ArticleBMC geriatrics2025
Trends and influencing factors of self-management in patients with chronic heart failure: a longitudinal study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Quality of Chronic Care Statistically Mediates the Association Between eHealth Literacy and Self-Management Among Adults with Diabetes in a Shared Care Model.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Prevalence and associated factors of fear of progression in patients with heart failure in China: a scoping review.Frontiers in psychiatry · 2026Review
- Associations Between Fatigue, Knowledge, Self-Management, and Self-Efficacy Among Community-Dwelling Patients with Stable Coronary Heart Disease in Pingdingshan, China: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Effects of medagogy-based health literacy enhancement on self-management behaviors and functional capacity among older persons with chronic heart failure: A randomized controlled trial.Belitung nursing journal · 2026Article
- Family cohesion and adaptability in heart failure: an APIMeM analysis of symptom perception and spousal caregiving on patient self-care.Frontiers in medicine · 2026Article
- Status and influencing factors of home-based fluid management in patients with chronic heart failure.Frontiers in cardiovascular medicine · 2026Article
- Latent profile and influencing factors of volume management behaviors in patients with chronic heart failure: a cross-sectional study.Frontiers in cardiovascular medicine · 2025Article
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6 authors.
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Abstract
backgroundGood self-management behaviors can improve the physical function and quality of life of patients with heart failure and reduce hospitalization, mortality, and medical expenses. While the overall self-management level among patients with chronic heart failure (CHF) in China is low, previous studies have often used a cross-sectional design, and few have followed up on patients' self-management beyond 6 months after discharge. This study aimed to explore the factors influencing and the changes in the self-management level of patients with CHF and provide a basis for the timing and choice of interventions within 1 year after discharge.
methodsA longitudinal study was conducted from December 2021 to June 2022, including patients with CHF who met all the inclusion criteria. Data on demographics, disease-related details, social support, self-efficacy, and other information were collected during hospitalization (T0) and reevaluated at 1 month (T1), 3 months (T2), 6 months (T3), and 12 months (T4) after discharge.
resultsA total of 213 patients were enrolled at T0, with 206, 201, 189, and 173 patients completing follow-up at T1, T2, T3, and T4, respectively. The self-management score was lowest at T0, highest at T1, began to decline at T2, and stabilized at T3; however, T3 remained higher than T0. Social support, self-efficacy, disease course, medication type, education level, and personal monthly income were identified as factors influencing self-management.
conclusionsThe study findings indicate that self-management is a dynamic process of change. The level of self-management was at a high level 3 months after the patients were discharged from the hospital, but showed a decreasing trend from 6 months, which was related to numerous factors. This study helps to provide a theoretical basis for the timing and content of self-management intervention for patients with CHF by clinical healthcare professionals.
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