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 H...

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Bibliographic Details
Published in:European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2013-04, Vol.12 (2), p.167-176
Main Authors: Peters-Klimm, F, Freund, T, Kunz, CU, Laux, G, Frankenstein, L, Müller-Tasch, T, Szecsenyi, J
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Aged
Ambulatory Care
Biological and medical sciences
Cardiology. Vascular system
Cross-Sectional Studies
Depression
Female
Health Behavior
Health Status
Heart
Heart Failure - therapy
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Mood disorders
Myocarditis. Cardiomyopathies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Self Care
Socioeconomic Factors
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Summary: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 (β; descriptive p-value): self-efficacy (-0.24;
ISSN:1474-5151
1873-1953
DOI:10.1177/1474515112439964