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Article

Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey

1
School of Nursing, Hospital Santa Creu i Sant Pau. Universitat Autònoma de Barcelona (UAB), 08025, Barcelona, Spain
2
Les Corts Primary Healthcare Center, Primary Healthcare Transversal Research Group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08028 Barcelona, Spain
3
Primary Healthcare Transversal Research Group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08028 Barcelona, Spain
4
Patient Experience Department, Hospital Sant Joan de Deu, Esplugues del Llobregat, Universitat Internacional de Catalunya, Sant Cugat del Vallés, 08950 Esplugues de Llobregat, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(9), 1625; https://doi.org/10.3390/ijerph16091625
Received: 11 April 2019 / Revised: 5 May 2019 / Accepted: 7 May 2019 / Published: 9 May 2019
(This article belongs to the Special Issue Health and Healthcare for People with Heart Failure)
Chronic heart failure patients require self-care behaviors and active monitoring of signs and symptoms to prevent worsening. Most patients with this condition are attended in primary healthcare centers. This study aimed to evaluate the endorsement of and adherence to self-care behaviors in primary health care patients with chronic heart failure. We conducted a multicenter cross-sectional study. We randomly included chronic heart failure patients from 10 primary healthcare centers in the Barcelona metropolitan area (Spain). Patients completed the European Heart Failure Self-Care Behaviour Scale, a health literacy questionnaire. Differences between groups were studied using ANOVA tests. We included 318 patients with a mean age of 77.9 years, mild limitations in functional activity New York Heart Association scale (NYHA) II = 51.25%), and a low health literacy index of 79.6%. The endorsement of self-care behaviors was low in daily weighing (10.66%), contacting clinicians if the body weight increased (22.57%), and doing physical exercise regularly (35.58%). Patients with lower educational levels and a worse health literacy had a lower endorsement. The screening of individual self-care practices in heart failure patients might improve the clinician follow-up. We suggest that primary healthcare clinicians should routinely screen self-care behaviors to identify patients requiring a closer follow-up and to design and adapt rehabilitation programs to improve self-care. View Full-Text
Keywords: heart failure; self-care practices; primary healthcare; health literacy heart failure; self-care practices; primary healthcare; health literacy
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MDPI and ACS Style

Santesmases-Masana, R.; González-de Paz, L.; Hernández-Martínez-Esparza, E.; Kostov, B.; Navarro-Rubio, M.D. Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey. Int. J. Environ. Res. Public Health 2019, 16, 1625. https://doi.org/10.3390/ijerph16091625

AMA Style

Santesmases-Masana R, González-de Paz L, Hernández-Martínez-Esparza E, Kostov B, Navarro-Rubio MD. Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health. 2019; 16(9):1625. https://doi.org/10.3390/ijerph16091625

Chicago/Turabian Style

Santesmases-Masana, Rosalia, Luis González-de Paz, Elvira Hernández-Martínez-Esparza, Belchin Kostov, and Maria D. Navarro-Rubio. 2019. "Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey" International Journal of Environmental Research and Public Health 16, no. 9: 1625. https://doi.org/10.3390/ijerph16091625

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