Antecedents of self-care in adults with congenital heart defects
| Autor: | Melinda Higgins, Carolyn M. Reilly, Wendy Book, Sandra B. Dunbar, Javed Butler, Nancy McCabe |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Heart Defects Congenital Male Health Knowledge Attitudes Practice Pediatrics medicine.medical_specialty Cross-sectional study Family support Population Psychological intervention Article Chart review medicine Humans education Prior Surgery education.field_of_study Insurance Health Self-management business.industry United States Self Care Cross-Sectional Studies Self care Female Cardiology and Cardiovascular Medicine business Delivery of Health Care |
| Zdroj: | International Journal of Cardiology. 201:610-615 |
| ISSN: | 0167-5273 |
| Popis: | Adults with congenital heart defects (ACHD) face long-term complications related to prior surgery, abnormal anatomy, and acquired cardiovascular conditions. Although self-care is an important part of chronic illness management, few studies have explored self-care in the ACHD population. The purpose of this study is to describe self-care and its antecedents in the ACHD population.Persons with moderate or severe ACHD (N=132) were recruited from a single ACHD center. Self-care (health maintenance behaviors, monitoring and management of symptoms), and potential antecedents including sociodemographic and clinical characteristics, ACHD knowledge, behavioral characteristics (depressive symptoms and self-efficacy), and family-related factors (parental overprotection and perceived family support) were collected via self-report and chart review. Multiple regression was used to identify antecedents of self-care maintenance, monitoring, and management.Only 44.7%, 27.3%, and 23.3% of participants performed adequate levels of self-care maintenance, monitoring and management, respectively. In multiple regression analysis, self-efficacy, education, gender, perceived family support, and comorbidities explained 25% of the variance in self-care maintenance (R(2)=.248, F(5, 123)=9.44, p.001). Age, depressive symptoms, self-efficacy, and NYHA Class explained 23% of the variance in self-care monitoring (R(2)=.232, F(2, 124)=10.66, p.001). Self-efficacy and NYHA Class explained 9% of the variance in self-care management (R(2)=.094, F(2, 80)=5.27, p=.007).Low levels of self-care are common among persons with ACHD. Multiple factors, including modifiable factors of self-efficacy, depressive symptoms, and perceived family support, are associated with self-care and should be considered in designing future interventions to improve outcomes in the ACHD population. |
| Databáze: | OpenAIRE |
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