Trajectory of self-care behaviour in patients with heart failure: the impact on clinical outcomes and influencing factors
| Autor: | Anna Strömberg, Dirk J. van Veldhuisen, Martje H. L. van der Wal, Naoko Perkiö Kato, Maria Liljeroos, Marie Louise Luttik, Tiny Jaarsma, Maaike Brons |
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| Přispěvatelé: | Family Care, Cardiovascular Centre (CVC) |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Patients Disease Self-management depression heart failure outcomes self-care behaviour Nursing DISEASE verpleegkunde INSUFFICIENT Self-care behaviour MANAGEMENT INTERVENTIONS Quality of life (healthcare) patiënten nursing QUALITY-OF-LIFE medicine Humans In patient Intensive care medicine Depression (differential diagnoses) SCALE Aged Advanced and Specialized Nursing hartfalen Aged 80 and over Heart Failure business.industry Omvårdnad Original Articles Middle Aged medicine.disease Self Care Medical–Surgical Nursing Treatment Outcome Heart failure Self care Female Cardiology and Cardiovascular Medicine business FOLLOW-UP Attitude to Health |
| Zdroj: | European Journal of Cardiovascular Nursing European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 19(5), 421-432. Elsevier European Journal of Cardiovascular Nursing, 19(5), 421-432. SAGE Publications Inc. |
| ISSN: | 1873-1953 1474-5151 |
| Popis: | Background: Patients’ self-care behaviour is still suboptimal in many heart failure (HF) patients and underlying mechanisms on how to improve self-care need to be studied. Aims: (1) To describe the trajectory of patients’ self-care behaviour over 1 year, (2) to clarify the relationship between the trajectory of self-care and clinical outcomes, and (3) to identify factors related to changes in self-care behaviour. Methods: In this secondary analysis of the COACH-2 study, 167 HF patients (mean age 73 years) were included. Self-care behaviour was assessed at baseline and after 12 months using the European Heart Failure Self-care Behaviour scale. The threshold score of ⩾70 was used to define good self-care behaviour. Results: Of all patients, 21% had persistent poor self-care behaviour, and 27% decreased from good to poor. Self-care improved from poor to good in 10%; 41% had a good self-care during both measurements. Patients who improved self-care had significantly higher perceived control than those with persistently good self-care at baseline. Patients who decreased their self-care had more all-cause hospitalisations (35%) and cardiovascular hospitalisations (26%) than patients with persistently good self-care (2.9%, p < 0.05). The prevalence of depression increased at 12 months in both patients having persistent poor self-care (0% to 21%) and decreasing self-care (4.4% to 22%, both p < 0.05). Conclusion: Perceived control is a positive factor to improve self-care, and a decrease in self-care is related to worse outcomes. Interventions to reduce psychological distress combined with self-care support could have a beneficial impact on patients decreasing or persistently poor self-care behaviour. |
| Databáze: | OpenAIRE |
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