TY - JOUR
T1 - Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan
AU - Kato, Naoko
AU - Kinugawa, Koichiro
AU - Ito, Naomi
AU - Yao, Atsushi
AU - Watanabe, Masafumi
AU - Imai, Yasushi
AU - Takeda, Norihiko
AU - Hatano, Masaru
AU - Kazuma, Keiko
N1 - Funding Information:
This study was granted by the Japan Foundation of Cardiovascular Research (N-1; to N.K.).
PY - 2009
Y1 - 2009
N2 - Background: Adherence to self-care behavior is important for patients with heart failure (HF) to prevent exacerbation of HF. The aim of this study was to evaluate adherence, identify associated factors, and clarify the impact of previous HF hospitalizations on adherence in outpatients with HF. Methods: A total of 116 outpatients completed a questionnaire, including the Japanese version of the European Heart Failure Self-Care Behavior Scale, to assess adherence. Results: Regardless of previous hospitalizations, adherence to seek help if HF worsened was poor. Multivariate analysis adjusted for age and brain natriuretic peptide showed that diabetes mellitus and being employed were independent predictors of poorer adherence to self-care behavior (P = .03, P = .02, respectively), but the experience of previous HF hospitalizations was not a predictor. Conclusions: Self-care strategies for HF should target patients with diabetes mellitus and employed patients. Further study is necessary to develop effective programs for such patients.
AB - Background: Adherence to self-care behavior is important for patients with heart failure (HF) to prevent exacerbation of HF. The aim of this study was to evaluate adherence, identify associated factors, and clarify the impact of previous HF hospitalizations on adherence in outpatients with HF. Methods: A total of 116 outpatients completed a questionnaire, including the Japanese version of the European Heart Failure Self-Care Behavior Scale, to assess adherence. Results: Regardless of previous hospitalizations, adherence to seek help if HF worsened was poor. Multivariate analysis adjusted for age and brain natriuretic peptide showed that diabetes mellitus and being employed were independent predictors of poorer adherence to self-care behavior (P = .03, P = .02, respectively), but the experience of previous HF hospitalizations was not a predictor. Conclusions: Self-care strategies for HF should target patients with diabetes mellitus and employed patients. Further study is necessary to develop effective programs for such patients.
UR - http://www.scopus.com/inward/record.url?scp=69949170885&partnerID=8YFLogxK
U2 - 10.1016/j.hrtlng.2008.11.002
DO - 10.1016/j.hrtlng.2008.11.002
M3 - 学術論文
C2 - 19755190
AN - SCOPUS:69949170885
SN - 0147-9563
VL - 38
SP - 398
EP - 409
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
IS - 5
ER -
