Determinants of heart failure self-care behaviour in community-based patients: a cross-sectional study
| Autor: | Frank Peters-Klimm, Gunter Laux, Tobias Freund, Cornelia Ursula Kunz, Joachim Szecsenyi, Thomas Müller-Tasch, L. Frankenstein |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty SF-36 Cross-sectional study Health Status Health Behavior Implementation Science [NCEBP 3] Ambulatory care Quality of life Health care Ambulatory Care Humans Medicine Aged Heart Failure Advanced and Specialized Nursing Geriatrics business.industry Middle Aged Self Care Medical–Surgical Nursing Cross-Sectional Studies Socioeconomic Factors Ambulatory Quality of Life Physical therapy Female Cardiology and Cardiovascular Medicine business Psychosocial |
| Zdroj: | European Journal of Cardiovascular Nursing, 12, 2, pp. 167-76 European Journal of Cardiovascular Nursing, 12, 167-76 |
| ISSN: | 1873-1953 1474-5151 |
| Popis: | Item does not contain fulltext 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 (beta; descriptive p-value): self-efficacy (-0.24 |
| Databáze: | OpenAIRE |
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