Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study

Delgado, Bruno; Lopes, Ivo; Mendes, Tânia; Lopes, Patrícia; Sousa, Luís; López-Espuela, Fidel; Preto, Leonel São Romão; Mendes, Eugénia; Gomes, Bárbara Pereira; Novo, André

doi:10.3390/healthcare9040434

Cited by 6 publications

(3 citation statements)

References 34 publications

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“…23 Several studies showed that gender was not the predictor of selfcare management in HF patients. 20,24 Meanwhile, it affected the outcome as suggested in a previous study which stated that there are different outcomes between men and women based on mortality and rehospitalization after practicing self-care management. 8 This indicated that self-care needs to be implemented based on gender differences to improve patients' prognoses.…”

Section: Significance For Public Healthmentioning

confidence: 96%

Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients

Lukitasari

Nafista²

2023

HEALTHC LOW-RESOUR S

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Introduction: Self-care management is the fundamental approach for Heart Failure (HF) management and is influenced by patient ability in preventing rehospitalization, mortality, and morbidity. Therefore, this study aims to investigate the predictors of a patient’s ability in HF self-care management. Design and Methods: A cross-sectional study was carried out on 96 patients with HF. The data were collected through interviews using questionnaires on demographic characteristics, physical activity (IPAQ), knowledge (Dutch Heart Failure Knowledge Score), and self-care management (Self Care Heart Failure Index). Subsequently, the data were analyzed using logistic regression analysis, and the best fit model for predicting self-care management in HF patients was generated. Results: The proportion of samples was 56.3% female, with mostly primary school (50%) as their education level. Furthermore, the proportion of patients with adequate HF self-care management was only 21% of the total participant. Based on the results, the patient’s physical activity level, HF knowledge, and gender were verified as a predictor of self-care management. Conclusions: The HF knowledge level, physical activity level, and gender were the predictors of HF self-care management.

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Section: Significance For Public Healthmentioning

confidence: 96%

Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients

Lukitasari

Nafista²

2023

HEALTHC LOW-RESOUR S

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“…Manajemen perawatan diri dapat ditingkatkan dengan edukasi dan pelatihan melalui simulasi (Jaarsma et al, 2017;Trojahn et al, 2013). Melakukan edukasi dan pelatihan yang mendukung untuk meningkatkan perilaku perawatan mandiri pada pasien gagal jantung dapat meningkatkan pengetahuan, keterampilan, menurunkan gejala, dan mengurangi keluhan penderita (Delgado et al, 2021;Dewi et al, 2019;Riegel et al, 2009;Salahodinkolah et al, 2019).…”

Section: Pendahuluanunclassified

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

Kristinawati

Rosyid

Rizkiawan

et al. 2023

PJPM

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Heart failure is the most common cardiovascular disease and has an uncontrolled prevalence of risk factors. Self-care management is the ability of heart failure patients to manage themselves and their illness. Based on the assessment data at the service site, there were as many as 30 heart failure patients and 30 families with heart failure patients. This service aims to improve the knowledge and skills of families and patients with heart failure in carrying out self-management. This service was carried out in one of the health cadre's houses which was attended by 30 people with heart disease. Powerpoint media is used as a medium for counseling activities delivered verbally by the speaker within 45 minutes after evaluation is carried out with redemostration. The results showed that 90% of respondents understood the material provided, this can be seen from the response to questions and the desire of the family and patients to practice again after the simulation at the evaluation time. Self-care management can be improved by education and training through simulations. Good self-management in people with heart failure is associated with a reduced risk of death and re-hospitalization events. Conducting supportive education and training to improve self-care behaviors in heart failure patients can improve knowledge, skills, reduce symptoms, and reduce patient complaints.

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“…Studies on single chronic diseases have shown conflicting results regarding the influence that patient and caregiver sex can have on patient self-care. Some studies conducted on heart failure (HF) (Dellafiore, Arrigoni, et al, 2018), diabetes mellitus (DM) (Ausili et al, 2018), hypertension (Salim et al, 2019), and people with an ostomy (Giordano et al, 2021) found that male patients performed lower self-care behaviors than females whereas other studies report no differences in self-care between male and female patients with HF (Delgado et al, 2021), and others report that females with DM performed lower self-care than males (McCollum et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

The influence of dyad sex combination on patient self‐care and caregiver contribution to self‐care in multiple chronic conditions: An observational study

Erba

Ferro

Ausili

et al. 2023

J of Nursing Scholarship

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IntroductionWe know that patient and caregiver sex influence patient self‐care and caregiver contribution to self‐care in multiple chronic conditions. However, the role of dyad sex combination (e.g., male patient and female caregiver, female patient and male caregiver, male patient and caregiver, and female patient and caregiver) in influencing patient self‐care and caregiver contribution to self‐care remains unexplored. Our aim was to investigate the relationship between patient and caregiver sex combination and patient self‐care and caregiver contribution to self‐care in multiple chronic conditions.DesignMulticentre cross‐sectional study.MethodsWe enrolled patients with multiple chronic conditions and caregiver dyads in outpatient and community settings from April 2017 to December 2019. We used the Self‐Care of Chronic Illness Inventory and the Caregiver Contribution to Self‐Care of Chronic Illness Inventory that measure, from the patient and caregiver perspective, self‐care maintenance (i.e., behaviors to maintain illness stability), self‐care monitoring (i.e., monitoring of illness signs and symptoms), and self‐care management (i.e., behaviors to manage signs and symptoms). We used multivariate analysis of covariance to evaluate the association between sex and self‐care and caregiver contribution to self‐care.ResultsWe recruited 540 patient–caregiver dyads. Male patients cared by female caregivers performed higher self‐care maintenance compared to female patients cared by female caregivers. Female caregivers caring for female patients performed higher caregiver contribution to self‐care monitoring compared to male caregivers caring for female or male patients.ConclusionsClinicians should consider the influence of patient and caregiver sex combination on self‐care and caregiver contribution to self‐care in multiple chronic conditions to provide tailored interventions.Clinical RelevanceHealthcare professionals should consider the patient and caregiver sex combination in the dyad to tailor better interventions aimed at improving patient self‐care and caregiver contribution to self‐care in multiple chronic conditions.

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Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study

Cited by 6 publications

References 34 publications

Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients

Patient’s knowledge, gender, and physical activity level as the predictors of self-care in heart failure patients

Pelatihan Manajemen Perawatan Diri untuk Meningkatkan Pengetahuan Keluarga dan Pasien Gagal Jantung

The influence of dyad sex combination on patient self‐care and caregiver contribution to self‐care in multiple chronic conditions: An observational study

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