Korean J Adult Nurs.  2016 Jun;28(3):302-313. 10.7475/kjan.2016.28.3.302.

Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure

• Yang IS

• KMID: 2312163
• DOI: http://doi.org/10.7475/kjan.2016.28.3.302

Abstract

PURPOSE
The objective of this study was to identify factors related to self-care adherence in symptomatic patients with heart failure (HF).
METHODS
Using a cross-sectional design, a convenience sample 209 outpatient clinic patients were recruited at two medical centers. Between October 2011 and August 2012, data were collected using the structured questionnaire. Factors related to self-care adherence were examined using hierarchical multiple regression.
RESULTS
Mean age of participants was 67.71 years and a half of them (53.6%) were female. They showed relatively low self-care adherence with mean scores of 61.88±12.92. Lower self-care adherence was reported in asking for low sodium items, weighing oneself, checking for ankle edema, and exercising for 30 minutes. The overall model significantly explained 23.9% of variance in self-care adherence. Among the predictors, education, New York Heart Association functional classification, and social support were statistically significant in influencing self-care adherence. The variable of negative emotional status such as anxiety and depression were not found to be significant.
CONCLUSION
These findings demonstrate that social support could help self-care adherence among symptomatic patients with HF. Thus, programs targeting self-care adherence in this population should consider the strategies improving social support.

MeSH Terms

Ambulatory Care Facilities
Ankle
Anxiety
Classification
Depression
Edema
Education
Female
Heart Failure*
Heart*
Humans
Self Care*
Sodium
Sodium