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Evaluation of Self-Care Improvement after admission in a Heart Failure Clinic

Session Poster Session 2

Speaker Daniel Seabra

Event : Heart Failure 2019

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

Authors : A Ferreira (Penafiel,PT), A Neto (Penafiel,PT), D Seabra (Penafiel,PT), I Oliveira (Penafiel,PT), P Silva (Penafiel,PT), M Soares (Penafiel,PT), S Ferreira (Penafiel,PT), S Poiares (Penafiel,PT), M Meira (Penafiel,PT), A Andrade (Penafiel,PT)

Authors:
A Ferreira1 , A Neto1 , D Seabra1 , I Oliveira1 , P Silva1 , M Soares1 , S Ferreira1 , S Poiares1 , M Meira1 , A Andrade1 , 1Hospital Centre do Tamega e Sousa - Penafiel - Portugal ,

Citation:

Introduction: Heart failure (HF) is a highly prevalent syndrome with significant morbimortality and great impact on patients (pts) and their family’s quality of life. HF-related self-care behaviour reflects the actions that an HF patient undertakes to maintain life, healthy functioning, and well-being. The European Heart Failure Self-Care Behaviour Scale (EHFScB scale)is a validated scale considered easy to administer and practical to use. The scale is based on international guidelines for HF management and has been found to measure change in behaviour over time.

Aims: To evaluate the self-care capacity and its improvement over time in pts with chronic HF and reduced ejection fraction (HFrEF) in a HF Clinic (HFC). 

Methods: Unicentric, retrospective analysis of pts followed in a HFC since 3/2011. Included pts with reduced ejection fraction (EF) (<50%) and previous diagnosis of HF for at least 6 months, who had completed the EHFScB scale in two different moments: the first moment (T1) before the nursing teaching session and the other (T2) 6 to 12 months after this intervention. This 12-item scale measures self-care behaviors on a 5-point likert scale ranging from 1 (strongly agree) to 5 (strongly disagree). A total score is calculated by summing responses from each item and lower score indicates better self-care.

Results: The sample consists of 58 pts with mean age of 63 +/- 12,4 years and male predominance (74%). 65% had ischemic etiology with median EF of 29.9% +/- 6,3 at admission in HFC. 62% had a prior HF hospitalization. Mean EHFScB scores in T1 and T2 was 37 +/-11 and 19 +/-5,8, respectively. All behaviours had a positive evolution in self-care capacity. The largest improvement was in the "asking for help" factor with a mean decrease of 1.8 points. The factor with the lowest evolution was "‘adapting activities" with a mean increase of 1 point.

Conclusion: In this cohort, we concluded that pts adopts non-pharmacological measures in an easier way and follow the guidelines given by the professionals when properly instructed. The EHFScB scale can be used to assess self-care behaviours and as a baseline for the mutual decision between the patient and nurse or physician regarding self-care. It can also be used to improve patient compliance and empower nursing education sessions to address specific problems of heart failure patients.

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