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Self-care in heart failure patients
Ana Paula da Conceição1, Mariana Alvina dos Santos1, Bernardo dos Santos1
1Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, BR.
Revista Latino-Americana De Enfermagem
|October 8, 2015
Summary
Heart failure patients in Brazil often exhibit inadequate self-care behaviors. Improved patient education and integrated healthcare monitoring are crucial for enhancing self-care management and outcomes.
Area of Science:
- Cardiology
- Public Health
- Nursing Science
Background:
- Heart failure (HF) is a chronic condition requiring significant patient self-management.
- Understanding self-care behaviors and their determinants is vital for improving HF patient outcomes.
- Brazilian heart failure patients present unique challenges in self-care adherence.
Purpose of the Study:
- To assess self-care behaviors among Brazilian heart failure patients.
- To identify factors associated with self-care practices in this population.
- To inform interventions aimed at enhancing heart failure self-management.
Main Methods:
- A descriptive, cross-sectional study was conducted with 116 ambulatory heart failure patients.
- The Self-Care of Heart Failure Index (SCHFI) was used to evaluate self-care.
- Association tests were performed with a significance level of 0.05.
Main Results:
- The average SCHFI scores indicated suboptimal self-care maintenance, management, and confidence.
- Low percentages of patients demonstrated appropriate self-care across all subscales.
- Higher SCHFI scores correlated with reduced left ventricular ejection fraction, longer disease duration, and combined physician-nurse monitoring.
Conclusions:
- Significant improvements in self-care behavior are necessary for Brazilian heart failure patients.
- Nursing interventions hold substantial potential for enhancing patient self-care.
- Targeted strategies are needed to support effective heart failure self-management.
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