Korean J Adult Nurs.  2015 Apr;27(2):242-250. 10.7475/kjan.2015.27.2.242.

Factors Affecting Adherence to Self-care Behaviors among Outpatients with Heart Failure in Korea

Affiliations
  • 1Division of Cardiology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
  • 2Department of Nursing, Konkuk University, Chungju, Korea. hjchoi98@kku.ac.kr

Abstract

PURPOSE
To evaluate heart failure knowledge and adherence to self-care behaviors, and to identify factors affecting adherence to self-care behaviors among Korean patients with heart failure.
METHODS
Correlational research using the European Heart Failure Self-care Behavior Scale, the Duke Activity Status Index, the Dutch Heart Failure Knowledge Scale, the New York Heart Association Functional Classification, and the Medical Outcomes Study Social Support Survey was conducted. A total of 280 outpatients with heart failure responded to the five questionnaires.
RESULTS
The mean scores for self-care adherence and heart failure knowledge were 31.98 +/- 6.81 and 8.78 +/- 2.53, respectively, indicating lower adherence and knowledge than those previously reported. Subjects with lower functional status, more social supports, and greater knowledge of heart failure are more likely to adhere to prescribed regimens.
CONCLUSION
Nurses should focus on patient education and support to improve their adherence to self-care behaviors.


MeSH Terms

Classification
Heart
Heart Failure*
Humans
Korea
Outpatients*
Patient Compliance
Patient Education as Topic
Self Care*
Surveys and Questionnaires

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