Self-care management, knowledge, self-efficacy for medication and Quality of Life in chronic heart failure patients
Keywords:
Heart Failure knowledge self-care behaviour quality adherence
Abstract
Background: The management of Heart Failure (HF) is the cornerstone for the appropriate therapy and the knowledge obtained concerning the disease is known to affect self-care behaviours.
Aim: The aim was to test the association between self-care management, knowledge, self-efficacy for medication and quality of life in chronic HF patients.
Material and Method: A cross-sectional study was conducted and four questionnaires were used: Atlanta Heart Failure Knowledge Test (AHFK), Minnesota Living with Heart Failure (HMLHFQ), Self-Efficacy for Appropriate Medication Use Scale (SEAMS), European Heart Failure Self-care Behaviour Scale (EHFScBS-9). Multiple linear regression analysis was performed to identify independently associated variables with study subscales.
Results: The sample consisted of 122 Heart Failure patients (102 men-20 women) with mean age 67.1 years (SD=12.3). Scores on Fluid and sodium management, Physical activity and recognition of deteriorating symptoms were significantly greater as compared with scores on Adhering to recommendations (p<0.001), indicating that the needs concerning Adhering to recommendations were greater. Linear regression analyses showed that score on knowledge-test and New York Heart Association (NYHA) class were predictive of medication adherence factors. Better knowledge was associated with better medication adherence, while worse scores were found in subjects with NYHA class III or IV as compared to those with NYHA class I or II. Additionally, Knowledge and years of Education were associated with Self-care behaviour factors (β=0.44, SE=0.08, p<0.001).
Conclusions: Patients at a higher level of HF knowledge show better adherence to the Medication. Self-care behavior and life quality are improved.
Article Details
- How to Cite
-
Kroustalli, E., Papadopoulos, C. H., Vasileiadis, I., Kalokairinou, A., Kiokas, S., Karatzanos, E., & Nanas, S. (2021). Self-care management, knowledge, self-efficacy for medication and Quality of Life in chronic heart failure patients. Health & Research Journal, 7(1), 4–16. https://doi.org/10.12681/healthresj.26094
- Section
- Original Articles
Copyright notice:
Authors retain copyright of their work and grant the Health and Research Journal the right of first publication.
License:
Articles are published under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license permits use, sharing, adaptation, distribution, and reproduction in any medium or format, including for commercial purposes, provided that appropriate credit is given to the author(s) and the original publication in this journal, a link to the license is provided, and any changes are indicated.
Attribution requirement:
Any reuse must include the article citation and DOI (where available), and indicate if changes were made.
Downloads
Download data is not yet available.
References
Silavanich V, Nathisuwan S, Phrommintikul A, Permsuwan U. Relationship of medication adherence and quality of life among Heart Failure patients. Heart Lung. 2019; 48(2):105-110. https://doi.org/10.1016/j.hrtlng.2018.09.009
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Colvin MM, Drazner MH, Filippatos GS,Fonarow GC, Givertz MM, Hollenberg SM, Lindenfeld J, Masoudi FA, McBride PE, Pe-terson PN, Stevenson LW, Westlake C. 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A report of the American College of Cardiology/American Heart Asso-ciation Task Force on clinical practice guidelines and the Heart Failure Society of America. Circulation. 2017; 136(6):e137-e161.
Ponikowski P, Voors A, Anker S, et al; ESC Committee for Practice Guidelines. ESC Guidelines for the diagnosis and treatment of acute and chronic Heart Failure 2016: The Task Force for the diagnosis and treatment of acute and chronic Heart Failure 2012 of the European Society of Car-diology. Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016; 37(27):2129-2200. https://doi.org/10.1093/eurheartj/ehw128
Lamarche L, Tejpal A, Mangin D. Self-efficacy for medica-tion management: a systematic review of instruments. Pa-tientPreferAdherence.2018; 12:1279-1287. https://doi.org/10.2147/PPA.S165749
Tawalbeh LI. The effect of cardiac education on knowledge and Self-care behaviours among patients with Heart Fail-ure. Dimens Crit Care Nurs.2018;37(2):78-86. https://doi.org/10.1097/DCC.0000000000000285
Náfrádi L, Nakamoto K, Schulz PJ. Is patient empowerment the key to promote adherence? A systematic review of the relationship between Self-efficacy, health locus of control and medication adherence. PLoS One. 2017; 12(10):e0186458. https://doi.org/10.1371/journal.pone.0186458
Young L, Kupzyk K, Barnason S. The impact of Self-management knowledge and support on the relationships among Self-efficacy, patient activation, and Self-management in rural patients with Heart Failure. J Cardiovasc Nurs. 2017; 32(4):E1-E8. https://doi.org/10.1097/JCN.0000000000000390
Kessing D, Denollet J, Widdershoven J, Kupper N. Self-care and health-related quality of life in chronic Heart Failure: A longitudinal analysis. Eur J Cardiovasc Nurs. 2017; 16(7):605-613. https://doi.org/10.1177/1474515117702021
Abbasi A, Najafi Ghezeljeh T, Ashghali Farahani M, Naderi N. Effects of the Self-management education program us-ing the multi-method approach and multimedia on the quality of life of patients with chronic Heart Failure: A non-randomized controlled clinical trial. Contemp Nurse. 2018; 54(4-5):409-420.https://doi.org/10.1080/10376178.2018.1538705
Wu JR, Moser DK. Medication adherence mediates the rela-tionship between Heart Failure symptoms and cardiac event-free survival in patients with Heart Failure. J Cardio-vasc Nurs. 2018; 33(1):40-46.https://doi.org/10.1097/JCN.0000000000000427
Lycholip E, Thon Aamodt I, Lie I, Šimbelytė T, Puronaitė R, Hillege H, de Vries A, Kraai I, Stromberg A, Jaarsma T, Čelutkienė J. The dynamics of Self-care in the course of Heart Failure management: data from the IN TOUCH study. Patient prefer adherence. 2018; 12:1113-1122. https://doi.org/10.2147/PPA.S162219
Reilly CM1, Higgins M, Smith A, Gary RA, Robinson J, Clark PC, McCarty F, Dunbar SB. Development, psychometric testing, and revision of the Atlanta Heart Failure knowledge test. J Cardiovasc Nurs. 2009; 24(6):500-9.https://doi.org/10.1097/JCN.0b013e3181aff0b0
Jaarsma T, Arestedt KF, Mårtensson J, Dracup K, Strömberg A. The European Heart Failure Self-care behaviour scale re-vised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. Eur J Heart Fail. 2009; 11(1):99-105.https://doi.org/10.1093/eurjhf/hfn007
Lambrinou E, Kalogirou F, Lamnisos D, Papathanassoglou E, Protopapas A, Sourtzi P, Barberis V, Lemonidou Ch, An-toniades L, Middleton N. The Greek version of the 9-item European Heart Failure Self-care behaviour scale: A multi-dimensional or a unidimensional scale? Heart & Lung. 2014; 43:494e499.https://doi.org/10.1016/j.hrtlng.2014.07.001
Lambrinou E, Kalogirou F, Lamnisos D, Middleton N, Sourtzi P, Lemonidou C, Barberis VI, Avraamides P, Chris-todoulou A, Ioannides M, Papathanassoglou E. Evaluation of the psychometric properties of the greek version of the Minnesota Living With Heart Failure questionnaire. J Cardiopulm Rehabil Prev. 2013; 33(4):229-33.https://doi.org/10.1097/HCR.0b013e3182930cbb
Risser Ε, Jacobson Τ, Kripalani S. Development and psy-chometric evaluation of the Self-efficacy for Appropriate Medication Use Scale (SEAMS) in low-literacy patients with chronic disease. J Nurs Meas. 2007; 15(3):203-19. https://doi.org/10.1891/106137407783095757
Kollia Z, Giakoumidakis K, Brokalaki H. The effectiveness of nursing education on clinical outcomes of patients with Heart Failure: A systematic review. Jundishapur J Chronic Dis Care. 2016; 5(2):e35881. https://dx.doi.org/10.17795/jjcdc-35881
Musekamp G, Schuler M, Seekatz B, Bengel J, Faller H, Meng K. Does improvement in Self-management skills pre-dict improvement in Quality of Life and depressive symp-toms? A prospective study in patients with Heart Failure up to one year after Self-management education. BMC Cardiovasc Disord. 2017; 17(1):51.https://doi.org/10.1186/s12872-017-0486-5
Melin M, Hägglund E, Ullman B, Persson H, Hagerman I. Effects of a tablet computer on Self-care, Quality of Life, and knowledge: A randomized clinical trial. J Cardiovasc Nurs. 2018; 33(4):336-343. https://doi.org/10.1097/JCN.0000000000000462
Kua ZJ, Valenzuela M, Dong Y. Can computerized Cognitive training improve cognition in patients with Heart Failure?: A review. J Cardiovasc Nurs. 2019; 34(2):E19-E27.https://doi.org/10.1097/JCN.0000000000000558
Vellone E, Fida R, Ghezzi V, D'Agostino F, Biagioli V, Paturzo M, Strömberg A, Alvaro R, Jaarsma T. Patterns of Self-care in adults with Heart Failure and their associations with so-ciodemographic and clinical characteristics, Quality of Life, and hospitalizations: A cluster analysis. J Cardiovasc Nurs.2017;32(2):180-189.https://doi.org/10.1097/JCN.0000000000000325
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 Feb7; 14(2):e0211768. https://doi.org/10.1371/journal.pone.0211768
Mlynarska A, Golba KS, Mlynarski R. Capability for Self-care of patients with Heart Failure. Clin Interv Aging. 2018; 13:1919-1927.https://doi.org/10.2147/CIA.S178393
Lemay J, Waheedi M, Al-Sharqawi S, Bayoud T. Medication adherence in chronic illness: do beliefs about medications play a role? Patient prefer adherence. 2018; 12:1687-1698.https://doi.org/10.2147/PPA.S169236
Bonin CD, Santos RZ, Erkmann N, Souza VF, Vieira AM, Benetti M. Knowledge about Heart Failure in participants and non-participants cardiac rehabilitation. International Journal of Cardiovascular Sciences. 2016; 29(6):453-459.http://www.dx.doi.org/10.5935/2359-4802.20170001
Evangelista LS, Cacciata M, Stromberg A, Dracup K. Dose-Response relationship between exercise intensity, mood states, and Quality of Life in patients with Heart Failure. J Cardiovasc Nurs. 2017; 32(6):530-537.https://doi.org/10.1097/JCN.0000000000000407
Moryś JM, Pąchalska M, Bellwon J, Gruchała M. Cognitive impairment, symptoms of depression, and health-related Quality of Life in patients with severe stable Heart Failure. Int J Clin Health Psychol. 2016; 16(3):230-238. https://doi.org/10.1016/j.ijchp.2016.03.002
Aggelopoulou Z, Fotos NV, Chatziefstratiou AA, Gia-koumidakis K, Elefsiniotis I, Brokalaki H. The level of anxie-ty, depression and Quality of Life among patients with Heart Failure in Greece. Appl Nurs Res. 2017; 34:52-56. https://doi.org/10.1016/j.apnr.2017.01.003
Heo S, Moser DK, Lennie TA, Fischer M, Kim J, Lee M, Walsh MN, Ounpraseuth S. Changes in Heart Failure symptoms are associated with changes in health-related Quality of Life over 12 months in patients with Heart Failure. J Cardiovasc Nurs. 2018; 33(5):460-466. https://doi.org/10.1097/JCN.0000000000000493
Auld JP, Mudd JO, Gelow JM, Hiatt SO, Lee CS. Self-care moderates the relationship between symptoms and health-related Quality of Life in Heart Failure. J Cardiovasc Nurs. 2018; 33(3):217-224. https://doi.org/10.1097/JCN.0000000000000447
Melgaard L, Overvad TF, Skjoth F, Christensen JH, Larsen TB, Lip GYH. Risk of stroke and bleeding in patients with Heart Failure and chronic kidney disease: a nationwide co-hort study. ESC Heart Fail. 2018; 5(2):319-326.https://doi.org/10.1002/ehf2.12256
Ferreira JP, Girerd N, Gregson J, Latar I, Sharma A, Pfeffer MA, McMurray JJV, Abdul-Rahim AH, Pitt B, Dickstein K, Rossignol P, Zannad F. Stroke risk in patients with reduced ejection fraction after myocardial infarction without a trial fibrillation. J Am Coll Cardiol. 2018; 71(7):727-735.https://doi.org/10.1016/j.jacc.2017.12.011
Cleland JGF, van Veldhuisen DJ, Ponikowski P. The year in cardiology 2018: Heart Failure. Eur Heart J. 2019; 40(8):651-661.https://doi.org/10.1093/eurheartj/ehz010
