Self-care behaviors in patients with systolic heart failure

Sharareh Zeighami Mohammadi; Fatemeh Alhani; Manijeh Shakoor; Parvin Farmani; Farzad Fahidi; Behnam Mohseni; Ebrahim Fallah Taherpazir

doi:10.7508/jnms.2015.01.007

Journal of Nursing and Midwifery Sciences

The Official Journal of Mazandaran University of Medical Sciences

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https://doi.org/10.7508/jnms.2015.01.007

Self-care behaviors in patients with systolic heart failure

Author(s):

Sharareh Zeighami Mohammadi

¹,

Fatemeh Alhani

^2,*,

Manijeh Shakoor³,

Parvin Farmani⁴,

Farzad Fahidi⁵,

Behnam Mohseni⁶,

Ebrahim Fallah Taherpazir⁶

1Department of Nursing, College of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Alborz, Iran

2Department of Nursing, School of Medical Sciences, TarbiatModares University, Tehran, Iran

3Clinical Supervisor of social security Alborz hospital, Karaj, Iran

4Educational Supervisor of social security Alborz hospital, Karaj, Iran

5Educational Supervisor of social security Shahriar hospital, Tehran, Iran

6Social security Shahriar hospital, Tehran, Iran

Journal of Nursing and Midwifery Sciences:Vol. 2, issue 1; 46-54

Published online:Jun 20, 2015

Article type:Research Article

Received:Oct 16, 2014

Accepted:Nov 22, 2014

How to Cite:Zeighami Mohammadi S, Alhani F, Shakoor M, Farmani P, Fahidi F, et al. Self-care behaviors in patients with systolic heart failure.J Nurs Midwifery Sci.2015;2(1):e141383.https://doi.org/10.7508/jnms.2015.01.007.

Abstract

Background and Purpose: To improve life quality, and lower mortality and rehospitalization for heart failure patients,
awareness and adherence to self-care behaviors are essential. This study aims to determine the adherence level to self -care
behaviors in the patients with systolic heart failure hospitalized in Alborz hospital in Karaj andShahriar hospital, and it was
conducted in 2013.
Methods: In this cross-sectional study, 100 patients with at least one year experience of developing heart failure and ejection
fraction below 40% were studied. They were admitted to Alborz Social Security hospital of Karaj and the Social Security Hospital
Shahriar during 2012-2013. They were selected through convenience sampling. Demographic data and European Heart Failure Selfcare
Behavior questionnaires were completed through interviews. Data analysis has been done using SPSS, V.18 and independent
t-test and ANOVA.
Results: 84% of the subjects had moderate and 10% had poor adherence to self-care. The best adherence to self-care behaviors was
related to the drug and diet regimen and the poorest to the daily weight control and exercise. There was a significant relationship
between self-care behaviors and age (p=0.011), marital status (p=0.008), the number of chronic diseases (p=0.048), hypertension
(p=0.038), chronic pulmonary obstruction (p=0.029), renal disease (p=0.017) and severity of the disease (p=0.032).
Conclusion: Adherence to self-care behaviors in heart failure patients is not appropriate. Training and following up self-care
behaviors should focus on the specific problems of aging, social support, diet and drug regimens simplification and its relation with
other chronic diseases.

Keywords

Heart failure

Self-care

Drug and diet adherence

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Author(s):

Sharareh Zeighami Mohammadi:[PubMed][Scholar]
Fatemeh Alhani:[PubMed][Scholar]
Manijeh Shakoor:[PubMed][Scholar]
Parvin Farmani:[PubMed][Scholar]
Farzad Fahidi:[PubMed][Scholar]
Behnam Mohseni:[PubMed][Scholar]
Ebrahim Fallah Taherpazir:[PubMed][Scholar]