BACKGROUND: Heart failure (HF) self-care is extremely challenging and few people master it. Self-care was defined as an active, cognitive process in which persons engage for the purpose of maintaining their health (maintenance) and managing symptoms (management). AIM: To examine the contribution of attitudes, self-efficacy, and cognition to HF self-care management. METHODS: In this mixed methods study, 41 individuals (63.4% male, 68.3% Caucasian, mean age 49.17 (10.51) years, 58.5% NYHA III, median ejection fraction 30%) were interviewed and completed instruments on HF self-care, cognition, and physical functioning. Content analysis of narrative data revealed themes of self-care management practices, attitudes and self-efficacy towards self-care. Non-parametric tests assessed differences based on the types identified in the content analysis. RESULTS: A self-care typology was constructed from the data: experts, novices and inconsistent. There were statistically significant differences (p=0.001) in self-care practices among types and variance in attitudes, self-efficacy, and cognition. Experts had experience and skill in self-care, which novices lacked, and positive attitudes and self-efficacy that aligned with their behaviors. Most patients (71%) were classified as inconsistent, a self-care type associated with impaired cognition, poor physical functioning, negative attitudes, and poor self-efficacy. CONCLUSIONS: This typology provides insight into how expertise in self-care develops and the reasons why it is not always sustained.
BACKGROUND: Heart failure (HF) self-care is extremely challenging and few people master it. Self-care was defined as an active, cognitive process in which persons engage for the purpose of maintaining their health (maintenance) and managing symptoms (management). AIM: To examine the contribution of attitudes, self-efficacy, and cognition to HF self-care management. METHODS: In this mixed methods study, 41 individuals (63.4% male, 68.3% Caucasian, mean age 49.17 (10.51) years, 58.5% NYHA III, median ejection fraction 30%) were interviewed and completed instruments on HF self-care, cognition, and physical functioning. Content analysis of narrative data revealed themes of self-care management practices, attitudes and self-efficacy towards self-care. Non-parametric tests assessed differences based on the types identified in the content analysis. RESULTS: A self-care typology was constructed from the data: experts, novices and inconsistent. There were statistically significant differences (p=0.001) in self-care practices among types and variance in attitudes, self-efficacy, and cognition. Experts had experience and skill in self-care, which novices lacked, and positive attitudes and self-efficacy that aligned with their behaviors. Most patients (71%) were classified as inconsistent, a self-care type associated with impaired cognition, poor physical functioning, negative attitudes, and poor self-efficacy. CONCLUSIONS: This typology provides insight into how expertise in self-care develops and the reasons why it is not always sustained.
Authors: R Oosterom-Calo; A J van Ballegooijen; C B Terwee; S J te Velde; I A Brouwer; T Jaarsma; J Brug Journal: Heart Fail Rev Date: 2012-05 Impact factor: 4.214
Authors: Cheryl R Dennison; Mindy L McEntee; Laura Samuel; Brandon J Johnson; Stacey Rotman; Alexandra Kielty; Stuart D Russell Journal: J Cardiovasc Nurs Date: 2011 Sep-Oct Impact factor: 2.083
Authors: Christopher S Lee; Barbara Riegel; Andrea Driscoll; Jom Suwanno; Debra K Moser; Terry A Lennie; Victoria V Dickson; Jan Cameron; Linda Worrall-Carter Journal: Int J Nurs Stud Date: 2009-05-13 Impact factor: 5.837
Authors: Barbara Riegel; Andrea Driscoll; Jom Suwanno; Debra K Moser; Terry A Lennie; Misook L Chung; Jia-Rong Wu; Victoria Vaughan Dickson; Beverly Carlson; Jan Cameron Journal: J Card Fail Date: 2009-03-14 Impact factor: 5.712