Observational studyBMJ open2018
Paradox of self-care gender differences among Italian patients with chronic heart failure: findings from a real-world cross-sectional study.
Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Development and Validation of a Nomogram Model for Predicting the Risk of Readmission in Patients with Heart Failure with Reduced Ejection Fraction within 1 Year.Cardiovascular therapeutics · 2022Trial
- Motivational interviewing to improve self-care in heart failure patients (MOTIVATE-HF): a randomized controlled trial.ESC heart failure · 2020Trial
- Global Trends in Heart Failure Self-Care Research: A Bibliometric and Visual Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Quality of Life, Anxiety, and Depression in Caregivers of Community-Dwelling Heart Failure Patients.Healthcare (Basel, Switzerland) · 2025Article
- Individual and systems-related factors associated with heart failure self-care: a systematic review.BMC nursing · 2024Article
- Prevalence and Predictors of Nonadherence to Direct Oral Anticoagulant Treatment in Patients with Atrial Fibrillation.TH open : companion journal to thrombosis and haemostasis · 2023Article
- Barriers and facilitators of experiencing pregnancy and motherhood with congenital heart disease: A secondary qualitative analysis.Nursing open · 2023Article
- Utilization and impact of cardiovascular magnetic resonance on patient management in heart failure: insights from the SCMR Registry.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022Article
- Self-care and type 2 diabetes mellitus (T2DM): a literature review in sex-related differences.Acta bio-medica : Atenei Parmensis · 2022Review
- Self-care and quality of life among men with chronic heart failure.Frontiers in public health · 2022Article
- Preferences Regarding Self-Management Intervention Outcomes of Dutch Chronically Ill Patients With Limited Health Literacy.Frontiers in public health · 2022Article
- The Level of Self-Care among Patients with Chronic Heart Failure.Healthcare (Basel, Switzerland) · 2021Article
- Self-Care in Heart Failure Inpatients: What Is the Role of Gender and Pathophysiological Characteristics? A Cross-Sectional Multicentre Study.Healthcare (Basel, Switzerland) · 2021Article
- Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain.International journal of environmental research and public health · 2021Article
- Evolution of self-care in patients with heart failure at the first outpatient return and three months after hospital discharge.Revista latino-americana de enfermagem · 2021Article
- Sex-related differences in self-care behaviors of adults with type 2 diabetes mellitus.Endocrine · 2020Article
- Article
- Prevalence of the Effects of Anxiety and Depression on People with Type 2 Diabetes Mellitus: An Analysis of Health Policy Studies in Improving the Quality of Life of Poor Families in the Urban Areas of West Lombok, Indonesia.Current diabetes reviews · 2020Article
- The Effect of the Teach-Back Method on Knowledge, Performance, Readmission, and Quality of Life in Heart Failure Patients.Cardiology research and practice · 2020Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this study was to critically analyse and describe gender differences related to self-care among patients with chronic heart failure (HF). METHODS AND
resultsA monocentric real-world cohort of 346 patients with chronic HF in follow-up was used for this cross-sectional study. We report data related to the cohort's demographic and clinical characteristics. Self-care was assessed using the Self-Care of Heart Failure Index before patients' discharge. After bivariate analysis, logistical regression models were used to describe the relationship between gender, self-care behaviours and self-care confidence. While men were found to have more than quadruple the risk of poor self-care than women (OR 4.596; 95% CI 1.075 to 19.650), men were also found to be approximately 60% more likely to have adequate self-care confidence than women (OR 0.412; 95% CI 0.104 to 0.962). Considering that self-care confidence is described as a positive predictor of behaviours, our results suggest a paradox. It is possible that the patient-caregiver relationship mediates the effect of confidence on behaviours. Overall, adequate levels of self-care behaviours are a current issue, ranging 7.6%-18.0%.
conclusionThis study sets the stage for future research where elements of the patient-caregiver relationship ought to be considered to inform the planning of appropriate educational interventions. We recommend routinely measuring patients' self-care behaviours to guide their follow-up and as a basis for any changes in their daily life behaviours.
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