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ORIGINAL ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 46-54

Self-care behaviors in patients with systolic heart failure


1 Department of Nursing, College of Nursing and Midwifery, Karaj Branch, Islamic Azad University, Alborz, Iran
2 Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3 Clinical Supervisor of social security Alborz Hospital, Karaj, Iran
4 Educational Supervisor of social security Alborz Hospital, Karaj, Iran
5 Educational Supervisor of social security Shahriar Hospital, Tehran, Iran
6 Social security Shahriar Hospital, Tehran, Iran
7 Social security Shahriar hospital, Tehran, Iran

Correspondence Address:
Fateme Alhani
Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.7508/jnms.2015.01.007

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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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