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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
479
Predictors of Adherence to Self-Care in Rural Patients With Heart Failure
Martha J Biddle1, Debra K Moser1, Michele M Pelter2
1College of Nursing, University of Kentucky, Lexington, Kentucky.
Summary
Predictors of heart failure (HF) self-care adherence in rural patients include male gender, lower anxiety, absence of depression, and higher perceived control. These factors are crucial for improving patient outcomes and enhancing HF management strategies.
Area of Science:
- Cardiology
- Health Psychology
Background:
- Non-adherence to treatment significantly worsens health outcomes for heart failure (HF) patients.
- Effective symptom management and self-care are critical for improving the quality of life in individuals with HF.
Purpose of the Study:
- To identify predictors of adherence to heart failure (HF) self-care recommendations.
- To examine factors influencing self-care behaviors in rural HF patients receiving a targeted intervention.
Main Methods:
- Utilized data from 349 rural HF patients randomized to intervention arms.
- Measured adherence using the European Heart Failure Self-Care Scale.
- Employed multivariate linear regression to analyze predictors including age, gender, depression, anxiety, and perceived control.
Main Results:
- The predictive model for adherence was statistically significant (P < .0001).
- Male gender, lower anxiety levels, absence of depression, and higher perceived control predicted improved self-care scores at 3 months.
Conclusions:
- Patient adherence to HF self-care is complex and depends on patient agreement with recommendations.
- Interventions to enhance adherence should assess gender, anxiety, depression, and perceived control for optimal patient outcomes.
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