ArticleBMC cardiovascular disorders2025
Investigating the correlation of self-care and quality-of-life patients with heart failure.
Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Functional Capacity as a Correlate of Health-Related Quality of Life in Patients With Heart Failure: A Cross-Sectional Study.Nursing & health sciences · 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
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6 authors.
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Abstract
backgroundHeart Failure adversely affects the patients' quality-of-life. Quality-of-life in patients with heart failure is related to their self-care and other factors. This study aimed to investigate the correlation of quality-of-life and self-care among patients with heart failure and to determine their associated factors.
methodsThis descriptive-correlational study was conducted on 217 patients with heart failure at the Farshchian Heart Hospital in Hamadan, Iran, from April 13, 2022, to March 29, 2023. Patients completed the self-care questionnaire for patients with heart failure and the Minnesota quality-of-life questionnaire. A quantile regression model was used to identify factors related to self-care and quality-of-life in patients with heart failure. Analysis was done using R.4.4.0 (P < 0.05).
resultsThe mean(± SD) of age, quality-of-life and self-care were 62.16(± 7.86), 60.05(± 8.85), and 35.16(± 5.36), respectively, indicating a low level of quality-of-life and moderate level of self-care. There was no significant correlation between self-care and quality-of-life(r = 0.007; P = 0.916). The correlates of self-care which were significant in almost all Deciles included duration of disease(P < 0.05 for 4th and 5th deciles and P < 0.001 for other deciles), gender(P < 0.01 for the 1st,7th,8th,9th deciles and P = 0.017 for 2nd ), education (P < 0.001), income(P < 0.05 for 3rd -7th deciles and P < 0.001 for 8th and 9th deciles), substance abuse (P = 0 < 0.001 to P = 0.047 for various deciles), and history of hypertension (P < 0.05). Moreover, for the quality-of-life the associated variables included duration of disease (P < 0.001 for the 1st to 5th deciles and P = 0.028 for the 8th decile), sufficient income (P:0.001, 0.004, 0.018, 0.026,<0.001, and < 0.001 for the 2nd, 3rd, 5-6th, and 8-9th deciles).
conclusionThe non-significant correlation between self-care and quality-of-life shows that lower self-care is linked to a diminished quality-of-life. Patients motivated to engage in self-care are likely to experience fewer hospital readmissions and an improved quality-of-life. Healthcare providers/policymakers should be aware of the importance of self-care in patients with heart failure and help promote their quality-of-life by enhancing their self-care behavior through personalized interventions as own efforts to prevent further worsening of HF. Specifically, such interventions should consider the multifactorial nature of these outcomes and the diverse demographic, socio-economic, and health-related characteristics of this population.
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