Analysis of factors related to self-care in chronic heart failure patients in Indonesian

Tobi Pitora(1*), Tuti Pahria(2), Eka Afrima Sari(3)


(1) Departemen Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Padjadjaran
(2) Departemen Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Padjadjaran
(3) Departemen Keperawatan Medikal Bedah, Fakultas Keperawatan, Universitas Padjadjaran
(*) Corresponding Author

Abstract


Chronic Heart Failure (CHF) has impacted changes in physiological and psychological status and has a high risk of death and recurrence. Self-care is one of the efforts that get resolved to prevent recurrence in CHF patients. This study aims to determine factors related to self-care in CHF patients. This study used a descriptive correlational method with a cross-sectional approach. The sample in this study was 74 respondents who were diagnosed with CHF. Collected data in this study using a questionnaire. Data collected were analyzed using univariate, bivariate, and multivariate make use of Pearson's product-moment correlation test and multiple linear regression with the SPSS version 25 application. The study showed that most respondents who experienced CHF were male (70.3%), with the average respondent being 52 years old. The majority of respondents' education is in high school (63.5%) with an average knowledge of 10.76, self-efficacy of 35.00, social support of 77.05, and self-care of 69.66. The results of the bivariate test showed that there was a significant relationship between age (r = 0.281, p < 0.05), education (r = 0.312, p < 0.05), knowledge (r = 0.238, p < 0.05), self-efficacy (r = 0.321, p <0.05) and social support (r=0,239,p<0,05) for self-care in CHF patients. Multivariate analysis showed that self-efficacy was the most dominant factor (β=0.339) related to self-care in CHF patients. Self-efficacy has an important role in CHF patients in carrying out self-care, improve self-efficacy could be done by providing education and motivation, and support to patients in carrying out the treatment process.

Keywords


Chronic Heart Failure; Self-Care; Knowledge; Self-efficacy; Social Support

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References


Ponikowski P, Anker SD, AlHabib KF, Cowie MR, Force TL, Hu S, et al. Heart failure: preventing disease and death worldwide. ESC Heart Fail 2014;1:4–25. https://doi.org/10.1002/ehf2.12005.

WHO. Cardiovascular Disease (CVDs) 2017. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).

Roger VL. Epidemiology of Heart Failure. Circ Res 2013;113:646–59. https://doi.org/10.1161/CIRCRESAHA.113.300268.Epidemiology.

Kementrian Kesehatan RI. Laporan Nasional Riskesdas 2018. Badan Penelitian Dan Pengembangan Kesehatan 2018:198.

Chuang H-W, Kao C-W, Lin W-S, Chang Y-C. Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model. J Cardiovasc Nurs 2019;34:297–305. https://doi.org/10.1097/JCN.0000000000000575.

Slepecky M, Kotianova A, Prasko J, Majercak I, Gyorgyova E, Kotian M, et al. Which psychological, psychophysiological, and anthropometric factors are connected with life events, depression, and quality of life in patients with cardiovascular disease. Neuropsychiatr Dis Treat 2017;13:2093–104. https://doi.org/10.2147/NDT.S141811.

Lee EJ, Park E. Self-care behavior and related factors in older patients with uncontrolled hypertension. Contemp Nurse 2017;53:607–21. https://doi.org/10.1080/10376178.2017.1368401.

Jaarsma T, Cameron J, Riegel B, Stromberg A. Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update. Curr Heart Fail Rep 2017;14:71–7. https://doi.org/10.1007/s11897-017-0324-1.

Parker ME, Smith MC. Nursing Theories & Nursing Practice 3rd Edition. vol. 33. 3rd ed. 2012. https://doi.org/10.1073/pnas.0703993104.

Seid MA, Abdela OA, Zeleke EG. Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients’ point of view. PLoS One 2019;14:1–13. https://doi.org/10.1371/journal.pone.0211768.

Ogbemudia EJ, Asekhame J. Rehospitalization for heart failure in the elderly. Saudi Med J 2016;37:1144–7. https://doi.org/10.15537/smj.2016.10.15259.

Wahyuni A, Sari Kurnia O. Hubungan Self Caredan Motivasi dengan Kualitas Hidup Pasien Gagal Jantung. Jurnal Keperawatan Padjadjaran 2014;v2:108–15. https://doi.org/10.24198/jkp.v2n2.5.

Riegel B, Jaarsma T, Strömberg A. A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci 2012;35:194–204. https://doi.org/10.1097/ANS.0b013e318261b1ba.

Riegel B, Moser DK, Buck HG, VaughanDickson V, B.Dunbar S, Lee CS, et al. Self-care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American heart association. J Am Heart Assoc 2017;6:1–27. https://doi.org/10.1161/JAHA.117.006997.

Grzywacz JG, Stoller EP, Brewer-Lowry AN, Bell RA, Quandt SA, Arcury TA. Gender and Health Lifestyle: An In-Depth Exploration of Self-Care Activities in Later Life. Health Education and Behavior 2012;39:332–40. https://doi.org/10.1177/1090198111405195.

Notoadmojo. Promosi kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2007.

Yu H, Zhang P, Wang X, Wang Y, Zhang B. Effect of health education based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure. Iran J Public Health 2019;48:421–8. https://doi.org/10.18502/ijph.v48i3.884.

Imron Saputra, Dessy Hermawan EYC. Hubungan Pengetahuan Tentang Perawatan Diri Terhadap Aktivitas Sehari-Hari Pada Pasien Gagal Jantung Di Puskesmas Gedong Air Kota Bandar Lampung. Malahayati Nursing Journal 2021;3:218–26.

Friedman LM. Buku Ajar Keperawatan Keluarga; Riset, Teori dan Praktik. 5th ed. Jakarta: EGC; 2010.

Ok JS, Choi H. Factors affecting adherence to self-care behaviors among outpatients with heart failure in Korea. Korean Journal of Adult Nursing 2015;27:242–50. https://doi.org/10.7475/kjan.2015.27.2.242.

Graven LJ, Gordon G, Keltner JG, Abbott L, Bahorski J. Efficacy of a social support and problem-solving intervention on heart failure self-care : A pilot study. Patient Educ Couns 2017. https://doi.org/10.1016/j.pec.2017.09.008.

Ok JS, Choi H. Factors affecting adherence to self-care behaviors among outpatients with heart failure in Korea. Korean Journal of Adult Nursing 2015;27:242–50. https://doi.org/10.7475/kjan.2015.27.2.242.

Sugiyanti A, Agustina D, Rahayu S. Dukungan Keluarga Berhubungan Dengan Kepatuhan Minum Obat Pada Pasien Gagal Jantung Kongestif Di Rspad Gatot Soebroto. Jurnal Ilmiah Kesehatan Keperawatan 2020;16:67. https://doi.org/10.26753/jikk.v16i2.371.

Maeda U, Shen BJ, Schwarz ER, Farrell KA, Mallon S. Self-efficacy mediates the associations of social support and depression with treatment adherence in heart failure patients. Int J Behav Med 2013;20:88–96. https://doi.org/10.1007/s12529-011-9215-0.

Peyman N, Shahedi F, Abdollahi M, Doosti H, Zadehahmad Z. Impact of self-efficacy strategies education on self-care behaviors among heart failure patients. Journal of Tehran University Heart Center 2020;15:6–11. https://doi.org/10.18502/jthc.v15i1.3332.

Ha FJ, Hare DL, Cameron JD, Toukhsati SR. Heart Failure and Exercise: A Narrative Review of the Role of Self-Efficacy. Heart Lung Circ 2018;27:22–7. https://doi.org/10.1016/j.hlc.2017.08.012.

Djafari Naeini S, Razavi NS, Taheri M, Ehsani AR, Bakhshandeh H, Ansari Far A, et al. The Association Between Self Efficacy, Perceived Social Support and Adherence to Treatment in Patients with Heart Failure. Multidisciplinary Cardiovascular Annals 2019;11. https://doi.org/10.5812/mca.98118.

Klompstra L, Jaarsma T, Strömberg A. Self-efficacy Mediates the Relationship between Motivation and Physical Activity in Patients with Heart Failure. Journal of Cardiovascular Nursing 2018;33:211–6. https://doi.org/10.1097/JCN.0000000000000456.

Buck HG, Dickson VV, Fida R, Riegel B, D’Agostino F, Alvaro R, et al. Predictors of hospitalization and quality of life in heart failure: A model of comorbidity, self-efficacy and self-care. Int J Nurs Stud 2015;52:1714–22. https://doi.org/10.1016/j.ijnurstu.2015.06.018.

Riegel B, Dickson VV, Faulkner KM. The situation-specific theory of heart failure self-care revised and updated. Journal of Cardiovascular Nursing 2016;31:226–35. https://doi.org/10.1097/JCN.0000000000000244.

Houston E, Fominaya AW. Antiretroviral therapy adherence in a sample of men with low socioeconomic status: The role of task-specific treatment self-efficacy. Psychol Health Med 2015;20:896–905. https://doi.org/10.1080/13548506.2014.986137.


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DOI: https://doi.org/10.26714/mki.5.4.2022.309-316

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