Cost analysıs per patıent ın state hospıtals accordıng to departments (an example based on ıstanbul educatıon and research hospıtal

Objective: Although heart failure is a chronic and progressive disease, it is also a disease that requires the patient and caregivers who are not healthcare professionals to spend many years together in the process of follow-up, treatment, and care. Correct evaluation of the patient and caregiver in this process is one of the most important points that will guide the process. The aim of this study was to conduct a validity and reliability study of the Turkish version of the Caregiver Contributions to Self-Care of Heart Failure Index v.2- (CC-SCHFI) and to determine the contributions of caregivers of patients with heart failure. Material and Method: The study sample was formed of the caregivers of patients who presented at a training and research hospital with a diagnosis of heart failure, who voluntarily agreed to participate in the research. Data were collected using a Personal Information Form and the CC-SCHFI. For the reliability study of the language adaptation of the CC-SCHFI, the internal consistency coefficient and the item-total points reliability coefficient were used, and to determine structure validity, Explanatory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were applied. Results: The cultural adaptation to Turkish of the CC-SCHFI was found to be high. In the validity and reliability study, the structure validity and internal consistency were high and it was concluded that the scale could be used under the sub-dimension headings of “Recommendations for Protection”, “The Role of the Caregiver in Treatment Compliance”, and “Caregiver Practices”.

Introduction: Heart failure is a chronic and progressive disease with increasing prevalence and incidence worldwide, despite advances in science and technology, and it necessitates long-term follow-up, treatment, and care. Self-care in heart failure is one of the fundamental elements of quality of life and disability-free living. The aim of this study was to assess the validity and reliability of the Turkish version of the Self-Care of Heart Failure Index v.2 (SCHFI). Patients and Methods: The study sample included 233 patients who presented with a diagnosis of heart failure and volunteered to participate in the research at a training and research hospital. The data were collected using a personal information form and the SCHFI. The SCHFI was translated into Turkish, and the internal consistency coefficient and the item-total points reliability coefficient were analyzed for the reliability study. To determine structure validity, Explanatory Factor Analysis and Confirmatory Factor Analysis were performed. Results: The adaptation of the SCHFI to Turkish culture was found to have high structure validity and internal consistency in the reliability and validity studies. Conclusion: We concluded that the Self-Care of Heart Failure Index can be used as a unidimensional scale.