Predictors of self-care behaviors in individuals with heart failure in Brazil

Revista Gaúcha de Enfermagem Pub Date : 2023-01-01 DOI:10.1590/1983-1447.2023.20220357.en

Marco Antonio Gomes da Silva, Evelise Helena Fadini Reis Brunori, Beatriz Murata Murakami, Fábio D´Agostino, Camila Takao Lopes, Vinicius Batista Santos, Eduarda Ribeiro dos Santos

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Abstract

ABSTRACT Objective: To identify the predictors of self-care behaviors in individuals with heart failure. Method: A cross-sectional study including 405 patients with heart failure. Self-care behaviors were assessed by the Self-Care of Heart Failure Index. Sociodemographic and clinical characteristics were investigated as predictors of self-care maintenance, management and confidence through logistic regressions. Results: The predictors of self-care maintenance were number of children (p<0.01), left ventricular ejection fraction (p<0.01), positive feeling about disease (p=0.03), obesity (p=0.02) and dialytic chronic kidney disease (p<0.01). The predictors of self-care management were having married children (p<0.01) and sleep apnea (p<0.01). The predictors of self-care confidence were family income (p<0.01), number of hospitalizations in the previous 12 months (p=0.01), number of daily medication doses (p<0.01) and sedentarism (p<0.01). Conclusion: Some predictors related to the self-care behaviors were found, so some intensified education and social aid should be aimed at patients with these specific characteristics.

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巴西心力衰竭患者自我护理行为的预测因素

摘要目的:探讨心力衰竭患者自我护理行为的预测因素。方法:对405例心力衰竭患者进行横断面研究。采用心力衰竭自我护理指数评价患者的自我护理行为。通过logistic回归研究社会人口学特征和临床特征作为自我护理维持、管理和信心的预测因素。结果:自我护理维持的预测因子为患儿数(p<0.01)、左心室射血分数(p<0.01)、对疾病的积极感觉(p=0.03)、肥胖(p=0.02)和透析性慢性肾病(p<0.01)。自我护理管理的预测因子为已婚子女(p < 0.01)和睡眠呼吸暂停(p < 0.01)。家庭收入(p < 0.01)、前12个月住院次数(p < 0.01)、每日服药次数(p < 0.01)和久坐时间(p < 0.01)是自我护理信心的预测因子。结论:发现了一些与自我护理行为相关的预测因素，应针对这些特定特征的患者加强教育和社会援助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista Gaúcha de Enfermagem

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