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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
05:16

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

532

Self-Management Task Performance and Its Association with Biomarkers in Elderly Patients with Chronic Heart Failure:

Haixiang Zhu1, Xiaoxue Han1, Jinxuan Chen1

  • 1Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.

Patient Preference and Adherence
|September 15, 2025
PubMed

Insights

Poor self-management in elderly heart failure patients is linked to higher levels of NT-proBNP and uric acid. Improving self-care skills, especially medication management, is crucial for better outcomes in chronic heart failure (CHF).

Area of Science:

  • Cardiology
  • Geriatrics
  • Biomarkers

Background:

  • Chronic heart failure (CHF) management in the elderly requires effective self-care.
  • Biomarkers like NT-proBNP and uric acid can reflect disease severity in CHF.

Purpose of the Study:

  • To investigate the relationship between self-management task performance and heart failure biomarkers (NT-proBNP, uric acid) in elderly CHF patients.
  • To explore the mediating role of disease severity in this association.

Main Methods:

  • Cross-sectional study of 103 elderly CHF patients.
  • Self-management task performance assessed using a six-task scale.
  • Analysis included partial correlation, logistic regression, and restricted cubic spline analysis.

Main Results:

  • Lower self-management task performance correlated with higher NT-proBNP and uric acid levels.
  • Higher performance was associated with younger age and lower biomarker levels.
  • Medication tasks had the lowest success rates; oedema and diet tasks had higher rates.

Conclusions:

  • Reduced self-management performance in elderly CHF patients is linked to elevated NT-proBNP and uric acid, indicating advanced disease.
  • Interventions targeting self-management, particularly medication adherence, are vital for improving patient outcomes.
  • Further research is needed on the long-term impact of enhanced self-management skills.
Abstract

Keywords:
chronic heart failuredisease managementelderly patientstask performance

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