Key result
Education, income, and diagnosis chronicity explain ~23% of self-care behavior variance in HF patients.
Why the study?
Self-care in heart failure is well researched in western countries but remains unexplored in developing countries like Pakistan.
What is the level of self-care behavior and its associated factors among patients with heart failure in Karachi, Pakistan?
Cross-Sectional (n=230)
What is the level of self-care behavior and its associated factors among patients with heart failure in Karachi, Pakistan?
Education, income, and chronicity of diagnosis are significant predictors of self-care behavior in heart failure patients in Pakistan, highlighting the need for supportive-educative interventions.
Self-care scores tied to education and income in this cohort; leaves open whether targeted interventions improve outcomes in similar settings.
Background: Self-care in heart failure (HF) is essential to improve Quality of Life (QoL) and reduce hospital readmissions. It is a well-researched phenomenon in western countries but still unexplored in developing countries like Pakistan. Aim: The aim of this study was to explore the level of self-care behaviour (SCB) and its associated factors among patients with HF in Karachi Pakistan. Methods: In a cross-sectional survey, SCB was measured from 230 patients with HF, using the European Heart Failure Self-Care Behavior scale (EHFSCBs_9). Its associated factors were assessed via a self-developed checklist prepared by the researcher (lead author). Results: The overall mean of SCB was 29.73+/-7.03. As a result of multi-variable regression analysis, out of the six variables, only three variables were significantly associated with SCB, explaining the 23.4% variance. These variables were education; income; and chronicity of HF diagnosis. Conclusion: The findings of the study suggest that public health initiatives in the form of supportive-educative interventions are a dire need to enhance self-care among patients with HF.
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Gowani et al. (2017) conducted a cross-sectional in Heart failure (n=230). Factors associated with self-care behavior (education, income, chronicity of HF diagnosis) was evaluated on Self-care behavior (SCB) measured using EHFSCBs_9. Among 230 patients with heart failure, the overall mean self-care behavior score was 29.73±7.03, with education, income, and chronicity of diagnosis significantly explaining 23.4% of the variance.
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