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Factors associated with self-care behaviours among Koreans with heart failure

Authors
 Choung Ryou  ;  Seok-Min Kang  ;  Yeonsoo Jang 
Citation
 EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, Vol.20(1) : 64-70, 2021-02 
Journal Title
 EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING 
ISSN
 1474-5151 
Issue Date
2021-02
Keywords
Heart failure ; self-care ; self-care confidence ; sleep
Abstract
Background: Self-care behaviours are important to improve health outcomes in patients with heart failure. However, little is known about the factors related to the subdimensions of self-care behaviours in these patients. Aims: To identify the factors associated with the subdimensions of self-care behaviours among South Korean patients with heart failure. Methods: The participants in this cross-sectional descriptive study conducted between October 2016 and January 2017 were 178 patients with heart failure. Self-care behaviours were measured using the EHFScB-9, which has three subdimensions: autonomy-based adherence; provider-directed adherence; and consulting behaviours. Demographic characteristics, experience of heart failure education, physical function, patient health questionnaire-9, Pittsburgh sleep quality index and self-care confidence were also measured. Descriptive statistics and multiple linear regression analysis were conducted. Results: The mean age was 62 ± 12 years, and 37% were women. Younger age (P=0.023), no experience of heart failure education (P=0.039), poor physical function (P=0.003), poor sleep quality (P=0.037) and lower self-care confidence (P=0.001) were significantly associated with poor autonomy-based adherence. Being employed (P=0.042), poor sleep quality (P=0.042) and lower levels of self-care confidence (P=0.001) were associated with poor provider-directed adherence. Younger age (P=0.001) and lower self-care confidence (P=0.001) were associated with lower engagement in consulting behaviours. Conclusion: The three subdimensions of self-care behaviours were associated with different psychosocial factors, necessitating the development of tailored interventions and educational materials based on unique self-care behaviour patterns in patients with heart failure.
Full Text
https://academic.oup.com/eurjcn/article-abstract/20/1/64/6132773?redirectedFrom=fulltext
DOI
10.1177/1474515120934060
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Jang, Yeon Soo(장연수) ORCID logo https://orcid.org/0000-0002-1898-025X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/182083
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