Trajectory of self-care behaviour in patients with heart failure: the impact on clinical outcomes and influencing factors.

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Liljeroos, MariaLinköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Uppsala Univ, Sweden (author)

Trajectory of self-care behaviour in patients with heart failure : the impact on clinical outcomes and influencing factors.

Article/chapterEnglish2020

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2020-01-29
Sage Publications,2020
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LIBRIS-ID:oai:DiVA.org:uu-404515
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-404515URI
https://doi.org/10.1177/1474515120902317DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-163712URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Funding Agencies|Netherlands Heart Foundation (NHF)Netherlands Heart Foundation [2008B083]
BACKGROUND: Patients' self-care behaviour is still suboptimal in many heart failure (HF) patients and underlying mechanisms on how to improve self-care need to be studied.AIMS: (1) To describe the trajectory of patients' self-care behaviour over 1 year, (2) to clarify the relationship between the trajectory of self-care and clinical outcomes, and (3) to identify factors related to changes in self-care behaviour.METHODS: In this secondary analysis of the COACH-2 study, 167 HF patients (mean age 73 years) were included. Self-care behaviour was assessed at baseline and after 12 months using the European Heart Failure Self-care Behaviour scale. The threshold score of ⩾70 was used to define good self-care behaviour.RESULTS: Of all patients, 21% had persistent poor self-care behaviour, and 27% decreased from good to poor. Self-care improved from poor to good in 10%; 41% had a good self-care during both measurements. Patients who improved self-care had significantly higher perceived control than those with persistently good self-care at baseline. Patients who decreased their self-care had more all-cause hospitalisations (35%) and cardiovascular hospitalisations (26%) than patients with persistently good self-care (2.9%, p < 0.05). The prevalence of depression increased at 12 months in both patients having persistent poor self-care (0% to 21%) and decreasing self-care (4.4% to 22%, both p < 0.05).CONCLUSION: Perceived control is a positive factor to improve self-care, and a decrease in self-care is related to worse outcomes. Interventions to reduce psychological distress combined with self-care support could have a beneficial impact on patients decreasing or persistently poor self-care behaviour.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Self-management
depression
heart failure outcomes
self-care behaviour

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Perkiö Kato, NaokoLinköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten(Swepub:liu)naope77 (author)
van der Wal, Martje H. L.Linköpings universitet,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Univ Appl Sci Groningen, Netherlands(Swepub:liu)n/a (author)
Brons, MaaikeUniv Med Ctr Utrecht, Netherlands (author)
Luttik, Marie Louise (author)
van Veldhuisen, Dirk JUniv Groningen, Netherlands (author)
Strömberg, Anna,1967-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annst40 (author)
Jaarsma, TinyLinköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten(Swepub:liu)tinja77 (author)
Uppsala universitetCentrum för klinisk forskning i Sörmland (CKFD) (creator_code:org_t)

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In:European Journal of Cardiovascular Nursing: Sage Publications19:5, s. 421-4321474-51511873-1953

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