A Correlational Study of Illness Knowledge, Self-Care Behaviors, and Quality of Life in Elderly Patients with Heart Failure

Min-Hui Liu; Chao-Hung Wang; Yu-Yen Huang; Wen-Jin Cherng; Katherine Kai-Wei Wang

doi:10.1097/jnr.0000000000000024

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P136 - 145

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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A Correlational Study of Illness Knowledge, Self-Care Behaviors, and Quality of Life in Elderly Patients with Heart Failure

以问卷调查老年心脏衰竭疾病知识、自我照顾行为与生活品质之相关性研究

刘敏慧(Min-Hui Liu) ；王兆弘(Chao-Hung Wang) ；黄于晏(Yu-Yen Huang) ；程文俊(Wen-Jin Cherng) ；王凯微(Katherine Kai-Wei Wang)

The Journal of Nursing Research ； 22 卷 2 期 (2014 / 06 / 01) ， P136 - 145

英文 DOI： 10.1097/jnr.0000000000000024

老年；心脏衰竭；疾病知识；自我照顾行为；生活品质； elderly ； heart failure ； illness knowledge ； self-care behaviors ； quality of life

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摘要 │ 参考文献 (41) │ 被引用文献 (5) │ 国际计量

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Background: Patients with heart failure experience adverse physical symptoms that affect quality of life. The number of patients with heart failure in Taiwan has been growing in recent years. Purpose: This article examines correlations among illness knowledge, self-care behaviors, and quality of life in elderly patients with heart failure. Methods: A cross-sectional research design using three questionnaires was adopted. The study was undertaken in an outpatient department of a teaching hospital in Taiwan from January to June 2008. Potential participants aged 65 years or older were selected by a physician based on several diagnostic findings of heart failure that included an International Classification of Diseases’ code 4280 or 4289. Patients who were bedridden or had a prognosis of less than 6 months were excluded from consideration. Results: One hundred forty-one patients with heart failure were recruited. Most participants were men (51.8%), older adults (49.6% older than 71 years old), and either educated to an elementary school level or illiterate (69.5%) and have New York Heart Association class II (61.0%). Participants had an average left ventricular ejection fraction of 41.1%. The illness knowledge of participants was poor (accuracy rate: 29.3%), and most were unaware of the significance of self-care. Illness knowledge correlated with both self-care behaviors (r = -.42, p ＜ .01) and quality of life (r = -.22, p ＜ .01). Illness knowledge and age were identified as significant correlated factors of self-care behaviors (R^2 = .22); and functional class, living independently, and age were identified as significant correlated factors of quality of life (R^2 = .41). Conclusions/Implications for Practice: Participants in this study with higher self-reported self-care behaviors and quality of life were younger in age and had better illness knowledge. Furthermore, physical function and independence in daily living significantly affected quality of life. Care for patients with heart failure, particularly older adults, should focus on teaching these patients about heart failure illness and symptom management. Assisting elderly patients with heart failure to promote and maintain physical functions to handle activities of daily living independently is critical to improving patient quality of life.

参考文献 ( 41 ) 〈TOP〉

British Heart Foundation. (2010). Coronary heart disease statistics 2010 edition. British Heart Foundation statistics database. Retrieved from http://www.bhf.org.uk/publications/view-publication.aspx?ps=1001546www.heartstats.org
Ministry of Health and Welfare, Executive Yuan, Taiwan, ROC. (2008). Cause of death statistics in Taiwan. Retrieved from http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11962&class_no=440&level_no=4 (Original work published in Chinese)
Ministry of Health and Welfare, Taiwan, ROC. (2013). 2011 statistics cause of death. Retrieved from http://www.mohw.gov.tw/cht/DOS/Statistic_P.aspx?f_list_no=312&fod_list_no=2685&doc_no=13661 (Original work published in Chinese)
Boyde, M.,Tuckett, A.,Peters, R.,Thompson, D.,Turner, C.,Stewart, S.(2009).Learning for heart failure patients (the L-HF patient study).Journal of Clinical Nursing,18(14),2030-2039.
Brodie, D. A.,Inoue, A.,Shaw, D. G.(2008).Motivational interviewing to change quality of life for people with chronic heart failure: A randomized controlled trial.International Journal of Nursing Studies,45(4),489-500.

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