Factors affecting self-care in heart failure patients: a cross-sectional study

Widaryati Widaryati; Dwi Prihatiningsih; Wawan Febri Ramdani

doi:10.1515/jbcpp-2024-0138

Article

Factors affecting self-care in heart failure patients: a cross-sectional study

Widaryati Widaryati , Dwi Prihatiningsih and Wawan Febri Ramdani

Published/Copyright: February 28, 2025

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From the journal Journal of Basic and Clinical Physiology and Pharmacology Volume 36 Issue 2-3

Abstract

Objectives

Heart failure is a cardiovascular disease with a high incidence in the world and Indonesia as well. This disease must get serious attention because it results in high mortality rates and has a broad and long-term impact on patients with heart failure. The high recurrence rate, rehospitalization, and patients’ poor quality of life are influenced, one of them, by the self-care behavior of patients, considering that heart failure is a progressive and chronic disease. In practice, implementation of self-care behaviors in people living with heart failure is poor. This study analyzes the factors influencing self-care for heart failure patients.

Methods

This is a cross-sectional study that involved 100 heart failure patients taken from August to October 2020. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI) questionnaire. The chi-square statistical test determines the relationship between the factors that influence self-care.

Results

The results showed that there was a significant relationship between education (p 0.00), marital status (p 0.005), occupation (p 0.00), NYHA class (p 0.00), and patient age (p 0.01) with self-care maintenance. There was no relationship between gender (p 0.30), comorbidity (p 0.21), and duration of heart failure (p 0.11).

Conlusions

Education, marital status, occupation, NYHA class, and age significantly influence self-care in heart failure patients, while gender, comorbidity, and disease duration do not. Targeted interventions are needed to improve self-care and reduce rehospitalization.

Keywords: heart failure; related factors; self-care behavior

Corresponding author: Dwi Prihatiningsih, Department of Nursing, Faculty of Health Sciences, Universitas Aisyiyah, Yogyakarta, Indonesia, E-mail: dwiprihatiningsih@unisayogya.ac.id

Funding source: Direktorat Riset Dan Pengabdian Kepada Masyarakat

Award Identifier / Grant number: DIPA-042.06.1.401516/2020

Acknowledgments

We would like to express our gratitude to the Ministry of Research, Technology, and Higher Education Indonesia for their financial support and guidance in this research. This support has been crucial to the success of our study. We also extend our thanks to all those who contributed to this project.

Research ethics: This research has received approval from the research ethics committee at Aisyiyah University Yogyakarta by number 1327/KEP-UNISA/VI/2020.
Informed consent: All respondents have provided informed consent in accordance with the applicable ethical guidelines.
Author contributions: WW: Conceptualization, methodology, and supervision. WW was responsible for designing the study, developing the research methodology, and overseeing the research process. DP: Data collection and analysis. DP conducted the data collection, performed statistical analyses, and interpreted the results. WFR: Writing and editing. WFR contributed to writing the manuscript, revising it critically for important intellectual content, and ensuring the overall quality of the paper.
Use of Large Language Models, AI and Machine Learning Tools: We confirm that Large Language Models, artificial intelligence (AI), and machine learning tools were not used in the conduct of this research. All analyses and interpretations were performed using traditional methods and approaches.
Conflict of interests: The authors declare that there are no conflicts of interest to disclose related to this research. All financial and nonfinancial interests that could potentially influence the work have been disclosed, and there are no competing interests that could affect the objectivity of this study.
Research funding: This research was funded by the Ministry of Research, Technology, and Higher Education of Indonesia under grant number SP DIPA-042.06.1.401516/2020 dated November 12, 2019.
Data availability: None.

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Received: 2024-08-01

Accepted: 2025-01-22

Published Online: 2025-02-28

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Articles in the same Issue

https://doi.org/10.1515/jbcpp-2024-0138

Keywords for this article

heart failure; related factors; self-care behavior