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Socio-clinical variables affecting the level of self-care in elderly patients with heart failure and cognitive disorders

Session Poster Session 2

Speaker Izabella Uchmanowicz

Event : Heart Failure 2019

  • Topic : cardiovascular nursing and allied professions
  • Sub-topic : Cardiovascular Nursing and Allied Professions - Other
  • Session type : Poster Session

Authors : B Prochota (Olesno,PL), K Szwamel (Opole,PL), I Uchmanowicz (Wroclaw,PL)

Authors:
B Prochota1 , K Szwamel2 , I Uchmanowicz3 , 1Olesno Health Care Center - Olesno - Poland , 2Opole Medical School, Faculty of Medical Science - Opole - Poland , 3Wroclaw Medical University, Faculty Of Health Sciences - Wroclaw - Poland ,

Citation:

Introduction. Promoting self-care is the cornerstone of heart failure (HF) management. The number of hospitalizations and unscheduled visits could be reduced in elderly patients with heart failure by the patients’ active involvement in self-care.

Objectives. To measure the level of self-care in elderly patients with heart failure, to examine the influence of socio-clinical variables on the level of self-care, and identify the socio-clinical variables that are predictors of self-care.

Material and methods. The study included 100 patients (48 female, 52 male) aged 60–88, diagnosed with HF, treated at the Internal Medicine Department of our Care Center. The European Heart Failure Self-care Behavior Scale 9 (EHFScB) and Mini-Mental State Examinaton (MMSE) were used.

Results. The total classic self-care score was 22.76 points (SD=8.49), and the standardized score was 61.78 (SD=23.59). Patients who were in a relationship, did not take digoxin or diuretics, were in NYHA classes I and II, and had normal scores or cognitive impairment with no dementia in the MMSE, had significantly higher levels of self-care. Self-care was also correlated with patient age (rs = –0.356, p <0.001) and LVEF (rs = 0.234, p = 0.019). Linear regression analysis demonstrated that only NYHA class has a significant impact on EHFScB scores. Compared to classes I and II, NYHA class IV decreases the standardized EHFScB score by a mean of 23.595 points.

Conclusions. Intensified self-care education should be provided to patients living alone, taking digoxin and diuretics, suffering from moderate dementia, and classified in NYHA class IV. These patients may require special educational strategies to gain the knowledge required for effective self-care.

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