2.50
Hdl Handle:
http://hdl.handle.net/10755/150875
Type:
Presentation
Title:
Predictors of Self-Care in Patients with Heart Failure
Abstract:
Predictors of Self-Care in Patients with Heart Failure
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Chen, Hsing-Mei, PhD, RN
P.I. Institution Name:Kaohsiung Medical University
Title:Assistant Professor
Co-Authors:Chee-Siong Lee MD, Medical doctor, instructor
Shuo-Tsan Lee MD, MD
[22nd International Nursing Research Congress - Research Presentation] Purpose: 
Self-care is fundamental to effective management of heart failure. However, patients with heart failure fail to engage in self-care activities. The purpose of this study was to investigate the predictors of self-care in Taiwanese people with heart failure. Methods:  A cross-sectional, descriptive, correlational research design was used. A purposive sample of 118 participants was mainly recruited from the outpatient departments of three hospitals. Inclusion criteria were as follows: 1) a diagnosis of HF, including all classes of NYHA; 2) age 20 or older; 3) able to communicate either by speaking or writing Mandarin; and 4) willing to participate in this study. Instruments included demographic questionnaire, heart failure characteristics questionnaire, Mini Mental State Examination, Health Knowledge Questionnaire, Patient Outcome Questionnaire-9, and Self-Care of Heart Failure Index. Results: The mean self-care maintenance score was 67.34 (12.65), the mean self-care management score was 65.73 (18.46), and the mean self-care confidence was 80.57 (18.85). Hierarchical regression analyses with forward method were used to identify predictors of self-care variables. Two predictors of self-care maintenance were perceived financial status (R2 = 0.047) and health knowledge (R2 = 0.071). Living status (R2 = 0.062) was the only predictor of self-care management. The predictor of self-care confidence was body weight (R2 = 0.056). Depression, cognition, comorbidity, and heart failure severity, however, were not significant predictors for all self-care variables. Conclusion:  The scores for self-care maintenance and management were lower than the cut-off score of 70 set by the developer of Self-Care of Heart Failure Index.  Further intervention should be designed to help patients improve their self-care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredictors of Self-Care in Patients with Heart Failureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150875-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predictors of Self-Care in Patients with Heart Failure</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Hsing-Mei, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaohsiung Medical University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hchen5658@msn.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Chee-Siong Lee MD, Medical doctor, instructor<br/>Shuo-Tsan Lee MD, MD</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp; <br/>Self-care is fundamental to effective management of heart failure. However, patients with heart failure fail to engage in self-care activities. The purpose of this study was to investigate the predictors of self-care in Taiwanese people with heart failure. Methods: &nbsp;A cross-sectional, descriptive, correlational research design was used. A purposive sample of 118 participants was mainly recruited from the outpatient departments of three hospitals. Inclusion criteria were as follows: 1) a diagnosis of HF, including all classes of NYHA; 2) age 20 or older; 3) able to communicate either by speaking or writing Mandarin; and 4) willing to participate in this study. Instruments included demographic questionnaire, heart failure characteristics questionnaire, Mini Mental State Examination, Health Knowledge Questionnaire, Patient Outcome Questionnaire-9, and Self-Care of Heart Failure Index. Results:&nbsp;The mean self-care maintenance score was 67.34 (12.65), the mean self-care management score was 65.73 (18.46), and the mean self-care confidence was 80.57 (18.85). Hierarchical regression analyses with forward method were used to identify predictors of self-care variables. Two predictors of self-care maintenance were perceived financial status (R2 = 0.047) and health knowledge (R2 = 0.071). Living status (R2 = 0.062) was the only predictor of self-care management. The predictor of self-care confidence was body weight (R2 = 0.056). Depression, cognition, comorbidity, and heart failure severity, however, were not significant predictors for all self-care variables. Conclusion:&nbsp; The scores for self-care maintenance and management were lower than the cut-off score of 70 set by the developer of Self-Care of Heart Failure Index. &nbsp;Further intervention should be designed to help patients improve their self-care.</td></tr></table>en_GB
dc.date.available2011-10-26T10:45:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:45:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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