Self-care practices of primary health care patients diagnosed with chronic heart failure : A cross-sectional survey
Santesmases Masana, Rosalia (Institut d'Investigació Biomèdica Sant Pau)
González-de Paz, Luis (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Hernández Martínez-Esparza, E. (Institut d'Investigació Biomèdica Sant Pau)
Kostov, Belchin (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Navarro-Rubio, Maria Dolors (Hospital Sant Joan de Déu (Barcelona, Catalunya))
Universitat Autònoma de Barcelona

Fecha:	2019
Resumen:	Chronic heart failure patients require self-care behaviors and active monitoring of signs and symptoms to prevent worsening. Most patients with this condition are attended in primary healthcare centers. This study aimed to evaluate the endorsement of and adherence to self-care behaviors in primary health care patients with chronic heart failure. We conducted a multicenter cross-sectional study. We randomly included chronic heart failure patients from 10 primary healthcare centers in the Barcelona metropolitan area (Spain). Patients completed the European Heart Failure Self-Care Behaviour Scale, a health literacy questionnaire. Differences between groups were studied using ANOVA tests. We included 318 patients with a mean age of 77. 9 years, mild limitations in functional activity New York Heart Association scale (NYHA) II = 51. 25%), and a low health literacy index of 79. 6%. The endorsement of self-care behaviors was low in daily weighing (10. 66%), contacting clinicians if the body weight increased (22. 57%), and doing physical exercise regularly (35. 58%). Patients with lower educational levels and a worse health literacy had a lower endorsement. The screening of individual self-care practices in heart failure patients might improve the clinician follow-up. We suggest that primary healthcare clinicians should routinely screen self-care behaviors to identify patients requiring a closer follow-up and to design and adapt rehabilitation programs to improve self-care.
Nota:	Funding: This study was granted by the Official College of Nurses of Barcelona (Spain) (PR-2079 /15)
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Heart failure ; Self-care practices ; Primary healthcare ; Health literacy
Publicado en:	International journal of environmental research and public health, Vol. 16 Núm. 9 (january 2019) , p. 1625, ISSN 1660-4601

DOI: 10.3390/ijerph16091625
PMID: 31075932

16 p, 1.3 MB

El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Recerca Sant Pau
Artículos > Artículos de investigación
Artículos > Artículos publicados