significantly associated with poor physical health-related quality of life (βs = -2.111, p = 0.007) among heart failure patients.
Why the study?
Evidence linking self-care to positive health outcomes among Portuguese heart failure patients is not well documented.
Cross-Sectional (n=24)
No
Effect estimate: βs = -2.111
p-value: p=0.007
In a small cohort of Portuguese heart failure patients, inadequate self-care management was significantly associated with poorer physical health-related quality of life.
Hypothesis-generating for self-care in Portuguese HF patients; prospective studies needed to confirm HRQoL links.
Introduction: Self-care has been suggested to improve heart failure patients´ health-related quality of life (HRQoL) and decrease the patient mortality rate. However, despite the growing importance of self-care and its obvious relationships with positive health outcomes, the evidence to justify its popularity among Portuguese heart failure (HF) patients is not well documented. Therefore, this study aimed to assess the extent of self-care behavior and level of HRQoL and to examine the relationships between self-care and HRQoL among HF patients. Methods: A descriptive correlational study design was conducted on 24 HF patients. Data were collected by using a validated Portuguese version of the Self-care Heart Failure Index (SCHFI V. 6.2) and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). The data were analyzed using SPSS version 26. Descriptive, bivariate, and multivariate statistical tests were utilized. Pearson’s correlation coefficient and multiple linear regression analysis were performed to determine the relationship between self-care behavior and health-related quality of life. Statistical significance was declared at p-value < 0.05. Results: The study participant’s mean (± SD) age was 66.88 ± 12.8 years. The overall mean (± SD) score of self-care maintenance, management, and confidence were 47.77 ± 15.28, 54.38 ± 18.26, and 70.20 ± 17.64, respectively. Higher SCHFI scores indicate better self-care behavior and only self-care confidence reached the self-care adequacy cut-off point 70. The majority of the study participants 11 (45%) had a poor health-related quality of life. Being a male gender (βs =− 0.408, p = 0.049) and having New York Heart Association (NYHA) functional class IV (βs = − 0.689, p = 0.009) were associated with poor self-care management. Married marital status (βs = − 0.585, p = 0.021) and NYHA class III (βs = 2.612, p = 0.024) and class IV (βs = 2.416, p = 0.034) were associated with the poor emotional HRQol. Poor physical HRQoL was associated with poor self-care management (βs = − 2.111, p = 0.007) and better self-care maintenance was associated with a good emotional health-related quality of life. Conclusion: Study participants had inadequate self-care maintenance, self-care management, and poor health-related quality of life. Significant correlations were observed between self-care management and physical HRQoL as well as between self-care maintenance and emotional health-related quality of life. Further research with representative sample size and rigorous study designs is recommended to evaluate the correlation of self-care behavior and HRQoL and other predicting variables among patients with heart failure.
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Seid et al. (2022) conducted a cross-sectional in Heart failure (n=24). Self-care behavior was evaluated on Physical health-related quality of life (βs = -2.111, p=0.007). Poor self-care management was significantly associated with poor physical health-related quality of life (βs = -2.111, p = 0.007) among heart failure patients.
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