ArticlePatient preference and adherence2015
The changes and factors associated with post-discharge self-care behaviors among Chinese patients with heart failure.
Article in Patient preference and adherence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure.BMC cardiovascular disorders · 2017Trial
- Self-Care Behaviors in Heart Failure Patients Using the European Heart Failure Self-Care Behavior Scale: Systematic Review and Meta-Analysis.Florence Nightingale journal of nursing · 2026Article
- Illness perceptions and self-care behaviors among Chinese hospitalized adults with heart failure.BMC psychology · 2025Article
- Investigating the factors affecting the self-care behaviors of patients with type II diabetes and the role of demographic variables: A case study in Iran.Journal of education and health promotion · 2023Article
- The relationship between self-efficacy and treatment satisfaction among patients with anticoagulant therapy: a cross-sectional study from a developing country.Thrombosis journal · 2022Article
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- Gender differences in self-care maintenance and its associations among patients with chronic heart failure.International journal of nursing sciences · 2019Article
- Defining the rehabilitation adherence curve and adherence phases of stroke patients: an observational study.Patient preference and adherence · 2017Article
- Testing of a health-related quality of life model in patients with heart failure: A cross-sectional, correlational study.Geriatric nursing (New York, N.Y.)Article
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5 authors.
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Abstract
backgroundSelf-care behavior is essential for achieving good outcomes among patients with heart failure. Understanding the factors associated with self-care over time is important for the provision of appropriate and targeted interventions. However, little is known regarding the changes and factors associated with post-discharge self-care behaviors among Chinese patients with heart failure.
objectiveTo investigate the changes and factors of self-care behaviors during the first 3 months following discharge among patients with heart failure in the People's Republic of China.
methodsA descriptive design with a convenience sample was utilized in this study. Patients (N=128) from two hospitals, West China Hospital and Angjin Hospital, in Chengdu, People's Republic of China, were recruited from June 2013 to June 2014. The instruments used in the study included the following: the Social Support Rating Scale, the Hospital Anxiety and Depression Scale, the Self-Efficacy for Managing Chronic Disease 6-Item Scale, and the European Heart Failure Self-Care Behaviour Scale. Multivariate linear regression analyses were used to identify the factors related to self-care behaviors at baseline, 1 month, and 3 months following discharge.
resultsPatients' self-care behaviors were poor and decreased significantly over time (F=4.09, P<0.05). The factors associated with self-care behaviors at baseline included the following: education level, comorbidities, and social support. The factors related to self-care behaviors at 1 and 3 months following discharge included the following: education level, comorbidities, social support, and self-efficacy. The variances in self-care behaviors attributed to these factors were 43%, 46%, and 42% at baseline, 1 month, and 3 months following discharge, respectively.
conclusionAdditional support should be provided to patients with heart failure with low educational levels and patients with multiple comorbidities. Follow-up, continuity of care, and family caregiver integration following discharge are necessary for the said patients to improve their self-care behaviors and obtain better outcomes.
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