R Juárez-Vela1, C M Sarabia-Cobo2, I Antón-Solanas3, E Vellone4, A Durante4, V Gea-Caballero5, J I Pérez-Calvo6. 1. Grupo de Investigación en Insuficiencia Cardiaca e Insuficiencia Fisiopatológica de la Interacción Cardiorrenal (IFICaR), Escuela de Enfermería, Instituto de Investigación Sanitaria de Aragón-ISS, Universidad de La Rioja, Logroño, La Rioja, España. 2. Facultad de Enfermería, Universidad de Cantabria, Santander, España. 3. Facultad de Ciencias de la Salud, Universidad San Jorge, Zaragoza, España. 4. Departamento de Biomedicina y Prevención, Universidad de Roma Tor Vergata, Roma, Italia. 5. Grupo de Investigación Emergente Acreditado en Arte y Ciencia del Cuidado GREIACC, Escuela de Enfermería La Fe (Valencia), IIS La Fe, Valencia, España. Electronic address: gea_vic@gva.es. 6. Grupo de Investigación en Insuficiencia Cardiaca e Insuficiencia Fisiopatológica de la Interacción Cardiorrenal (IFICaR), Servicio de Medicina Interna, Hospital Clínico Lozano Blesa, Facultad de Medicina, Universidad de Zaragoza, Instituto de Investigación Sanitaria de Aragón-ISS, Zaragoza, España.
Abstract
BACKGROUND: There is scarce evidence relating to self-care of heart failure (HF) in Spain. In particular, there is a need to establish patients' level of understanding of HF, as well as their ability to recognise signs and symptoms of decompensation. PATIENTS AND METHODS: Cross-sectional study to determine the level of self-care in a population of Spanish patients admitted to hospital with a primary diagnosis of decompensated HF. A convenience sample of 108 patients (50 women and 58 men) aged 83±8 were recruited to participate in this study. RESULTS: The Self-Care of Heart Failure Index version 6.2 was used to quantify self-care in our sample. Mean and standard deviation from the Self-Care of Heart Failure Index self-care maintenance subscale were: a) "exercise for 30 minutes", 1±1; b) "forget to take one of your medicines", 2±2; c) "ask for low-salt items when eating out or visiting others", 2±1. A percentage of 67.6 had experienced shortness of breath or ankle swelling in the past month. However, the vast majority of our patients were unlikely to independently implement a remedy: a) reduce salt, 2±1; b) reduce fluid intake, 1±1; c) take an extra diuretic, 1±1. Over 50% of our sample felt confident or very confident at following professional advice (3±1), keeping themselves free of symptoms (3±1), recognizing changes in their condition (3±1) and evaluating the significance of such changes (3±1). CONCLUSIONS: HF patients have a significantly low level of self-care when compared with HF patients from other countries, especially when it comes to managing their condition. Self-care promotion should be a priority for all healthcare professionals involved in the care and management of HF patients.
BACKGROUND: There is scarce evidence relating to self-care of heart failure (HF) in Spain. In particular, there is a need to establish patients' level of understanding of HF, as well as their ability to recognise signs and symptoms of decompensation. PATIENTS AND METHODS: Cross-sectional study to determine the level of self-care in a population of Spanish patients admitted to hospital with a primary diagnosis of decompensated HF. A convenience sample of 108 patients (50 women and 58 men) aged 83±8 were recruited to participate in this study. RESULTS: The Self-Care of Heart Failure Index version 6.2 was used to quantify self-care in our sample. Mean and standard deviation from the Self-Care of Heart Failure Index self-care maintenance subscale were: a) "exercise for 30 minutes", 1±1; b) "forget to take one of your medicines", 2±2; c) "ask for low-salt items when eating out or visiting others", 2±1. A percentage of 67.6 had experienced shortness of breath or ankle swelling in the past month. However, the vast majority of our patients were unlikely to independently implement a remedy: a) reduce salt, 2±1; b) reduce fluid intake, 1±1; c) take an extra diuretic, 1±1. Over 50% of our sample felt confident or very confident at following professional advice (3±1), keeping themselves free of symptoms (3±1), recognizing changes in their condition (3±1) and evaluating the significance of such changes (3±1). CONCLUSIONS: HF patients have a significantly low level of self-care when compared with HF patients from other countries, especially when it comes to managing their condition. Self-care promotion should be a priority for all healthcare professionals involved in the care and management of HF patients.
Authors: Rosa Antonio-Oriola; Ercole Vellone; Angela Durante; Maddalena De Maria; Marco Di Nitto; Vicente Gea-Caballero; Iván Santolalla-Arnedo; Michał Czapla; José Vicente Benavent-Cervera; Juan Luis Sánchez-González; Raúl Juárez-Vela Journal: J Pers Med Date: 2022-04-12
Authors: Pablo Jorge-Samitier; Angela Durante; Vicente Gea-Caballero; Isabel Antón-Solanas; María Teresa Fernández-Rodrigo; Raúl Juárez-Vela Journal: Int J Environ Res Public Health Date: 2020-10-23 Impact factor: 3.390
Authors: Raúl Juárez-Vela; Ángela Durante; Begoña Pellicer-García; Antonio Cardoso-Muñoz; José María Criado-Gutiérrez; Isabel Antón-Solanas; Vicente Gea-Caballero Journal: Int J Environ Res Public Health Date: 2020-09-26 Impact factor: 3.390