| Autor: |
AUSILI, DAVIDE LUIGI, REBORA, PAOLA, DI MAURO, STEFANIA, Riegel, B, Paturzo, M, Alvaro, R, Vellone, E. |
| Přispěvatelé: |
Ausili, D, Rebora, P, DI MAURO, S, Riegel, B, Paturzo, M, Alvaro, R, Vellone, E |
| Jazyk: |
angličtina |
| Rok vydání: |
2016 |
| Předmět: |
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| Popis: |
Background: Patients with both Heart Failure (HF) and Diabetes Mellitus (DM) are at risk of severe adverse outcomes. Self-care is vital in both conditions. The effect of DM on HF self-care is unclear and determinants of poor self-care in HF-DM patients are unknown. Objectives: To compare self-care of HF patients with and without DM; to estimate the effect of DM on self-care of HF patients; to identify socio-demographic and clinical determinants of self-care in HF-DM patients. Methods: A multicentre cross-sectional observational study was conducted. 1192 adults with confirmed diagnosis of HF were enrolled. Socio-demographic and clinical data were collected from medical records. Self-care maintenance, management and confidence were measured by the Self-Care of Heart Failure Index (scores range 0-100; higher scores=better self-care). Self-care of HF-DM patients versus HF without DM was compared by linear regression. Multiple linear regressions were performed to estimate the effect of DM on self-care of HF patients and to identify determinants of self-care in HF-DM patients. Results: 379 HF patients (31.8%) were affected by DM. Self-care was sub-optimal in HF patients with and without DM (means range from 53.2 to 55.6). Self-care maintenance (p=0.13), management (p=0.21) and confidence (p=0.51) were not statistically different between HF patients with versus without DM. No statistically significant associations were found between the presence of DM and self-caremaintenance (p=0.12), management (p=0.21) or confidence (p=0.51) of HF patients. Number of medications (p=0.04), cognitive status (p=0,04), New York Heart Association (NYHA) functional class (p=0.01) and self-confidence (p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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