Volume 32, Issue 119 (August 2019)                   IJN 2019, 32(119): 24-37 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Najafi Ghezeljeh T, Ghasemi A, Rasouli M, Garak Yaraghi M. Correlations between Self-care Behaviors and Anxiety, Family Support, and Disease State in Patients with Heart Failure and Type II Diabetes Mellitus Admitted to Chamran Teaching Health Center in Isfahan, Iran (2018). IJN. 2019; 32 (119) :24-37
URL: http://ijn.iums.ac.ir/article-1-2950-en.html
MS in Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (*Corresponding author) Tel:09376443016 Email: atiyeghasemi16@yahoo.com
Abstract:   (707 Views)
Background & Aims: Heart failure is a prevalent, chronic disease in developing country, and type II diabetes mellitus is considered to be a major cause of heart failure. An effective approach to the control of these diseases is the active participation of patients in self-care. However, the concurrence of heart failure and diabetes is associated with complex and difficult self-care behaviors. Therefore, it is essential to identify the influential factors in self-care behaviors. The present study aimed to assess the correlations between self-care behaviors and anxiety, family support, and disease state in patients with heart failure and type II diabetes. 
Materials & Methods: This descriptive-correlational study was conducted on 158 patients with heart failure and type II diabetes mellitus referring to Chamran Hospital in Isfahan, Iran in 2018. The patients were selected via continuous sampling. Data were collected using the European heart failure self-care behavior scale, Charlson comorbidity index, mini-mental state examination social support (family scale), Spielberger state-trait anxiety inventory, and a demographic questionnaire. Data analysis was performed in SPSS version 16 using descriptive statistics (frequency, frequency percentage, mean, and standard deviation) and inferential statistics (t-test and analysis of variance).
Results: The majority of the patients (88.6%) had moderate self-care behaviors, with the mean score estimated at 38.37 ± 4.76. No significant correlations were observed between the demographic characteristics of the patients, their disease state, family support, and anxiety with self-care behaviors (P>0.05).
Conclusion: According to the results, investigations must continue on the influential factors in self-care behavior in order to change the attitudes of patients in this regard, so that heart failure and type II diabetes could be controlled and their complications could be prevented.
Full-Text [PDF 1036 kb]   (231 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2019/05/8 | Accepted: 2019/08/7 | Published: 2019/08/7

References
1. Halmo R, Galuszka J, Langova K, Galuszkova D. Self care in patients with chronic heart failure. Pilot study-self care includes problems. Biomedical Papers. 2015;159(1):124-30. [DOI:10.5507/bp.2013.044] [PMID]
2. Riegel B, Lee CS, Dickson VV. Self care in patients with chronic heart failure. Nat Rev Cardiol. 2011;8(11):644-54. [DOI:10.1038/nrcardio.2011.95] [PMID]
3. Black JT, Romano PS, Sadeghi B, Auerbach AD, Ganiats TG, Greenfield S, Kaplan SH, Ong MK, Beat-HF Research Group. A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness After Transition-Heart Failure (BEAT-HF) randomized controlled trial. Trials. 2014;15(1):124. [DOI:10.1186/1745-6215-15-124] [PMID] [PMCID]
4. Lee CS, Bidwell JT, Paturzo M, Alvaro R, Cocchieri A, Jaarsma T, Strömberg A, Riegel B, Vellone E. Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart & Lung. 2018;47(1):40-6. [DOI:10.1016/j.hrtlng.2017.09.004] [PMID] [PMCID]
5. Horwich TB, Fonarow GC. Glucose, obesity, metabolic syndrome, and diabetes: relevance to incidence of heart failure. J Am Coll Cardiol. 2010;55(4):283-93. [DOI:10.1016/j.jacc.2009.07.029] [PMID] [PMCID]
6. Kassahun T, Gesesew H, Mwanri L, Eshetie T. Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocr Disord. 2016;16(1):28. [DOI:10.1186/s12902-016-0114-x] [PMID] [PMCID]
7. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-49. [DOI:10.1016/j.diabres.2013.11.002] [PMID]
8. Hemmati Maslak Pak M, Alipor S, Aghakhani N, Khalkhali H. The Effect of Family Centered Care on Laboratory Examinations in Patients with Type Ii Diabetes. Journal of Urmia Nursing And Midwifery Faculty. 2017;15(5):395-403.
9. Cha E, Clark PC, Reilly CM, Higgins M, Lobb M, Smith AL, Dunbar SB. Educational needs for improving self-care in heart failure patients with diabetes. Diabetes Educ. 2012;38(5):673-84. [DOI:10.1177/0145721712450923] [PMID] [PMCID]
10. Mirzaei M, Aspin C, Essue B, Jeon YH, Dugdale P, Usherwood T, Leeder S. A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness. BMC Health Serv Res. 2013;13(1):251. [DOI:10.1186/1472-6963-13-251] [PMID] [PMCID]
11. Dunbar SB, Butts B, Reilly CM, Gary RA, Higgins MK, Ferranti EP, Culler SD, Butler J. A pilot test of an integrated self-care intervention for persons with heart failure and concomitant diabetes. Nursing outlook. 2014;62(2):97-111. [DOI:10.1016/j.outlook.2013.09.003] [PMID] [PMCID]
12. Ausili D, Rebora P, Di Mauro S, Riegel B, Valsecchi MG, Paturzo M, Alvaro R, Vellone E. Clinical and socio-demographic determinants of self-care behaviours in patients with heart failure and diabetes mellitus: A multicentre cross-sectional study. Int J Nurs Stud. 2016;63:18-27. [DOI:10.1016/j.ijnurstu.2016.08.006] [PMID]
13. Dunbar SB, Reilly CM, Gary R, Higgins MK, Culler S, Butts B, Butler J. Randomized clinical trial of an integrated self-care intervention for persons with heart failure and diabetes: quality of life and physical functioning outcomes. J Card Fail. 2015;21(9):719-29. [DOI:10.1016/j.cardfail.2015.05.012] [PMID] [PMCID]
14. Schulman‐Green D, Jaser S, Martin F, Alonzo A, Grey M, McCorkle R, Redeker NS, Reynolds N, Whittemore R. Processes of self‐management in chronic illness. J Nurs Scholarsh. 2012;44(2):136-44. [DOI:10.1111/j.1547-5069.2012.01444.x] [PMID] [PMCID]
15. King DK, Glasgow RE, Toobert DJ, Strycker LA, Estabrooks PA, Osuna D, Faber AJ. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes care. 2010;33(4):751-3. [DOI:10.2337/dc09-1746] [PMID] [PMCID]
16. Bidwell JT, Vellone E, Lyons KS, D'Agostino F, Riegel B, Juárez‐Vela R, Hiatt SO, Alvaro R, Lee CS. Determinants of heart failure self‐care maintenance and management in patients and caregivers: a dyadic analysis. Research in nursing & health. 2015;38(5):392-402. [DOI:10.1002/nur.21675] [PMID] [PMCID]
17. Cocchieri A, Riegel B, D'Agostino F, Rocco G, Fida R, Alvaro R, Vellone E. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. Eur J Cardiovas Nurs. 2015;14(2):126-36. [DOI:10.1177/1474515113518443] [PMID]
18. Bhandari P, Kim M. Self-care behaviors of nepalese adults with type 2 diabetes: a mixed methods analysis. Nursing research. 2016;65(3):202-14. [DOI:10.1097/NNR.0000000000000153] [PMID]
19. Mahboobeh VA, Nasli-Esfahani E, Peimani M, Sanjari M, Arzaghi SM, Larijani B. Iran diabetes research roadmap (IDRR) study; mental health in diabetic patients in Iran: a review article. Iran J Public Health. 2017;46(Supple 1):47-52.
20. Vellone E, Fida R, D'Agostino F, Mottola A, Juarez-Vela R, Alvaro R, Riegel B. Self-care confidence may be the key: a cross-sectional study on the association between cognition and self-care behaviors in adults with heart failure. Int J Nurs Stud. 2015;52(11):1705-13. [DOI:10.1016/j.ijnurstu.2015.06.013] [PMID]
21. Buck HG, Dickson VV, Fida R, Riegel B, D'Agostino F, Alvaro R, Vellone E. Predictors of hospitalization and quality of life in heart failure: A model of comorbidity, self-efficacy and self-care. Int J Nurs Stud. 2015;52(11):1714-22. [DOI:10.1016/j.ijnurstu.2015.06.018] [PMID]
22. Bohanny W, Wu SF, Liu CY, Yeh SH, Tsay SL, Wang TJ. Health literacy, self‐efficacy, and self‐care behaviors in patients with type 2 diabetes mellitus. J Am Assoc Nurse Pract. 2013;25(9):495-502. [DOI:10.1111/1745-7599.12017] [PMID]
23. Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reffering to‎ medical & educational center of heart in Rasht.‎. Journal of Holistic Nursing And Midwifery. 2013;23(1):22-9.
24. Jaarsma T, Strömberg A, Mårtensson J, Dracup K. Development and testing of the European heart failure self‐care behaviour scale. Eur J Heart Fail. 2003;5(3):363-70. [DOI:10.1016/S1388-9842(02)00253-2]
25. Shojaei F, Asemi S, Najaf YA, Hosseini F. Self-care behaviors in patients with heart failure. Payesh journal. 2009;8(4):361-9.
26. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83. [DOI:10.1016/0021-9681(87)90171-8]
27. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. [DOI:10.1016/0022-3956(75)90026-6]
28. S Seyedian M, Falah M, Nourozian M. Provide and specify Persian version credit, Short test of mental status. Iran Journal of Medical Council. 2007;4(25):40-1.
29. Marteau TM, Bekker H. The development of a six‐item short‐form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). Br J Clin Psychol. 1992;31(3):301-6. [DOI:10.1111/j.2044-8260.1992.tb00997.x]
30. Mahram B. Validity of Spielberger state-trait anxiety inventory (STAI) in Mashhad city. Tehran: Allameh Tabatabaei University. 1993.
31. Procidano ME, Heller K. Measures of perceived social support from friends and from family: Three validation studies. Am J Community Psychol. 1983;11(1):1-24. [DOI:10.1007/BF00898416]
32. Sayah Sayari N, Hossein Shahi HR, Ranjgar B. Relationship between Adolescents' Identity and Parents' Social Support. Journal of Clinical Psychology Andishe va Raftar (Andisheh va Raftar) (Applied Psychology). 2010;4(16):67-74.
33. Farghadani Z, Taheri KZ, Amiri MA, Montazeri A. Self-Care Behaviors and its Related Factors in Patients with Heart Failure. PAYESH. 2018;17(4):371-9.
34. Kato N, Kinugawa K, Nakayama E, Tsuji T, Kumagai Y, Imamura T, Maki H, Shiga T, Hatano M, Yao A, Miura C. Insufficient self-care is an independent risk factor for adverse clinical outcomes in Japanese patients with heart failure. Int Heart J. 2013;54(6):382-9. [DOI:10.1536/ihj.54.382] [PMID]
35. Hu X, Hu X, Su Y, Qu M, Dolansky MA. The changes and factors associated with post-discharge self-care behaviors among Chinese patients with heart failure. Patient Prefer Adherence. 2015;9:1593-601. [DOI:10.2147/PPA.S88431] [PMID] [PMCID]
36. Kessing D, Denollet J, Widdershoven J, Kupper N. Self-care and all-cause mortality in patients with chronic heart failure. JACC: Heart Failure. 2016;4(3):176-83. [DOI:10.1016/j.jchf.2015.12.006] [PMID]
37. Uchmanowicz I, Jankowska-Polańska B, Mazur G, Froelicher ES. Cognitive deficits and self-care behaviors in elderly adults with heart failure. Clin Iinterv Aging. 2017;12:1565-72. [DOI:10.2147/CIA.S140309] [PMID] [PMCID]
38. Kh M, Hasavari F, Sedghi Sabet M, Kazemnejad-Leili E, Gholipour M. Self-Care Status and Its Related Factors in Patients with Heart Failure. Journal of Health and Care. 2018;19(4):232-41.
39. Trojahn MM, Ruschel KB, Nogueira de Souza E, Mussi CM, Naomi Hirakata V, Nogueira Mello Lopes A, Rabelo-Silva ER. Predictors of better self-care in patients with heart failure after six months of follow-up home visits. Nursing research and practice. 2013;2013. [DOI:10.1155/2013/254352] [PMID] [PMCID]
40. Cené CW, Haymore LB, Lin FC, Laux J, Jones CD, Wu JR, DeWalt D, Pignone M, Corbie-Smith G. Family member accompaniment to routine medical visits is associated with better self-care in heart failure patients. Chronic illness. 2015;11(1):21-32. [DOI:10.1177/1742395314532142] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb