Knowledge and self-care behavior among heart failure patients in South India.

Autor:	D'Souza PJJ; Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India., George LS; Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India., Paramasivam G; Department of Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India., Devasia T; Department of Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India., George A; Department of Pediatric Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India., Nayak BS; Department of Pediatric Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India., Kusumavathi P; Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Jazyk:	angličtina
Zdroj:	Journal of education and health promotion [J Educ Health Promot] 2024 Oct 28; Vol. 13, pp. 384. Date of Electronic Publication: 2024 Oct 28 (Print Publication: 2024).
DOI:	10.4103/jehp.jehp_1956_23
Abstrakt:	Background: Heart failure (HF) is a chronic condition with significant public health concerns. HF necessitates adequate knowledge and adherence to self-care for enhanced quality of life and decreased rehospitalization. This study aimed to explore knowledge and self-care behavior in patients with HF. Material and Methods: The study was conducted in cardiology wards of a tertiary care hospital and the design was a randomized controlled trial. The baseline data (before the intervention) from 160 HF patients enrolled in a randomized controlled trial were analyzed. Knowledge and self-care behavior were measured using the Dutch HF Knowledge Questionnaire (score ranging from 0 to 15) and European HF Self-care Behavior Scale-9 (score ranging from 0 to 100). Higher scores indicated better self-care behavior and knowledge. Descriptive statistics such as frequency, percentage, mean, and standard deviation and inferential statistics such as independent sample t -test and ANOVA were performed. Results: The majority (75.0%) were men with a mean age of 56.1 ± 7.9 years. A significant proportion had hypertension (65%), diabetes (58.7%), or both comorbidities (40.6%). Most exhibited a left ventricular ejection fraction <30% (60.6%) and New York Heart Association class II (43.1%). The mean knowledge and self-care behavior scores were 7.1 ± 2.0 and 45.0 ± 12.4, respectively. Over half of the participants had inadequate self-care behavior (51.2%), and 88.3% lacked sufficient knowledge about HF. Medication adherence was high (87.0%) among the participants, while only 3.1% reported regular weight monitoring and 32.3% exercised regularly. Conclusions: There was a lack of HF-related knowledge and inadequate self-care behavior for HF management. Effective interventions to improve disease-related knowledge may lead to better self-care behavior and improve clinical outcomes. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Journal of Education and Health Promotion.)
Databáze:	MEDLINE
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