Frank Peters-Klimm|Tobias Freund|Christina Kunz|Gunter Laux|Lutz Frankenstein|Thomas Müller?Tasch|Joachim Szécsényi
Determinants of heart failure self-care behaviour in community-based patients: a cross-sectional study
University Hospital Heidelberg|Heidelberg University|University Hospital Heidelberg|Heidelberg University|University Hospital Heidelberg|Heidelberg University|University Hospital Heidelberg|Heidelberg University|University Hospital Heidelberg|Heidelberg University|University Hospital Heidelberg|Heidelberg University|University Hospital Heidelberg|Heidelberg University
selfcare behaviour patients heart failure hf represents series specific actions patients take important treatment componentthe aim study identify potential determinants hf selfcare ambulatory patients stable systolic hfin crosssectional study 318 patients chronic systolic hf recruited 48 german primary care practices evaluated patientreported european hf selfcare behaviour scale ehfscbs assessments range 1260 lower scores indicate better selfcare potential determinants included sociodemographic eg age living status clinical eg nyha class lvef ntprobnp levels comorbidities behavioural eg smoking alcohol intake psychosocial sf36 scales kccq domains eg quality life selfefficacy depression status phqd plus previous health care utilisation mixed regression modelling appliedpatients mean sd age 690 104 years 71 male good overall ehfscbs score 247 78 n274 final regression model n271 six determinants retained descriptive pvalue selfefficacy 024 001 age 022 001 prosthetic heart valve 014 01 referrals cardiologists 014 02 peripheral arterial disease 013 03 quality life 016 02in exploratory crosssectional study potential nonmodifiable modifiable risk factors resources involved patients hf selfcare individual organisational level selfefficacy quality life potentially modifiable could targeted improvement enhancing patient motivation hf education supporting collaborative care approach