Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study

Heart failure is often characterised by low exercise capacity and a great impairment of performance in the activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. The aims of this study are to understand the relati...

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Main Authors: Bruno Delgado, Ivo Lopes, Tânia Mendes, Patrícia Lopes, Luís Sousa, Fidel López-Espuela, Leonel Preto, Eugénia Mendes, Bárbara Gomes, André Novo
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/4/434
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author Bruno Delgado
Ivo Lopes
Tânia Mendes
Patrícia Lopes
Luís Sousa
Fidel López-Espuela
Leonel Preto
Eugénia Mendes
Bárbara Gomes
André Novo
author_facet Bruno Delgado
Ivo Lopes
Tânia Mendes
Patrícia Lopes
Luís Sousa
Fidel López-Espuela
Leonel Preto
Eugénia Mendes
Bárbara Gomes
André Novo
author_sort Bruno Delgado
collection DOAJ
description Heart failure is often characterised by low exercise capacity and a great impairment of performance in the activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. The aims of this study are to understand the relationship of gender and pathophysiological characteristics with self-care behaviour and to evaluate the self-care behaviour in a sample of Portuguese heart failure inpatients, using the Self-Care of Heart Failure Index (SCHFI). A cross-sectional multicentre study enrolling 225 heart failure inpatients from eight hospitals from Portugal was performed. At admission, each patient’s functional capacity was evaluated as well as their self-care behaviour, using the SCHFI Portuguese v6.2. A comparison between self-care behaviour with gender was performed. The patients’ mean age was 68.4 ± 10.7 years old, 68% were male and 82.3% had reduced ejection fraction. A mean value of 47.9, 35.6 and 38.8 points was found in the SCHFI score of the sections self-care maintenance, self-care management and self-care confidence, respectively. Heart failure inpatients present inadequate levels of self-care behaviour. The results do not suggest a relationship between gender and pathophysiological characteristics with self-care behaviour.
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spelling doaj.art-59c750ea95c340d2a6467c9c11ed15242023-11-21T14:36:57ZengMDPI AGHealthcare2227-90322021-04-019443410.3390/healthcare9040434Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre StudyBruno Delgado0Ivo Lopes1Tânia Mendes2Patrícia Lopes3Luís Sousa4Fidel López-Espuela5Leonel Preto6Eugénia Mendes7Bárbara Gomes8André Novo9Centro Hospitalar Universitário do Porto—Hospital de Santo António, Instituto de Ciências Biomédicas Abel Salazar—Universidade do Porto, 4050-313 Porto, PortugalCentro Hospitalar do Porto—Hospital de Santo António, 4099-001 Porto, PortugalInstituto Português de Oncologia, 4200-072 Porto, PortugalCentro Hospitalar de Vila Nova de Gaia/Espinho, 4434-502 Vila Nova de Gaia, PortugalComprehensive Health Research Centre (CHRC), Department of Nursing, University of Évora, 7000-812 Évora, PortugalMetabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, 06071 Badajoz, SpainThe Health Sciences Research Unit: Nursing (UICISA: E), Instituto Politécnico de Bragança, 5300-253 Bragança, PortugalDepartamento de Enfermagem, Instituto Politécnico de Bragança, 5300-253 Bragança, PortugalEscola Superior de Enfermagem do Porto, 4200-072 Porto, PortugalCenter for Health Technology and Services Research (CINTESIS) NursID, Instituto Politécnico de Bragança, 5300-253 Bragança, PortugalHeart failure is often characterised by low exercise capacity and a great impairment of performance in the activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. The aims of this study are to understand the relationship of gender and pathophysiological characteristics with self-care behaviour and to evaluate the self-care behaviour in a sample of Portuguese heart failure inpatients, using the Self-Care of Heart Failure Index (SCHFI). A cross-sectional multicentre study enrolling 225 heart failure inpatients from eight hospitals from Portugal was performed. At admission, each patient’s functional capacity was evaluated as well as their self-care behaviour, using the SCHFI Portuguese v6.2. A comparison between self-care behaviour with gender was performed. The patients’ mean age was 68.4 ± 10.7 years old, 68% were male and 82.3% had reduced ejection fraction. A mean value of 47.9, 35.6 and 38.8 points was found in the SCHFI score of the sections self-care maintenance, self-care management and self-care confidence, respectively. Heart failure inpatients present inadequate levels of self-care behaviour. The results do not suggest a relationship between gender and pathophysiological characteristics with self-care behaviour.https://www.mdpi.com/2227-9032/9/4/434heart failurephysical activitygendernursing careself-care behaviour
spellingShingle Bruno Delgado
Ivo Lopes
Tânia Mendes
Patrícia Lopes
Luís Sousa
Fidel López-Espuela
Leonel Preto
Eugénia Mendes
Bárbara Gomes
André Novo
Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study
Healthcare
heart failure
physical activity
gender
nursing care
self-care behaviour
title Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study
title_full Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study
title_fullStr Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study
title_full_unstemmed Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study
title_short Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study
title_sort self care in heart failure inpatients what is the role of gender and pathophysiological characteristics a cross sectional multicentre study
topic heart failure
physical activity
gender
nursing care
self-care behaviour
url https://www.mdpi.com/2227-9032/9/4/434
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