Jsmc-10292

PERFORMANCE OF SELF-CARE ACTIVITIES AMONG HEART FAILURE PATIENTS AT RANYA GENERAL HOSPITAL KURDISTAN –IRAQ

Rezan Ali Mustafa a and Muhammad Rashid Amen b

a Ranya General Hospital / Medical Ward, Kurdistan Region, Iraq.

b College of Nursing, Head of Adult Nursing Branch, University of Sulaimani, Kurdistan Region,Iraq. 

Submitted: 12/3/2020; Accepted: 27/10/2020; Published: 21/3/2021

DOI Link: https://doi.org/10.17656/jsmc.10292 

ABSTRACT

Background 

Heart failure is a major and growing public health problem worldwide that a negative impact on self-care. Self-care is a crucial task for controlling the negative consequences of the illness. Insufficient self-care leads to poor health outcomes and re-hospitalization.

Objectives 

The objectives of the present study were to investigate the Self-care activities performance in patients admitted to Ranya general hospital and to explore the relationship between self-care and patients’ characteristics.

Patients and Methods

A convenience sample technique was used to enroll 86 patients with heart failure to present a descriptive study conducted at Ranya general hospital from January to November 2019. The data were collected through a questionnaire by direct interview. Participants, self-care was assessed with the Self-care of Heart Failure Index. Verbal consent and ethical approval were obtained, the data analyzed with descriptive and inferential statistical analysis.

Results

The findings revealed that the self-care maintenance, management, and confidence scores were: (52.9±8.8, 63.1±9.3), and (59.6±9.9) respectively. Higher scores indicate better self-care. None of the self-care subscales reached the self-care adequacy cut point of 70. The score of the self-care subscale was higher in better educated, obese patients who had low self-care maintenance and confidence, female. Longer duration and a more severe class of heart failure owned a greater score of self-care management, while self-care maintenance was higher in more severe cases. 

Conclusion

Self-care performance was inadequate in heart failure patients; participants’ age, gender, educational status, BMI, and the severity of heart failure significantly associated with participants’ self-care performance. 

KEYWORDS

References 

1.  Asadi P, AhmadiSh, Abdi A, Shareef O, Mohamadyari T, Miri J; Relationship between self-care behaviors and quality of life in patients with heart failure, Heliyon,2019, 5( 9), e02493. doi.org/10.1016/j.heliyon.2019.e02493. 

2.  Benjamin EJ, Muntner P, Bittencourt MS. Heart disease and stroke statistics-2019 update: A report from the American Heart Association. Circulation, 2019, 139(10):e56–e528

3.  Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, Colman JM, Crumb SR, Dearani JA, Fuller S, Gurvitz M, Khairy P, Landzberg MJ, Saidi A, Valente AM, Van Hare GF, 2018 AHA/ACC Guideline for the Management of Adults with Congenital Heart Disease, J Am Coll Cardiol (2018), doi: 10.1016/j.jacc.2018.08.1029.

4.  Savarese G and Lund LH. Global Public Health Burden of Heart Failure. Card Fail Rev. 2017;3(1):7–11. DOI: 10.15420/cfr.2016:25:2. 

5.  Fortin, M., Chouinard, M., Diallo, B.B. Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study. BMC Fam Pract, 2019, 20(7). doi.org/10.1186/s12875-018-0898-z.

6.  Nordfonn OK, Morken IM, Bru LE, Husebø AML, Patients’ experience with heart failure treatment and self-care-A qualitative study exploring the burden of treatment. J Clin Nurs. 2019,28(9-10):1782-1793. doi: 10.1111/jocn.14799. Epub 2019 Feb 10.

7. Conceicao AP, Santos MA, Santos B, Cruz DALM. Self-care in Heart Failure Patients, Rev. Latino-Am. Enfermagem, 2015, 23(4):578-86 DOI: 10.1590/0104-1169.0288.2591

8.  Savarese G and Lund L (2017) Global Public Health Burden of Heart Failure. Card Fail Rev. 2017;3(1):7–11. DOI: 10.15420/cfr.2016:25:2.

9.  Vellone E, Fida R, Ghezzi V, D’agostino F, Biagioli V, Paturzo M, Str€omberg A, Alvaro R, and Jaarsma T, Patterns of self-care in adults with heart failure and their associations with sociodemographic and clinical characteristics, quality of life, and hospitalizations: a cluster analysis, J. Cardiovasc. Nurs.2017, 32 (2) (2017) 180–189.

10.  Medeiros J and Medeiros C; Assessment of Self-Care in Heart Failure Patients, Cogitare Enferm. 2017, 22(3): e51082,. doi.org/10.5380/ce.v22i3.51082.

11.  Riegel B, Lee CS, Dickson VV, Carlson B. An update on the self-care of heart failure index. J Cardiovasc Nurs 2009;24:485e97.

12.  Liou H, Chen H, Hsu S, Lee S, Chang C and Wu M; The effects of a self-care program on patients with heart failure, Journal of the Chinese Medical Association, 2015, 78 (2015) 648e656 Available online at www.sciencedirect.com

13.  Seto E, Leonard K, Cafazzo J, Masino C, Barnsley J, and Ross H (2011) Self-care and Quality of Life of Heart Failure Patients at a Multidisciplinary Heart Function Clinic, J CARDIOVASC NURS, 2011, 26(5):377-85. DOI:10.1097/JCN.0b013e31820612b8

14.  Dennison CR, McEntee ML, Samuel L, Johnson BJ, Rotman S, Kielty A, et al. Adequate health literacy is associated with higher heart failure knowledge and self-care confidence in hospitalized patients. J Cardiovasc Nurs. 2011;26(5):359–67.

15.  Seid, M. A., Abdela, O. A., & Zeleke, E. G. Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients’ point of view. PloS one, 2019, 14(2), e0211768. doi:10.1371/journal.pone.0211768

16.  Medeiros J and Medeiros C; Assessment of Self-Care in Heart Failure Patients Cogitare Enferm. 2017, (22)3: e51082. doi.org/10.5380/ce.v22i3.51082

17.  Sewagegn N, Fekadu S, Chanie T. Adherence to Self-Care Behaviours and Knowledge on Treatment among Heart Failure Patients in Ethiopia: The Case of a Tertiary Teaching Hospital. J Pharma Care Health Sys, 2015, S4-001 10: 2376–0419.

18.  Cocchieri A, Riegel B, D’Agostino F, Rocco G, Fida R, Alvaro R, et al. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. Eur J Cardiovasc Nurs. 2015;14(2) . doi.org/10.1177/1474515113518443.

19.  Sedlar N, Lainscak M, Mårtensson J, Strömberg A, Jaarsma T and Farkas J: Factors related to self-care behaviours in heart failure: A systematic review of European Heart Failure Self-Care Behaviour Scale studies. EUR J CARDIOVASC NUR 2017, 16(4) 272–282.

20.  Mei J, Tianb Y, Chaia X, Fana X; Gender differences in self-care maintenance and its associations among patients with chronic heart failure. International Journal of Nursing Sciences, 2019, 6(1), 58-64.https://doi.org/10.1016/j.ijnss.2018.11.008

21.  Dellafiore F, Arrigoni C, Pittella F, Conte G, Magon A, Caruso R: Paradox of self-care gender differences among Italian patients with chronic heart failure: findings from a real-world cross-sectional study. BMJ Open 2018;8:e021966. doi:10.1136/bmjopen-2018-021966

22.  Medeiros J and Medeiros C; Assessment of Self-Care in Heart Failure Patients Cogitare Enferm. (22)3: e51082, 2017. doi.org/10.5380/ce.v22i3.51082

23.  Linn AC, Azzolin K, de Souza EN. Association between self-care and hospital readmissions of patients with heart failure. Rev. bras. enferm. 2016;69(3) [acesso em 17 jan 2017]. Disponível: http://dx.doi.org/10.1590/0034-7167.2016690312i.

24.  Vellone E, Riegel B, Cocchieri A, Barbaranelli C, D’Agostino F, Glaser D, et al.Validity and reliability of the caregiver contribution to self-care of heart failure index. J Cardiovasc Nurs. 2013;28(3):245-55

Full Text

 © The Authors, published by University of Sulaimani, College of Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.