Determinants of heart failure self-care behaviour in community-based patients: a cross-sectional study
Background:Self-care behaviour in patients with heart failure (HF) represents a series of specific actions that patients should take, as an important treatment component.Aims:The aim of this study was to identify potential determinants of HF self-care in ambulatory patients with stable systolic HF.M...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2013
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| In: |
European journal of cardiovascular nursing
Year: 2012, Volume: 12, Issue: 2, Pages: 167-176 |
| ISSN: | 1873-1953 |
| DOI: | 10.1177/1474515112439964 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1177/1474515112439964 Verlag, Volltext: https://doi.org/10.1177/1474515112439964 
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| Author Notes: | F Peters-Klimm, T Freund, CU Kunz, G Laux, L Frankenstein, T Müller-Tasch, J Szecsenyi |
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| 245 | 1 | 0 | |a Determinants of heart failure self-care behaviour in community-based patients |b a cross-sectional study |c F Peters-Klimm, T Freund, CU Kunz, G Laux, L Frankenstein, T Müller-Tasch, J Szecsenyi |
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| 520 | |a Background:Self-care behaviour in patients with heart failure (HF) represents a series of specific actions that patients should take, as an important treatment component.Aims:The aim of this study was to identify potential determinants of HF self-care in ambulatory patients with stable systolic HF.Methods:In a cross-sectional study of 318 patients with chronic systolic HF recruited in 48 German primary care practices, we evaluated the patient-reported European HF Self-care Behaviour scale (EHFScBs) assessments (range 12?60, where lower scores indicate better self-care). Potential determinants included socio-demographic (e.g. age, living status), clinical (e.g. NYHA class, LVEF, NT-proBNP levels, co-morbidities), behavioural (e.g. smoking and alcohol intake), psychosocial (SF-36 scales and KCCQ domains, e.g. quality of life and self-efficacy) and depression status (PHQ-D), plus previous health care utilisation. Mixed regression modelling was applied.Results:Patients had a mean (SD) age of 69.0 (10.4) years and were 71% male. They had a good overall EHFScBs score of 24.7 (7.8) (n=274). In the final regression model (n=271), six determinants were retained (?; descriptive p-value): self-efficacy (-0.24; <.001), age (-0.22; <.001), prosthetic heart valve (-0.14; .01), referrals to cardiologists (-0.14; .02), peripheral arterial disease (0.13; .03) and quality of life (0.16; .02).Conclusion:In this exploratory cross-sectional study, the potential non-modifiable and modifiable risk factors and resources involved in patients? HF self-care were at the individual and organisational level. Self-efficacy and quality of life are potentially modifiable, so these could be targeted for improvement by enhancing patient motivation, HF education and further supporting a collaborative care approach. | ||
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