Examining the Underlying Processes of Different Dimensions of Self-care Behavior Among Persons with Heart Failure

Overview

Journal BMC Cardiovasc Disord

Publisher Biomed Central

Specialty Cardiology & Vascular Diseases

Date 2022 Oct 6

PMID 36203162

Authors

Mohammed Munther Al-Hammouri

Jehad A Rababah

Affiliations

Soon will be listed here.

Abstract

Purpose: This study was conducted to compare how potential predictors differentially contribute to the different dimensions of self-care in persons with heart failure.

Methods: A cross-sectional design was used in this study. Purposive sampling was used to recruit a sample (N = 252) in this study. The data were collected from three major referral hospitals in Jordan. Data analysis was performed using multiple linear regression.

Results: The results showed that around 89% of our sample had insufficiency in at least one dimension of self-care. The initial regression models showed that different combinations of predictors were significantly associated with different dimensions of self-care. These models were also different in terms of the variance explained and the coefficients of the significant predictors. After the follow-up analysis of the best fit models for these dimensions, these differences were maintained.

Conclusion: Despite the similarities in the proposed variables predicting different self-care dimensions, their differences may suggest variations in the underlying processes controlling different self-care dimensions. The current study showed that seven out of the nine proposed variables predicted different dimensions of self-care either in the initial or best-fit models.

References

Faul F, Erdfelder E, Buchner A, Lang A . Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149-60. DOI: 10.3758/BRM.41.4.1149. View

Moser D, Riegel B, McKinley S, Doering L, Meischke H, Heo S . The Control Attitudes Scale-Revised: psychometric evaluation in three groups of patients with cardiac illness. Nurs Res. 2008; 58(1):42-51. PMC: 2668922. DOI: 10.1097/NNR.0b013e3181900ca0. View

Al-Hammouri M, Rababah J, Aldalaykeh M . Exploring the potential of acceptance and commitment therapy model in self-care behaviour in persons with heart failure. Nurs Open. 2020; 7(5):1560-1567. PMC: 7424451. DOI: 10.1002/nop2.538. View

Al-Hammouri M, Rababah J, Shawler C . A Review of the Concept of Impulsivity: An Evolutionary Perspective. ANS Adv Nurs Sci. 2021; 44(4):357-367. DOI: 10.1097/ANS.0000000000000370. View

Butts B, Higgins M, Dunbar S, Reilly C . The Third Time's a Charm: Psychometric Testing and Update of the Atlanta Heart Failure Knowledge Test. J Cardiovasc Nurs. 2017; 33(1):13-21. PMC: 5671919. DOI: 10.1097/JCN.0000000000000413. View

Moser D, Dickson V, Jaarsma T, Lee C, Stromberg A, Riegel B . Role of self-care in the patient with heart failure. Curr Cardiol Rep. 2012; 14(3):265-75. DOI: 10.1007/s11886-012-0267-9. View

Chang L, Wu S, Chiang C, Tsai P . Depression and self-care maintenance in patients with heart failure: A moderated mediation model of self-care confidence and resilience. Eur J Cardiovasc Nurs. 2017; 16(5):435-443. DOI: 10.1177/1474515116687179. View

Zhao Q, Chen C, Zhang J, Ye Y, Fan X . Effects of self-management interventions on heart failure: Systematic review and meta-analysis of randomized controlled trials - Reprint. Int J Nurs Stud. 2021; 116:103909. DOI: 10.1016/j.ijnurstu.2021.103909. View

Al-Hammouri M, Rababah J, Hall L, Moser D, Dawood Z, Jawhar W . Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure. BMC Cardiovasc Disord. 2020; 20(1):349. PMC: 7385854. DOI: 10.1186/s12872-020-01617-8. View

10.

Son Y, Shim D, Seo E, Seo E . Health Literacy but Not Frailty Predict Self-Care Behaviors in Patients with Heart Failure. Int J Environ Res Public Health. 2018; 15(11). PMC: 6265912. DOI: 10.3390/ijerph15112474. View

11.

Bond F, Hayes S, Baer R, Carpenter K, Guenole N, Orcutt H . Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011; 42(4):676-88. DOI: 10.1016/j.beth.2011.03.007. View

12.

Uchmanowicz I, Jankowska-Polanska B, Mazur G, Sivarajan Froelicher E . Cognitive deficits and self-care behaviors in elderly adults with heart failure. Clin Interv Aging. 2017; 12:1565-1572. PMC: 5633303. DOI: 10.2147/CIA.S140309. View

13.

Liu M, Wang C, Huang Y, Cherng W, Wang K . A correlational study of illness knowledge, self-care behaviors, and quality of life in elderly patients with heart failure. J Nurs Res. 2014; 22(2):136-45. DOI: 10.1097/JNR.0000000000000024. View

14.

Lee C, Tkacs N, Riegel B . The influence of heart failure self-care on health outcomes: hypothetical cardioprotective mechanisms. J Cardiovasc Nurs. 2009; 24(3):179-87. PMC: 2881684. DOI: 10.1097/JCN.0b013e31819b5419. View

15.

Davis A, Barrett F, Griffiths R . Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. J Contextual Behav Sci. 2020; 15:39-45. PMC: 7451132. DOI: 10.1016/j.jcbs.2019.11.004. View

16.

Chen S, Fang Y, Wang L, Wu M, Wu P, Yang T . Impact of multi-disciplinary treatment strategy on systolic heart failure outcome. BMC Cardiovasc Disord. 2019; 19(1):220. PMC: 6794772. DOI: 10.1186/s12872-019-1214-0. View

17.

Riegel B, Lee C, Dickson V, Carlson B . An update on the self-care of heart failure index. J Cardiovasc Nurs. 2009; 24(6):485-97. PMC: 2877913. DOI: 10.1097/JCN.0b013e3181b4baa0. View

18.

Lee E, Mun M, Lee S, Cho H . Perceived stress and gastrointestinal symptoms in nursing students in Korea: A cross-sectional survey. BMC Nurs. 2011; 10:22. PMC: 3226627. DOI: 10.1186/1472-6955-10-22. View

19.

Dessie G, Burrowes S, Mulugeta H, Haile D, Negess A, Jara D . Effect of a self-care educational intervention to improve self-care adherence among patients with chronic heart failure: a clustered randomized controlled trial in Northwest Ethiopia. BMC Cardiovasc Disord. 2021; 21(1):374. PMC: 8336108. DOI: 10.1186/s12872-021-02170-8. View

20.

Koirala B, Himmelfarb C, Budhathoki C, Davidson P . Heart failure self-care, factors influencing self-care and the relationship with health-related quality of life: A cross-sectional observational study. Heliyon. 2020; 6(2):e03412. PMC: 7031642. DOI: 10.1016/j.heliyon.2020.e03412. View