Capability for self-care of patients with heart failure

Agnieszka Mlynarska,1,2 Krzysztof S Golba,2,3 Rafal Mlynarski2 1Department of Internal Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland; 2Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 3Department of Electrocardiology and Heart Fai...

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Autores principales:	Mlynarska A, Golba KS, Mlynarski R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	self-care heart failure frailty rehospitalization acceptance of illness Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/eb16b040477b438cb68eaed10486f022
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spelling	oai:doaj.org-article:eb16b040477b438cb68eaed10486f0222021-12-02T01:28:13ZCapability for self-care of patients with heart failure1178-1998https://doaj.org/article/eb16b040477b438cb68eaed10486f0222018-10-01T00:00:00Zhttps://www.dovepress.com/capability-for-self-care-of-patients-with-heart-failure-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Agnieszka Mlynarska,1,2 Krzysztof S Golba,2,3 Rafal Mlynarski2 1Department of Internal Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland; 2Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 3Department of Electrocardiology and Heart Failure, School of Health Sciences, Medical University of Silesia, Katowice, Poland Background: A thorough analysis of the capability for self-care in patients with heart failure (HF) reduces the frequency of hospitalizations that are caused by decompensation. The aim of the study was to assess the effect of the method of therapy for HF, the degree of the acceptance of illness, and the occurrence of frailty syndrome on adherence to the therapeutic recommendations and self-care in patients with HF.Methods: The study included 180 patients who were hospitalized after being diagnosed with HF. In all, we used the Polish versions of three validated instruments: the nine-item European Heart Failure Self-care Behavior Scale, Illness Acceptance Scale, and The Tilburg Frailty Indicator.Results: The capability for self-care of patients with HF was 27.8%. More than 65% of the patients followed the recommendations for taking medication and also followed a low-sodium diet, while only 5.5% of the patients followed the recommendations for physical exercise. Positive correlations were found between the capability for self-care and frailty syndrome and its components: general frailty components vs the capability for self-care: r=0.4449, P=0.0000; physical frailty components vs the capability for self-care: r=0.3974, P=0.0000; emotional frailty components vs the capability for self-care: r=0.2831, P=0.0001; social frailty components vs the capability for self-care: r=0.2180, P=0.0032, and a negative correlation between the capability for self-care and the degree of the acceptance of the illnesses (r=-0.4662, P=0.0000).Conclusion: A relatively low capability for self-care was found in patients with HF. The presence of frailty syndrome and a low level of the acceptance of illness are connected with a low capability for self-care. Keywords: self-care, heart failure, frailty, rehospitalization, acceptance of illnessMlynarska AGolba KSMlynarski RDove Medical Pressarticleself-careheart failurefrailtyrehospitalizationacceptance of illnessGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1919-1927 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	self-care heart failure frailty rehospitalization acceptance of illness Geriatrics RC952-954.6
spellingShingle	self-care heart failure frailty rehospitalization acceptance of illness Geriatrics RC952-954.6 Mlynarska A Golba KS Mlynarski R Capability for self-care of patients with heart failure
description	Agnieszka Mlynarska,1,2 Krzysztof S Golba,2,3 Rafal Mlynarski2 1Department of Internal Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland; 2Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland; 3Department of Electrocardiology and Heart Failure, School of Health Sciences, Medical University of Silesia, Katowice, Poland Background: A thorough analysis of the capability for self-care in patients with heart failure (HF) reduces the frequency of hospitalizations that are caused by decompensation. The aim of the study was to assess the effect of the method of therapy for HF, the degree of the acceptance of illness, and the occurrence of frailty syndrome on adherence to the therapeutic recommendations and self-care in patients with HF.Methods: The study included 180 patients who were hospitalized after being diagnosed with HF. In all, we used the Polish versions of three validated instruments: the nine-item European Heart Failure Self-care Behavior Scale, Illness Acceptance Scale, and The Tilburg Frailty Indicator.Results: The capability for self-care of patients with HF was 27.8%. More than 65% of the patients followed the recommendations for taking medication and also followed a low-sodium diet, while only 5.5% of the patients followed the recommendations for physical exercise. Positive correlations were found between the capability for self-care and frailty syndrome and its components: general frailty components vs the capability for self-care: r=0.4449, P=0.0000; physical frailty components vs the capability for self-care: r=0.3974, P=0.0000; emotional frailty components vs the capability for self-care: r=0.2831, P=0.0001; social frailty components vs the capability for self-care: r=0.2180, P=0.0032, and a negative correlation between the capability for self-care and the degree of the acceptance of the illnesses (r=-0.4662, P=0.0000).Conclusion: A relatively low capability for self-care was found in patients with HF. The presence of frailty syndrome and a low level of the acceptance of illness are connected with a low capability for self-care. Keywords: self-care, heart failure, frailty, rehospitalization, acceptance of illness
format	article
author	Mlynarska A Golba KS Mlynarski R
author_facet	Mlynarska A Golba KS Mlynarski R
author_sort	Mlynarska A
title	Capability for self-care of patients with heart failure
title_short	Capability for self-care of patients with heart failure
title_full	Capability for self-care of patients with heart failure
title_fullStr	Capability for self-care of patients with heart failure
title_full_unstemmed	Capability for self-care of patients with heart failure
title_sort	capability for self-care of patients with heart failure
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/eb16b040477b438cb68eaed10486f022
work_keys_str_mv	AT mlynarskaa capabilityforselfcareofpatientswithheartfailure AT golbaks capabilityforselfcareofpatientswithheartfailure AT mlynarskir capabilityforselfcareofpatientswithheartfailure
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Capability for self-care of patients with heart failure

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