Frailty syndrome and self-care ability in elderly patients with heart failure

Izabella Uchmanowicz,1 Marta Wleklik,1 Robbert JJ Gobbens2,3 1Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland; 2Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, 3Zonnehuisgroep Amstelland, Amstelveen, the Netherland...

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Autores principales:	Uchmanowicz I, Wleklik M, Gobbens RJJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	frailty syndrome self – care heart failure. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8903fd53021d4e53ba252464cc4efc08
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spelling	oai:doaj.org-article:8903fd53021d4e53ba252464cc4efc082021-12-02T04:47:22ZFrailty syndrome and self-care ability in elderly patients with heart failure1178-1998https://doaj.org/article/8903fd53021d4e53ba252464cc4efc082015-05-01T00:00:00Zhttps://www.dovepress.com/frailty-syndrome-and-self-care-ability-in-elderly-patients-with-heart--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Izabella Uchmanowicz,1 Marta Wleklik,1 Robbert JJ Gobbens2,3 1Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland; 2Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, 3Zonnehuisgroep Amstelland, Amstelveen, the Netherlands Background: Chronic heart failure is a serious medical condition. Recently, there has been an increasing interest in frailty syndrome and self-care levels among patients with cardiovascular conditions. Demonstrating the influence of frailty syndrome on self-care could improve the quality of self-care and prevent the adverse effects of frailty syndrome. The purpose of this study was to assess the influence of frailty syndrome on the self-care capabilities of patients with chronic heart failure, and to identify factors associated with frailty.Methods: The data were collected between January and July 2014. The study included 110 patients with chronic heart failure who were hospitalized in the cardiology clinic. Frailty syndrome was assessed using the Tilburg Frailty Indicator, a self-report questionnaire, and self-care behavior was assessed using the European Heart Failure Self-Care Behavior Scale.Results: Fifty-four percent of the study patients were male and 46% were female. The mean age was 66±11 years, the mean Tilburg Frailty Indicator score was 7.45±3.02 points, and the mean self-care level was 27.6±7.13 points. Correlation analyses showed that patients with higher scores in the social components of the frailty scale had better self-care capabilities. Frailty was associated with age, education, duration of heart failure, number of hospitalizations, and New York Heart Association class. The effects of these patient characteristics differed across components of frailty (physical, psychological, social).Conclusion: The social components of frailty syndrome adversely affect the ability to self-care in elderly patients with heart failure. It is relevant to use a multidimensional measurement of frailty. Keywords: frailty syndrome, self-care, heart failureA Letter to the Editor has been received and published for this article. Uchmanowicz IWleklik MGobbens RJJDove Medical Pressarticlefrailty syndromeself – careheart failure.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 871-877 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	frailty syndrome self – care heart failure. Geriatrics RC952-954.6
spellingShingle	frailty syndrome self – care heart failure. Geriatrics RC952-954.6 Uchmanowicz I Wleklik M Gobbens RJJ Frailty syndrome and self-care ability in elderly patients with heart failure
description	Izabella Uchmanowicz,1 Marta Wleklik,1 Robbert JJ Gobbens2,3 1Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland; 2Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, 3Zonnehuisgroep Amstelland, Amstelveen, the Netherlands Background: Chronic heart failure is a serious medical condition. Recently, there has been an increasing interest in frailty syndrome and self-care levels among patients with cardiovascular conditions. Demonstrating the influence of frailty syndrome on self-care could improve the quality of self-care and prevent the adverse effects of frailty syndrome. The purpose of this study was to assess the influence of frailty syndrome on the self-care capabilities of patients with chronic heart failure, and to identify factors associated with frailty.Methods: The data were collected between January and July 2014. The study included 110 patients with chronic heart failure who were hospitalized in the cardiology clinic. Frailty syndrome was assessed using the Tilburg Frailty Indicator, a self-report questionnaire, and self-care behavior was assessed using the European Heart Failure Self-Care Behavior Scale.Results: Fifty-four percent of the study patients were male and 46% were female. The mean age was 66±11 years, the mean Tilburg Frailty Indicator score was 7.45±3.02 points, and the mean self-care level was 27.6±7.13 points. Correlation analyses showed that patients with higher scores in the social components of the frailty scale had better self-care capabilities. Frailty was associated with age, education, duration of heart failure, number of hospitalizations, and New York Heart Association class. The effects of these patient characteristics differed across components of frailty (physical, psychological, social).Conclusion: The social components of frailty syndrome adversely affect the ability to self-care in elderly patients with heart failure. It is relevant to use a multidimensional measurement of frailty. Keywords: frailty syndrome, self-care, heart failureA Letter to the Editor has been received and published for this article.
format	article
author	Uchmanowicz I Wleklik M Gobbens RJJ
author_facet	Uchmanowicz I Wleklik M Gobbens RJJ
author_sort	Uchmanowicz I
title	Frailty syndrome and self-care ability in elderly patients with heart failure
title_short	Frailty syndrome and self-care ability in elderly patients with heart failure
title_full	Frailty syndrome and self-care ability in elderly patients with heart failure
title_fullStr	Frailty syndrome and self-care ability in elderly patients with heart failure
title_full_unstemmed	Frailty syndrome and self-care ability in elderly patients with heart failure
title_sort	frailty syndrome and self-care ability in elderly patients with heart failure
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/8903fd53021d4e53ba252464cc4efc08
work_keys_str_mv	AT uchmanowiczi frailtysyndromeandselfcareabilityinelderlypatientswithheartfailure AT wleklikm frailtysyndromeandselfcareabilityinelderlypatientswithheartfailure AT gobbensrjj frailtysyndromeandselfcareabilityinelderlypatientswithheartfailure
_version_	1718401019430305792

Frailty syndrome and self-care ability in elderly patients with heart failure

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