Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure
Abstract Despite the indispensable role of self-care behavior in managing heart failure, the practice of self-care behavior remains poor, especially in developing countries. There is a scarcity of research focusing on poor self-care behavior and its determinants within our specific context. Therefor...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2024-01-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-52611-5 |
| _version_ | 1797276565911896064 |
|---|---|
| author | Yirga Legesse Niriayo Bisrat Yemane Solomon Weldegebreal Asgedom Gebrehiwot Teklay Kidu Gidey |
| author_facet | Yirga Legesse Niriayo Bisrat Yemane Solomon Weldegebreal Asgedom Gebrehiwot Teklay Kidu Gidey |
| author_sort | Yirga Legesse Niriayo |
| collection | DOAJ |
| description | Abstract Despite the indispensable role of self-care behavior in managing heart failure, the practice of self-care behavior remains poor, especially in developing countries. There is a scarcity of research focusing on poor self-care behavior and its determinants within our specific context. Therefore, the objective of this study was to investigate the prevalence and predictors of poor self-care behavior among ambulatory heart failure patients. A facility-based cross-sectional study was conducted at a tertiary care hospital in Ethiopia, involving patients with heart failure. We utilized the European Heart Failure Self-Care Behavior Scale (EHFScBS-9) to evaluate adherence to self-care behaviors. Data were gathered through patient interviews and a review of medical records. A binary logistic regression analysis was performed to identify predictors of poor self-care behavior in heart failure patients. We included a total of 343 participants in the final analysis of this study. The findings revealed that a majority of the patients (73.8%) demonstrated poor overall self-care behavior. Specifically, the majority of patients did not engage in regular exercise (76.1%), failed to consult doctors in case of rapid weight gain (75.6%), did not monitor weight daily (71.5%), did not restrict fluid intake (69.9%), and did not contact doctors in case of experiencing fatigue (68.6%). Additionally, 32.4% of patients did not reach out to doctors when experiencing shortness of breath, 30% did not restrict salt intake, 29% did not adhere to prescribed medication, and only 7% did not consult doctors if edema occurred. Our findings indicated that rural residence (AOR: 5.76, 95% CI: 2.47–13.43), illiteracy (AOR: 2.64, 95% CI: 1.52–6.31), prior hospitalization (AOR: 2.09, 95% CI: 1.21–3.61), and taking five or more medications (AOR: 1.83, 1.01–3.33) were significant predictors of poor self-care behavior. In conclusion, a majority of the participants in our study demonstrated poor self-care behavior. Risk factors for this behavior included rural residence, illiteracy, prior hospitalization, and taking five or more medications. Therefore, it is crucial to prioritize these high-risk patients and implement interventional programs aimed at improving self-care behaviors and overall treatment outcomes in heart failure patients. |
| first_indexed | 2024-03-07T15:30:00Z |
| format | Article |
| id | doaj.art-b629b6cf10bc450fb2ae07c6119ddf01 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:30:00Z |
| publishDate | 2024-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-b629b6cf10bc450fb2ae07c6119ddf012024-03-05T16:29:53ZengNature PortfolioScientific Reports2045-23222024-01-0114111010.1038/s41598-024-52611-5Prevalence and predictors of poor self-care behaviors in patients with chronic heart failureYirga Legesse Niriayo0Bisrat Yemane1Solomon Weldegebreal Asgedom2Gebrehiwot Teklay3Kidu Gidey4Department of Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Mekelle UniversityDepartment of Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Mekelle UniversityDepartment of Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Mekelle UniversityDepartment of Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Mekelle UniversityDepartment of Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Mekelle UniversityAbstract Despite the indispensable role of self-care behavior in managing heart failure, the practice of self-care behavior remains poor, especially in developing countries. There is a scarcity of research focusing on poor self-care behavior and its determinants within our specific context. Therefore, the objective of this study was to investigate the prevalence and predictors of poor self-care behavior among ambulatory heart failure patients. A facility-based cross-sectional study was conducted at a tertiary care hospital in Ethiopia, involving patients with heart failure. We utilized the European Heart Failure Self-Care Behavior Scale (EHFScBS-9) to evaluate adherence to self-care behaviors. Data were gathered through patient interviews and a review of medical records. A binary logistic regression analysis was performed to identify predictors of poor self-care behavior in heart failure patients. We included a total of 343 participants in the final analysis of this study. The findings revealed that a majority of the patients (73.8%) demonstrated poor overall self-care behavior. Specifically, the majority of patients did not engage in regular exercise (76.1%), failed to consult doctors in case of rapid weight gain (75.6%), did not monitor weight daily (71.5%), did not restrict fluid intake (69.9%), and did not contact doctors in case of experiencing fatigue (68.6%). Additionally, 32.4% of patients did not reach out to doctors when experiencing shortness of breath, 30% did not restrict salt intake, 29% did not adhere to prescribed medication, and only 7% did not consult doctors if edema occurred. Our findings indicated that rural residence (AOR: 5.76, 95% CI: 2.47–13.43), illiteracy (AOR: 2.64, 95% CI: 1.52–6.31), prior hospitalization (AOR: 2.09, 95% CI: 1.21–3.61), and taking five or more medications (AOR: 1.83, 1.01–3.33) were significant predictors of poor self-care behavior. In conclusion, a majority of the participants in our study demonstrated poor self-care behavior. Risk factors for this behavior included rural residence, illiteracy, prior hospitalization, and taking five or more medications. Therefore, it is crucial to prioritize these high-risk patients and implement interventional programs aimed at improving self-care behaviors and overall treatment outcomes in heart failure patients.https://doi.org/10.1038/s41598-024-52611-5 |
| spellingShingle | Yirga Legesse Niriayo Bisrat Yemane Solomon Weldegebreal Asgedom Gebrehiwot Teklay Kidu Gidey Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure Scientific Reports |
| title | Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure |
| title_full | Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure |
| title_fullStr | Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure |
| title_full_unstemmed | Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure |
| title_short | Prevalence and predictors of poor self-care behaviors in patients with chronic heart failure |
| title_sort | prevalence and predictors of poor self care behaviors in patients with chronic heart failure |
| url | https://doi.org/10.1038/s41598-024-52611-5 |
| work_keys_str_mv | AT yirgalegesseniriayo prevalenceandpredictorsofpoorselfcarebehaviorsinpatientswithchronicheartfailure AT bisratyemane prevalenceandpredictorsofpoorselfcarebehaviorsinpatientswithchronicheartfailure AT solomonweldegebrealasgedom prevalenceandpredictorsofpoorselfcarebehaviorsinpatientswithchronicheartfailure AT gebrehiwotteklay prevalenceandpredictorsofpoorselfcarebehaviorsinpatientswithchronicheartfailure AT kidugidey prevalenceandpredictorsofpoorselfcarebehaviorsinpatientswithchronicheartfailure |