与韩国心力衰竭患者自我护理行为相关的因素。

Factors associated with self-care behaviours among Koreans with heart failure.

机构信息

Severance Cardiovascular Hospital Outpatient Clinic, Yonsei University College of Nursing, Republic of Korea.

Cardiology Division, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Eur J Cardiovasc Nurs. 2021 Mar 1;20(3):276–284. doi: 10.1177/1474515120934060.

DOI:10.1177/1474515120934060

PMID:33570596

Abstract

BACKGROUND

Self-care behaviours are important to improve health outcomes in patients with heart failure. However, little is known about the factors related to the subdimensions of self-care behaviours in these patients.

AIMS

To identify the factors associated with the subdimensions of self-care behaviours among South Korean patients with heart failure.

METHODS

The participants in this cross-sectional descriptive study conducted between October 2016 and January 2017 were 178 patients with heart failure. Self-care behaviours were measured using the EHFScB-9, which has three subdimensions: autonomy-based adherence; provider-directed adherence; and consulting behaviours. Demographic characteristics, experience of heart failure education, physical function, patient health questionnaire-9, Pittsburgh sleep quality index and self-care confidence were also measured. Descriptive statistics and multiple linear regression analysis were conducted.

RESULTS

The mean age was 62 ± 12 years, and 37% were women. Younger age (P=0.023), no experience of heart failure education (P=0.039), poor physical function (P=0.003), poor sleep quality (P=0.037) and lower self-care confidence (P=0.001) were significantly associated with poor autonomy-based adherence. Being employed (P=0.042), poor sleep quality (P=0.042) and lower levels of self-care confidence (P=0.001) were associated with poor provider-directed adherence. Younger age (P=0.001) and lower self-care confidence (P=0.001) were associated with lower engagement in consulting behaviours.

CONCLUSION

The three subdimensions of self-care behaviours were associated with different psychosocial factors, necessitating the development of tailored interventions and educational materials based on unique self-care behaviour patterns in patients with heart failure.

摘要

背景

自我护理行为对于改善心力衰竭患者的健康结果非常重要。然而，对于这些患者的自我护理行为的亚维度与哪些因素相关知之甚少。

目的

确定与韩国心力衰竭患者自我护理行为的亚维度相关的因素。

方法

本横断面描述性研究于 2016 年 10 月至 2017 年 1 月进行，参与者为 178 例心力衰竭患者。使用 EHFScB-9 测量自我护理行为，该量表有三个亚维度：基于自主的依从性；提供者指导的依从性；以及咨询行为。还测量了人口统计学特征、心力衰竭教育经历、身体功能、患者健康问卷-9、匹兹堡睡眠质量指数和自我护理信心。进行描述性统计和多元线性回归分析。

结果

平均年龄为 62±12 岁，37%为女性。年龄较小（P=0.023）、无心力衰竭教育经历（P=0.039）、身体功能较差（P=0.003）、睡眠质量较差（P=0.037）和自我护理信心较低（P=0.001）与较差的自主依从性显著相关。就业（P=0.042）、睡眠质量差（P=0.042）和自我护理信心较低（P=0.001）与较差的提供者指导的依从性相关。年龄较小（P=0.001）和自我护理信心较低（P=0.001）与咨询行为的参与度较低相关。