Araştırma Makalesi
Yıl 2025,
Cilt: 13 Sayı: 2, 408 - 417, 25.06.2025
Öz
The aim of the study was to evaluate the self-care behaviors of patients with heart failure (HF) and associated factors. This descriptive and cross-sectional study was conducted with 151 HF patients. Data were collected using the “Patient Information Form”, which included the descriptive characteristics of the patients, and the “European Heart Failure Self-Care Behavior Scale (EHFScBS)” to assess self-care behaviors. Descriptive statistics, Student's t-test and ANOVA test were used in statistical evaluation. Bonferroni test was used for post-hoc analyses. It was found that the total EHFScBS score of the participants was 35.07±8.03 and 61.6% of the participants had inadequate self-care behaviors. It was determined that age, educational status, presence of additional disease and duration of diagnosis were significant determinants of self-care behaviors (p<0.05). However, no significant difference was found between gender and marital status variables and EHFScBS (p>0.05). As a result of the study, it has been determined that the self-care behaviors of HF patients are at a moderate level, and the majority of them have inadequate self-care behaviors. Accordingly, it is thought that it would be beneficial to develop strategies to increase self-care skills in HF patients and to inform health professionals on this issue.
Anahtar Kelimeler
Kaynakça
- Akbiyik, A., Kocak, G. & Oksel, E. (2016). Investigation of self-care behavior in patients with chronic heart failure. Izmir Katip Celebi University Faculty of Health Sciences Journal, 1(2), 1-8.
- Asgar Pour, H., Gökce, S., Kunter, D. & Yönem H. (2016). Evaluation of self-care behaviors in patients with heart failure. Florence Nightingale Journal of Nursing, 24(2), 66-71.
- Baydemir, C., Ozdamar, K. & Unalir, A. (2013). Validity of the turkish version of the european heart failure self-care behavior scale. Journal of Cardiovascular Nursing, 13(6), 573- 579.
- Bayrak, B., Yildirim, G., Oguz, S., Sagaltici, C., Doganay, E., Ozdemir, F. & Enez, O.F. (2019). Evaluation of self-care in heart failure patients and determination of affecting risk factors. Turk J Cardiovasc Nurs, 10(23),114–121.
- Bowen, R. E. S., Graetz, T. J., Emmert, D. A. & Avidan, M. S. (2020). Statistics of heart failure and mechanical circulatory support in 2020. Annals of Translational Medicine, 8(13), 827. https://doi.org/10.21037/atm-20-1127
- Bozkurt, B., Coats, A. J., Tsutsui, H., Abdelhamid, M., Adamopoulos, S., Albert, N., … Zieroth, S. (2021). Universal definition and classification of heart failure: a report of the heart failure society of america, heart failure association of the european society of cardiology, japanese heart failure society and writing committee of the universal definition of heart failure. Journal of Cardiac Failure, 27(4), 387–413. https://doi.org/10.1016/j.cardfail.2021.01.022
- Dogu Kokcu, O. & Tiryaki, O. (2020). Investigation of ındependence status of self-behavior and caring needs of heart failure patients. Online Turkish Journal of Health Sciences, 5(2), 364-374.
- Ermis, N., Kasar, K. S., Karaman, E. & Yildirim, Y. (2018). Self care agency and fatigue in patients with chronic heart failure. Turk J Cardiovasc Nurs, 9(20), 105–112.
- Jiang, Y., Koh, K. W. L., Ramachandran, H. J., Nguyen, H. D., Lim, S., Tay, Y. K., … Wang, W. (2021). The effectiveness of a nurse-led home-based heart failure self-management programme (the HOM-HEMP) for patients with chronic heart failure: A three-arm stratified randomized controlled trial. International journal of nursing studies, 122, 104026. https://doi.org/10.1016/j.ijnurstu.2021.104026 Khan, S. S., Ning, H., Shah, S. J., Yancy, C. W., Carnethon, M., Berry, J. D., … Lloyd-Jones, D. M. (2019). 10-year risk equations for ıncident heart failure in the general population. Journal of the American College of Cardiology, 73(19), 2388–2397. https://doi.org/10.1016/j.jacc.2019.02.057
- Martin, S. S., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., … Kazi, D. S. (2024). American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2024). 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association. Circulation, 149(8), e347–e913. https://doi.org/10.1161/CIR.0000000000001209
- McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., … ESC Scientific Document Group (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 42(36), 3599–3726. https://doi.org/10.1093/eurheartj/ehab368
- Meng, X., Wang, Y., Tang, X., Gu, J. & Fu, Y. (2021). Self-management on heart failure: A meta-analysis. Diabetes & metabolic syndrome, 15(4), 102176. https://doi.org/10.1016/j.dsx.2021.06.013
- Pobrotyn, P., Mazur, G., Kałużna-Oleksy, M., Uchmanowicz, B. & Lomper, K. (2021) The level of self-care among patients with chronic heart failure. In Healthcare, 9(9), 1179.
- Rajan, S., McKee, M., Rangarajan, S., Bangdiwala, S., Rosengren, A., Gupta, R., … Prospective Urban Rural Epidemiology (PURE) Study Investigators (2020). Association of symptoms of depression with cardiovascular disease and mortality in low-, middle-, and high-ıncome countries. JAMA Psychiatry, 77(10), 1052–1063. https://doi.org/10.1001/jamapsychiatry.2020.1351
- Sahlin, D., Rezanezad, B., Edvinsson, M. L., Bachus, E., Melander, O. & Gerward, S. (2022). Self-care Management Intervention in Heart Failure (SMART-HF): A Multicenter Randomized Controlled Trial. Journal of cardiac failure, 28(1), 3–12. https://doi.org/10.1016/j.cardfail.2021.06.009
- Savarese, G., Becher, P. M., Lund, L. H., Seferovic, P., Rosano, G. M. C. & Coats, A. J. S. (2023). Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovascular research, 118(17), 3272–3287. https://doi.org/10.1093/cvr/cvac013
- Shahim, B., Kapelios, C. J., Savarese, G. & Lund, L. H. (2023). Global Public Health Burden of Heart Failure: An Updated Review. Cardiac failure review, 9, e11. https://doi.org/10.15420/cfr.2023.05
- Timmis, A., Vardas, P., Townsend, N., Torbica, A., Katus, H., De Smedt, D., ... & Achenbach, S. (2022). European Society of Cardiology: cardiovascular disease statistics 2021. European Heart Journal, 43(8), 716-799. https://doi.org/10.1093/eurheartj/ehab892
- Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., … American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2023). Heart disease and stroke statistics-2023 update: a report from the American Heart Association. Circulation, 147(8), e93–e621. https://doi.org/10.1161/CIR.0000000000001123
- Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … & Lewis, T. T. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2020). Heart disease and stroke statistics-2020 update: a report from the american heart association. Circulation, 141(9), e139–e596. https://doi.org/10.1161/CIR.0000000000000757
- Yilmaz, M. B., Celik, A., Cavusoglu, Y., Bekar, L., Onrat, E., Eren, M., ... & Tokgozoglu, L. (2019). A snapshot of heart failure in Türkiye: SELFIE-TR baseline characteristics. Archives of the Turkish Society of Cardiology, 47(3), 198-206. https://doi.org/10.5543/tkda.2019.66877 Zhao, Q., Chen, C., Zhang, J., Ye, Y. & Fan, X. (2020). Effects of self-management interventions on heart failure: Systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 110, 103689. https://doi.org/10.1016/j.ijnurstu.2020.103689
Yıl 2025,
Cilt: 13 Sayı: 2, 408 - 417, 25.06.2025
Öz
Çalışmanın amacı, kalp yetersizliği (KY) olgularında öz bakım davranışlarını ve ilişkili faktörleri belirlemektir. Tanımlayıcı-kesitsel tipteki bu çalışma, 151 KY hastası ile yürütülmüştür. Veriler, hastaların tanıtıcı özelliklerinin yer aldığı “Hasta Bilgi Formu” ve öz bakım davranışlarını değerlendirmek için “Avrupa Kalp Yetmezliği Öz Bakım Davranış Ölçeği (EHFScBS)” kullanılarak toplanmıştır. İstatistiksel değerlendirmede tanımlayıcı istatistikler, Student t testi ve ANOVA testi kullanılmıştır. Post-hoc analizler için Bonferroni testi kullanılmıştır. Katılımcıların toplam EHFScBS puanının 35.07±8.03 olduğu ve katılımcıların %61.6’sının yetersiz öz bakım davranışlarına sahip olduğu bulunmuştur. Yaş, eğitim durumu, ek hastalık varlığı ve tanı süresinin öz bakım davranışlarının anlamlı belirleyicileri olduğu belirlenmiştir (p<0.05). Ancak cinsiyet ve medeni durum değişkenleri ile EHFScBS puanları arasında anlamlı bir fark bulunmamıştır (p>0.05). Sonuç olarak; HF hastalarının öz bakım davranışlarının orta düzeyde olduğu ve büyük çoğunluğunun yetersiz öz bakım davranışlarına sahip olduğu belirlenmiştir. Buna göre; HF hastalarında öz bakım becerilerini artırmaya yönelik stratejiler geliştirilmesinin ve sağlık profesyonellerinin bu konuda bilgilendirilmesinin yararlı olacağı düşünülmektedir.
Anahtar Kelimeler
Kaynakça
- Akbiyik, A., Kocak, G. & Oksel, E. (2016). Investigation of self-care behavior in patients with chronic heart failure. Izmir Katip Celebi University Faculty of Health Sciences Journal, 1(2), 1-8.
- Asgar Pour, H., Gökce, S., Kunter, D. & Yönem H. (2016). Evaluation of self-care behaviors in patients with heart failure. Florence Nightingale Journal of Nursing, 24(2), 66-71.
- Baydemir, C., Ozdamar, K. & Unalir, A. (2013). Validity of the turkish version of the european heart failure self-care behavior scale. Journal of Cardiovascular Nursing, 13(6), 573- 579.
- Bayrak, B., Yildirim, G., Oguz, S., Sagaltici, C., Doganay, E., Ozdemir, F. & Enez, O.F. (2019). Evaluation of self-care in heart failure patients and determination of affecting risk factors. Turk J Cardiovasc Nurs, 10(23),114–121.
- Bowen, R. E. S., Graetz, T. J., Emmert, D. A. & Avidan, M. S. (2020). Statistics of heart failure and mechanical circulatory support in 2020. Annals of Translational Medicine, 8(13), 827. https://doi.org/10.21037/atm-20-1127
- Bozkurt, B., Coats, A. J., Tsutsui, H., Abdelhamid, M., Adamopoulos, S., Albert, N., … Zieroth, S. (2021). Universal definition and classification of heart failure: a report of the heart failure society of america, heart failure association of the european society of cardiology, japanese heart failure society and writing committee of the universal definition of heart failure. Journal of Cardiac Failure, 27(4), 387–413. https://doi.org/10.1016/j.cardfail.2021.01.022
- Dogu Kokcu, O. & Tiryaki, O. (2020). Investigation of ındependence status of self-behavior and caring needs of heart failure patients. Online Turkish Journal of Health Sciences, 5(2), 364-374.
- Ermis, N., Kasar, K. S., Karaman, E. & Yildirim, Y. (2018). Self care agency and fatigue in patients with chronic heart failure. Turk J Cardiovasc Nurs, 9(20), 105–112.
- Jiang, Y., Koh, K. W. L., Ramachandran, H. J., Nguyen, H. D., Lim, S., Tay, Y. K., … Wang, W. (2021). The effectiveness of a nurse-led home-based heart failure self-management programme (the HOM-HEMP) for patients with chronic heart failure: A three-arm stratified randomized controlled trial. International journal of nursing studies, 122, 104026. https://doi.org/10.1016/j.ijnurstu.2021.104026 Khan, S. S., Ning, H., Shah, S. J., Yancy, C. W., Carnethon, M., Berry, J. D., … Lloyd-Jones, D. M. (2019). 10-year risk equations for ıncident heart failure in the general population. Journal of the American College of Cardiology, 73(19), 2388–2397. https://doi.org/10.1016/j.jacc.2019.02.057
- Martin, S. S., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., … Kazi, D. S. (2024). American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2024). 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association. Circulation, 149(8), e347–e913. https://doi.org/10.1161/CIR.0000000000001209
- McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., … ESC Scientific Document Group (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 42(36), 3599–3726. https://doi.org/10.1093/eurheartj/ehab368
- Meng, X., Wang, Y., Tang, X., Gu, J. & Fu, Y. (2021). Self-management on heart failure: A meta-analysis. Diabetes & metabolic syndrome, 15(4), 102176. https://doi.org/10.1016/j.dsx.2021.06.013
- Pobrotyn, P., Mazur, G., Kałużna-Oleksy, M., Uchmanowicz, B. & Lomper, K. (2021) The level of self-care among patients with chronic heart failure. In Healthcare, 9(9), 1179.
- Rajan, S., McKee, M., Rangarajan, S., Bangdiwala, S., Rosengren, A., Gupta, R., … Prospective Urban Rural Epidemiology (PURE) Study Investigators (2020). Association of symptoms of depression with cardiovascular disease and mortality in low-, middle-, and high-ıncome countries. JAMA Psychiatry, 77(10), 1052–1063. https://doi.org/10.1001/jamapsychiatry.2020.1351
- Sahlin, D., Rezanezad, B., Edvinsson, M. L., Bachus, E., Melander, O. & Gerward, S. (2022). Self-care Management Intervention in Heart Failure (SMART-HF): A Multicenter Randomized Controlled Trial. Journal of cardiac failure, 28(1), 3–12. https://doi.org/10.1016/j.cardfail.2021.06.009
- Savarese, G., Becher, P. M., Lund, L. H., Seferovic, P., Rosano, G. M. C. & Coats, A. J. S. (2023). Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovascular research, 118(17), 3272–3287. https://doi.org/10.1093/cvr/cvac013
- Shahim, B., Kapelios, C. J., Savarese, G. & Lund, L. H. (2023). Global Public Health Burden of Heart Failure: An Updated Review. Cardiac failure review, 9, e11. https://doi.org/10.15420/cfr.2023.05
- Timmis, A., Vardas, P., Townsend, N., Torbica, A., Katus, H., De Smedt, D., ... & Achenbach, S. (2022). European Society of Cardiology: cardiovascular disease statistics 2021. European Heart Journal, 43(8), 716-799. https://doi.org/10.1093/eurheartj/ehab892
- Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., … American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2023). Heart disease and stroke statistics-2023 update: a report from the American Heart Association. Circulation, 147(8), e93–e621. https://doi.org/10.1161/CIR.0000000000001123
- Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … & Lewis, T. T. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2020). Heart disease and stroke statistics-2020 update: a report from the american heart association. Circulation, 141(9), e139–e596. https://doi.org/10.1161/CIR.0000000000000757
- Yilmaz, M. B., Celik, A., Cavusoglu, Y., Bekar, L., Onrat, E., Eren, M., ... & Tokgozoglu, L. (2019). A snapshot of heart failure in Türkiye: SELFIE-TR baseline characteristics. Archives of the Turkish Society of Cardiology, 47(3), 198-206. https://doi.org/10.5543/tkda.2019.66877 Zhao, Q., Chen, C., Zhang, J., Ye, Y. & Fan, X. (2020). Effects of self-management interventions on heart failure: Systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 110, 103689. https://doi.org/10.1016/j.ijnurstu.2020.103689
Toplam 21 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Dahili Hastalıklar Hemşireliği |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 17 Haziran 2025 |
| Yayımlanma Tarihi | 25 Haziran 2025 |
| Gönderilme Tarihi | 20 Ekim 2024 |
| Kabul Tarihi | 26 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 13 Sayı: 2 |
