Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study.

Koirala, B; Dennison Himmelfarb, CR; Budhathoki, C; Davidson, PM

Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study.

Koirala, B Dennison Himmelfarb, CR Budhathoki, C Davidson, PM

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Heliyon, 2020, 6, (2)
Issue Date:: 2020-02-17

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Field	Value	Language
dc.contributor.author	Koirala, B
dc.contributor.author	Dennison Himmelfarb, CR
dc.contributor.author	Budhathoki, C
dc.contributor.author	Davidson, PM
dc.date.accessioned	2020-10-02T04:56:48Z
dc.date.available	2020-02-10
dc.date.available	2020-10-02T04:56:48Z
dc.date.issued	2020-02-17
dc.identifier.citation	Heliyon, 2020, 6, (2)
dc.identifier.issn	2405-8440
dc.identifier.issn	2405-8440
dc.identifier.uri	http://hdl.handle.net/10453/143010
dc.description.abstract	Background:Self-care helps maintain health, prevents complications and improves the quality of life of patients living with heart failure (HF). Self-care is critical to HF management but has received limited attention in Nepal. Identification of the sociodemographic and clinical characteristics associated with self-care is crucial to tailoring appropriate self-care programs to improve health outcomes including patients' quality of life. Aims:The aims of this study were to describe self-care including the factors influencing self-care and the relationship between self-care and health-related quality of life in patients living with HF in Kathmandu, Nepal. Methods:We used a cross-sectional observational study design to measure self-care maintenance, self-care management, and self-care confidence using the Nepali Self-Care of Heart Failure Index. To analyze data, we used descriptive statistics, bivariate associations and regression modeling. Results:We recruited 221 patients with HF: mean age 57.5 ± 15.76 years, 62% male. The results in this sample indicated poor self-care maintenance (38.5 ± 11.56), management (45.7 ± 15.14), and confidence (40.9 ± 16.31). Patients with higher education were associated with higher self-care maintenance and management. Living alone and a better New York Heart Association functional classification for HF were related to higher self-care confidence. Higher social support was associated with better self-care. Self-care confidence was an independent predictor of self-care maintenance, management and health-related quality of life on adjusted analyses. Conclusion:Self-care was limited among patients living with HF in Nepal yet was associated with better quality of life. The study identified various sociodemographic and clinical factors related to self-care, which could be crucial while developing self-care interventions.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Heliyon
dc.relation.isbasedon	10.1016/j.heliyon.2020.e03412
dc.rights	This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.title	Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study.
dc.type	Journal Article
utslib.citation.volume	6
utslib.location.activity	England
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	recently_added	*
pubs.consider-herdc	false
dc.date.updated	2020-10-02T04:56:26Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	6
utslib.citation.issue	2

Abstract:

Background:Self-care helps maintain health, prevents complications and improves the quality of life of patients living with heart failure (HF). Self-care is critical to HF management but has received limited attention in Nepal. Identification of the sociodemographic and clinical characteristics associated with self-care is crucial to tailoring appropriate self-care programs to improve health outcomes including patients' quality of life. Aims:The aims of this study were to describe self-care including the factors influencing self-care and the relationship between self-care and health-related quality of life in patients living with HF in Kathmandu, Nepal. Methods:We used a cross-sectional observational study design to measure self-care maintenance, self-care management, and self-care confidence using the Nepali Self-Care of Heart Failure Index. To analyze data, we used descriptive statistics, bivariate associations and regression modeling. Results:We recruited 221 patients with HF: mean age 57.5 ± 15.76 years, 62% male. The results in this sample indicated poor self-care maintenance (38.5 ± 11.56), management (45.7 ± 15.14), and confidence (40.9 ± 16.31). Patients with higher education were associated with higher self-care maintenance and management. Living alone and a better New York Heart Association functional classification for HF were related to higher self-care confidence. Higher social support was associated with better self-care. Self-care confidence was an independent predictor of self-care maintenance, management and health-related quality of life on adjusted analyses. Conclusion:Self-care was limited among patients living with HF in Nepal yet was associated with better quality of life. The study identified various sociodemographic and clinical factors related to self-care, which could be crucial while developing self-care interventions.

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http://hdl.handle.net/10453/143010