دورية أكاديمية

Adherence to Self-Care Recommendations and Associated Factors among Adult Heart Failure Patients in West Gojjam Zone Public Hospitals, Northwest Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Adherence to Self-Care Recommendations and Associated Factors among Adult Heart Failure Patients in West Gojjam Zone Public Hospitals, Northwest Ethiopia.
المؤلفون: Molla B; Department of Nursing, Hailu Alemu College, Finote Selam, Ethiopia., Geletie HA; Department of Nursing, Wolkite University, Wolkite, Ethiopia., Alem G; Department of Nursing, Debre Markos University, Debre Markos, Ethiopia., Gualu T; Department of Nursing, Debre Markos University, Debre Markos, Ethiopia., Zewudie BT; Department of Nursing, Wolkite University, Wolkite, Ethiopia., Tesfa S; Department of Nursing, Wolkite University, Wolkite, Ethiopia., Tsehay T; Department of Nursing, Wolkite University, Wolkite, Ethiopia., Amlak BT; Department of Nursing, Debre Markos University, Debre Markos, Ethiopia.
المصدر: International journal of chronic diseases [Int J Chronic Dis] 2022 Dec 21; Vol. 2022, pp. 9673653. Date of Electronic Publication: 2022 Dec 21 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Hindawi Publishing Corporation Country of Publication: Egypt NLM ID: 101654921 Publication Model: eCollection Cited Medium: Print ISSN: 2356-6981 (Print) Linking ISSN: 23145749 NLM ISO Abbreviation: Int J Chronic Dis Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Cairo : Hindawi Publishing Corporation, [2013]-
مستخلص: Background: Self-care practices are an important part of heart failure patient management and essential to control symptoms of the disease and its exacerbation. However, poor adherence to these self-care behaviors could be associated with an increase in hospitalization, morbidity, and mortality. Even if it is an important part of management for heart failure patients, yet information is not adequate in the study area about adherence to self-care recommendations and associated factors among heart failure patients.
Purpose: To assess self-care recommendation adherence and associated factors among heart failure patients in West Gojjam Zone public hospitals.
Methods: Institutional-based cross-sectional study was conducted on 304 selected heart failure patients attending follow-up at public hospitals in West Gojjam Zone from March 16 to April 16, 2021. Consecutive sampling technique based on patient arrival with proportional allocation to each hospital was employed to select the study participants. Data were collected through face-to-face interview and reviewing patients' medical records. Data were entered into EpiData version 3.1 and analyzed using Statistical Package for Social Sciences (SPSS) version 25. Binary logistic regression model was fitted to assess the association between adherence to self-care recommendations and associated factors. P value < 0.05 with 95% confidence interval (CI) was considered to declare a statistically significant association in multivariable logistic regression.
Results: In this study, 304 patients participated with a response rate of 97.4%. Only 32.9% of them had good adherence to self-care recommendations. Having good knowledge on heart failure (adjusted odds ratio (AOR) = 4.6; 95% CI: 1.82, 11.86), no depression (AOR = 6.1; 95% CI: 1.92, 19.37), having strong social support (AOR = 3.57; 95% CI: 1.56-8.33), age 30-49 years (AOR = 3.37; 95% CI: 1.14, 9.89), and college and above level of education (AOR = 6.17; 95% CI: 1.22, 31.25) were factors significantly associated with good adherence to self-care recommendations.
Conclusion: This study showed that most of the heart failure patients had poor adherence to self-care recommendations. Policymakers and other stakeholders should develop and implement appropriate strategies to increase patients' adherence level to self-care recommendations by emphasizing on addressing identified factors.
Competing Interests: The authors declared no conflicts of interest with respect to the research, authorship, or publication of this article.
(Copyright © 2022 Belayneh Molla et al.)
References: Card Fail Rev. 2017 Apr;3(1):7-11. (PMID: 28785469)
S Afr Med J. 2016 Jan;106(1):23-31. (PMID: 26933706)
Nat Rev Cardiol. 2016 Jun;13(6):368-78. (PMID: 26935038)
Lancet Glob Health. 2017 Jul;5(7):e665-e672. (PMID: 28476564)
Vasc Health Risk Manag. 2017 Apr 21;13:143-151. (PMID: 28461753)
J Cardiovasc Nurs. 2014 Sep-Oct;29(5):423-8. (PMID: 23839575)
Heart Lung. 2002 May-Jun;31(3):161-72. (PMID: 12011807)
Scand J Caring Sci. 2000;14(2):112-9. (PMID: 12035274)
MedGenMed. 2007 Sep 19;9(3):58. (PMID: 18092064)
Heart Lung. 2003 Mar-Apr;32(2):88-99. (PMID: 12734531)
Patient Prefer Adherence. 2021 Feb 15;15:317-327. (PMID: 33623373)
Am J Med. 2001 Apr 1;110(5):378-84. (PMID: 11286953)
Cardiovasc J Afr. 2010 Mar-Apr;21(2):86-92. (PMID: 20532432)
BMC Cardiovasc Disord. 2022 Jun 17;22(1):275. (PMID: 35715744)
PLoS One. 2019 Feb 7;14(2):e0211768. (PMID: 30730931)
Int Heart J. 2013;54(4):228-33. (PMID: 23924936)
Congest Heart Fail. 2013 Jan-Feb;19(1):16-24. (PMID: 22958604)
Arch Intern Med. 2001 Oct 22;161(19):2337-42. (PMID: 11606149)
Eur J Cardiovasc Nurs. 2014 Oct;13(5):459-65. (PMID: 24163309)
Soc Psychiatry Psychiatr Epidemiol. 2006 Jun;41(6):444-51. (PMID: 16572275)
Eur J Heart Fail. 2009 Nov;11(11):1092-8. (PMID: 19875409)
Heart Lung. 2001 Jan-Feb;30(1):18-25. (PMID: 11174364)
Circulation. 2013 Oct 15;128(16):e240-327. (PMID: 23741058)
Eur J Cardiovasc Nurs. 2017 Apr;16(4):272-282. (PMID: 28168895)
Eur J Cardiovasc Nurs. 2017 Jun;16(5):435-443. (PMID: 28059552)
Contemp Nurse. 2017 Feb;53(1):105-120. (PMID: 28151071)
Int J Behav Med. 2013 Mar;20(1):88-96. (PMID: 22212607)
Eur J Heart Fail. 2011 Feb;13(2):115-26. (PMID: 21148593)
Eur J Heart Fail. 2005 Jan;7(1):5-17. (PMID: 15642526)
Circulation. 2018 Mar 20;137(12):e67-e492. (PMID: 29386200)
Circ Heart Fail. 2015 Mar;8(2):384-409. (PMID: 25604605)
Heart Lung. 2001 Jul-Aug;30(4):294-301. (PMID: 11449216)
Clin Nurs Res. 2021 Jun;30(5):636-643. (PMID: 33016105)
Cochrane Database Syst Rev. 2011 Aug 10;(8):CD002902. (PMID: 21833943)
Int J Nurs Stud. 2014 Feb;51(2):320-33. (PMID: 23850389)
Dtsch Arztebl Int. 2016 Jun 24;113(25):423-30. (PMID: 27397013)
Eur Heart J. 2006 Feb;27(4):434-40. (PMID: 16230302)
Heliyon. 2020 Feb 17;6(2):e03412. (PMID: 32149197)
تواريخ الأحداث: Date Created: 20230102 Latest Revision: 20230103
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9798104
DOI: 10.1155/2022/9673653
PMID: 36590698
قاعدة البيانات: MEDLINE
الوصف
تدمد:2356-6981
DOI:10.1155/2022/9673653