Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan
Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan
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DOI：
10.1016/j.hrtlng.2008.11.002
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发表时间：
2009-09-01
期刊：
影响因子：
2.8
通讯作者：
Kazuma, Keiko
中科院分区：
文献类型：
--
作者：
Kato, Naoko;Kinugawa, Koichiro;Kazuma, Keiko
背景：坚持自我护理行为对于心力衰竭（HF）患者预防心力衰竭恶化非常重要。本研究的目的是评估依从性，确定相关因素，并阐明既往心力衰竭住院对心力衰竭门诊患者依从性的影响。方法：共有 116 名门诊患者完成了一份调查问卷，包括日本版的欧洲心力衰竭自我护理行为量表，以评估依从性。结果：无论以前是否住院，如果心力衰竭恶化，寻求帮助的依从性都很差。根据年龄和脑钠肽调整的多变量分析表明，糖尿病和就业是自我护理行为依从性较差的独立预测因素（分别为 P = .03、P = .02），但既往心力衰竭住院经历并不是预测因素。 结论：心力衰竭的自我护理策略应针对糖尿病患者和就业患者。需要进一步研究来为此类患者制定有效的治疗方案。 （心肺（R）2009；38：398-409。）
BACKGROUND: Adherence to self-care behavior is important for patients with heart failure (HF) to prevent exacerbation of HF. The aim of this study was to evaluate adherence, identify associated factors, and clarify the impact of previous HF hospitalizations on adherence in outpatients with HF.METHODS: A total of 116 outpatients completed a questionnaire, including the Japanese version of the European Heart Failure Self-Care Behavior Scale, to assess adherence.RESULTS: Regardless of previous hospitalizations, adherence to seek help if HF worsened was poor. Multivariate analysis adjusted for age and brain natriuretic peptide showed that diabetes mellitus and being employed were independent predictors of poorer adherence to self-care behavior (P = .03, P = .02, respectively), but the experience of previous HF hospitalizations was not a predictor.CONCLUSIONS: Self-care strategies for HF should target patients with diabetes mellitus and employed patients. Further study is necessary to develop effective programs for such patients. (Heart Lung (R) 2009; 38:398-409.)