Self-care in patients with chronic heart failure
DOI:
https://doi.org/10.15503/emet2025.113.125Keywords:
heart failure, self-care, health behaviorsAbstract
Aim. The study assessed health behaviour in relation to awareness and self-care of patients diagnosed with chronic heart failure.
Methods. The research group consisted of 109 patients with chronic heart failure. The research method was a diagnostic survey with the use of an original questionnaire and the SCHFI scale that assessed the level of independence of the respondents. The scores for this scale ranged from 0 to 100 points, and a higher score meant greater inde- pendence of the respondents. The answers were further analysed statistically.
Results. The level of independence of the patients in terms of health behaviour was assessed on average at 61.0 points ± 14.9 points. The independence of the respondents in terms of health control was assessed slightly lower (on average at 52.8 points ± 16.4 points), while the respondents were assessed the lowest in terms of monitoring and controlling the symptoms of the disease (on average at 56.55 points ± 14.75 points).
Conclusions. The health behaviour of patients with chronic heart failure is unsatis- factory. They regard pharmacological treatment as a sufficient strategy, and at the same time they do not follow the recommendations on the use of medications. Therefore, it is advisable to increase efforts towards education and thus higher awareness of patients regarding self-care and the consequences of non-compliance with recommendations.
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References
Bartolik, K., Bukowski, H., Dudek, M., et al. (2020). Niewydolność serca w Polsce. Realia, koszty, sugestie poprawy sytuacji [Heart failure in Poland: Realities, costs, suggestions for improve- ment]. Poznań: OINNOWO Instytut Innowacji i Odpowiedzialnego Rozwoju.
Behnoush, A. H., Khalaji, A., Naderi, N., et al. (2023). ACC/AHA/HFSA 2022 and ESC 2021 guidelines on heart failure comparison. ESC Heart Failure, 10(3), 1531–1544. https://doi. org/10.1002/ehf2.14406
Belfiore, A., Stranieri, R., Novielli, M. E., & Portincasa, P. (2024). Reducing the hospitalization epidemic of chronic heart failure by disease management programs. Internal and Emergency Medicine, 19(1), 221–231. https://doi.org/10.1007/s11739-023-03386-9
Czykieta, I. (2023). Samoopieka jako wyznacznik funkcjonowania pacjentów z przewlekłą niewydolnością serca [Self-care as a determinant of functioning of patients with chronic heart failure]. Wrocław: Uniwersytet Medyczny we Wrocławiu.
Eze, N. D., Mateus, C., & Cravo Oliveira Hashiguchi, T. (2020). Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementa- tion. PLoS One, 15(8), e0237585. https://doi.org/10.1371/journal.pone.0237585
Ghizzardi, G., Arrigoni, C., Dellafiore, F., et al. (2022). Efficacy of motivational interviewing on enhancing self-care behaviors among patients with chronic heart failure: A systematic review and meta-analysis of randomized controlled trials. Heart Failure Reviews, 27(4), 1029– 1041. https://doi.org/10.1007/s10741-021-10151-1
Global Burden of Disease. (2020). Institute for Health Metrics and Evaluation. Retrieved December 28, 2024, from https://vizhub.healthdata.org/gbd-compare/
Groenewegen, A., Rutten, F. H., Mosterda, A., & Hoes, A. W. (2020). Epidemiology of heart fail- ure. European Journal of Heart Failure, 22(8), 1342–1356. https://doi.org/10.1002/ejhf.1858
Hood, S. R., Giazzon, A. J., Seamon, G., et al. (2018). Association between medication adherence and the outcomes of heart failure. Pharmacotherapy, 38(5), 539–545. https://doi.org/10.1002/ phar.2111
Jankowska-Polańska, B., Świątoniowska-Lonc, N., Sławuta, A., et al. (2020). Patient-reported com- pliance in older age patients with chronic heart failure. PLoS One, 15(4), e0231076. https:// doi.org/10.1371/journal.pone.0231076
Kowalczyk, B., Czyż, R., & Kaźmierska, B. (2016). Heart failure – definition, classification, epi- demiology, symptoms and treatment. Journal of Education, Health and Sport, 6(11), 352– 367. https://doi.org/10.5281/zenodo.167525
Lelonek, M., Pawlak, A., Nesler, J., et al. (2023). Niewydolność serca w Polsce 2014–2021. Raport 2023 [Heart failure in Poland 2014–2021: Report 2023]. Kraków: HTA Consulting.
Lelonek, M. (2016). Niewydolność serca i powtarzające się hospitalizacje [Heart failure and recur- rent hospitalizations]. Folia Cardiologica, 11(1), 37–46. https://doi.org/10.5603/FC.2016.0006 Mei, J., Tian, Y., Chai, X., & Fan, X. (2018). Gender differences in self-care maintenance and its asso- ciations among patients with chronic heart failure. International Journal of Nursing Sciences,
(1), 58–64. https://doi.org/10.1016/j.ijnss.2018.11.006
Nessler, J., Krawczyk, K., Leszek, P., et al. (2023). Expert opinion of the Heart Failure Associa-
tion of the Polish Society of Cardiology, the College of Family Physicians in Poland, and the Polish Society of Family Medicine on the peridischarge management of patients with heart failure. Kardiologia Polska, 81(7–8), 824–844. https://doi.org/10.33963/KP.a2023.0088
Nessler, J., & Siniarski, A. (2019). A patient with heart failure – challenges faced by a primary care physician [Pacjent z niewydolnością serca – wyzwania stojące przed lekarzem POZ]. Lekarz POZ, 5(2), 95–102.
Pobrotyn, P., Mazur, G., Kałużna-Oleksy, M., et al. (2021). The level of self-care among patients with chronic heart failure. Healthcare (Basel), 9(9), 1179. https://doi.org/10.3390/ healthcare9091179
Riegel, B., Lee, S., Hill, J., et al. (2019). Patterns of adherence to diuretics, dietary sodium and fluid intake recommendations in adults with heart failure. Heart & Lung, 48(3), 179–185. https:// doi.org/10.1016/j.hrtlng.2018.10.013
Savarese, G., & Lund, L. H. (2017). Global public health burden of heart failure. Cardiac Failure Review, 3(1), 7–11. https://doi.org/10.15420/cfr.2016:25:2
Skrzyński, W., Rzepecki, P., Jędrzejczak, E., & Lazar-Sito, D. (2018). Akceptacja choroby i sposoby radzenia sobie z trudnościami przewlekle chorych [Disease acceptance and coping strategies among chronically ill patients]. Lekarz Wojskowy, 3, 201–205.
Yancy, C. W., Jessup, M., Bozkurt, B., et al. (2017). 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. Journal of the American College of Cardiology, 70(6), 776–803. https://doi.org/10.1016/j.jacc.2017.04.025
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Copyright (c) 2025 Monika Michalak, Wioletta Agata Jeż, Izabella Czykieta, Dorota Regner, Aleksander Fuglewicz, Anna Stodolak

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