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.
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Article info
Publication history
Published online: January 27, 2009
Footnotes
This study was granted by the Japan Foundation of Cardiovascular Research (N-1; to N.K.).
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
