Volume 2, Issue 1 (January- February- March 2015)                   JNMS 2015, 2(1): 46-54 | Back to browse issues page

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Zeighami Mohamadi S, Alhani F, Shakoor M, Farmani P, Mohseni B, Fallah Taherpazir E. Self-care behaviors in patients with systolic heart failure. JNMS. 2015; 2 (1) :46-54
URL: http://jnms.mazums.ac.ir/article-1-58-en.html
Abstract:   (3377 Views)

Background and Purpose: To improve life quality, and lower mortality and rehospitalization for heart failure patients, awareness and adherence to self-care behaviors are essential. This study aims to determine the adherence level to self-care behaviors in the patients with systolic heart failure hospitalized in Alborz hospital in Karaj andShahriar hospital, and it was conducted in 2013. Methods: In this cross-sectional study, 100 patients with at least one year experience of developing heart failure and ejection fraction below 40% were studied. They were admitted to Alborz Social Security hospital of Karaj and the Social Security Hospital Shahriar during 2012-2013. They were selected through convenience sampling. Demographic data and European Heart Failure Self-care Behavior questionnaires were completed through interviews. Data analysis has been done using SPSS, V.18 and independent t-test and ANOVA. Results: 84% of the subjects had moderate and 10% had poor adherence to self-care. The best adherence to self-care behaviors was related to the drug and diet regimen and the poorest to the daily weight control and exercise. There was a significant relationship between self-care behaviors and age (p=0.011), marital status (p=0.008), the number of chronic diseases (p=0.048), hypertension (p=0.038), chronic pulmonary obstruction (p=0.029), renal disease (p=0.017) and severity of the disease (p=0.032). Conclusion: Adherence to self-care behaviors in heart failure patients is not appropriate. Training and following up self-care behaviors should focus on the specific problems of aging, social support, diet and drug regimens simplification and its relation with other chronic diseases.

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Type of Study: Research | Subject: Nursing
Received: 2014/10/16 | Accepted: 2015/06/20 | Published: 2015/06/20

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