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Frailty Affects Self-Care Behavior in Congestive Heart Failure

Jing Li1, Jiaqi Han1,2, Nan Luo3

  • 1Jilin University, Changchun, China.

Clinical Nursing Research
|February 16, 2022
PubMed

Insights

Frailty negatively impacts self-care in older adults with congestive heart failure. Interventions should address physical, psychological, and social frailty factors to improve patient well-being.

Area of Science:

  • Gerontology
  • Cardiology
  • Health Psychology

Background:

  • Congestive heart failure (CHF) significantly impacts older adults' quality of life.
  • Frailty is a growing concern in geriatric populations, potentially affecting chronic disease management.
  • Self-care is crucial for managing CHF, but its relationship with frailty requires further investigation.

Purpose of the Study:

  • To examine the association between frailty and self-care in older adults diagnosed with CHF.
  • To identify key factors influencing frailty and self-care in this patient group.

Main Methods:

  • A cross-sectional study involving 165 older adults with CHF was conducted in a Chinese hospital.
  • Frailty was assessed using the Tilburg Frailty Indicator.
  • Self-care was evaluated with the Self-care of Heart Failure Index (V6).

Main Results:

  • Physical, psychological, and social frailty dimensions were significantly associated with poorer self-care.
  • Independent risk factors for frailty included exercise, income, comorbidities, and CHF hospitalizations.
  • Independent risk factors for self-care comprised surgical treatment, comorbidities, and income.

Conclusions:

  • Frailty presents a significant barrier to effective self-care in older adults with CHF.
  • Identifying high-risk individuals for frailty is essential for targeted interventions.
  • Tailored care transitions promoting biopsychosocial well-being are needed for optimal CHF management.

Keywords:
congestive heart failurefrailtynursingolder adultsself-care

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