Analysis of factors related to self-care in chronic heart failure patients in Indonesian

Tobi Pitora, Tuti Pahria, E. Sari
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Abstract

Chronic Heart Failure (CHF) has impacted changes in physiological and psychological status and has a high risk of death and recurrence. Self-care is one of the efforts that get resolved to prevent recurrence in CHF patients. This study aims to determine factors related to self-care in CHF patients. This study used a descriptive correlational method with a cross-sectional approach. The sample in this study was 74 respondents who were diagnosed with CHF. Collected data in this study using a questionnaire. Data collected were analyzed using univariate, bivariate, and multivariate make use of Pearson's product-moment correlation test and multiple linear regression with the SPSS version 25 application. The study showed that most respondents who experienced CHF were male (70.3%), with the average respondent being 52 years old. The majority of respondents' education is in high school (63.5%) with an average knowledge of 10.76, self-efficacy of 35.00, social support of 77.05, and self-care of 69.66. The results of the bivariate test showed that there was a significant relationship between age (r = 0.281, p < 0.05), education (r = 0.312, p < 0.05), knowledge (r = 0.238, p < 0.05), self-efficacy (r = 0.321, p <0.05) and social support (r=0,239,p<0,05) for self-care in CHF patients. Multivariate analysis showed that self-efficacy was the most dominant factor (β=0.339) related to self-care in CHF patients. Self-efficacy has an important role in CHF patients in carrying out self-care, improve self-efficacy could be done by providing education and motivation, and support to patients in carrying out the treatment process.
印尼慢性心力衰竭患者自我护理相关因素分析
慢性心力衰竭(CHF)影响生理和心理状态的变化,具有很高的死亡和复发风险。自我护理是预防慢性心力衰竭患者复发的努力之一。本研究旨在探讨慢性心力衰竭患者自我护理的相关因素。本研究采用描述性相关方法和横断面方法。本研究的样本是74名被诊断为CHF的应答者。在本研究中使用问卷收集数据。收集的数据使用单变量、双变量和多变量进行分析,使用Pearson积差相关检验和多元线性回归,并使用SPSS version 25应用程序。研究显示,大多数经历过CHF的受访者为男性(70.3%),平均年龄为52岁。受访者的学历以高中居多(63.5%),平均知识水平为10.76,自我效能为35.00,社会支持为77.05,自我照顾为69.66。双变量检验结果显示,年龄(r= 0.281, p< 0.05)、文化程度(r= 0.312, p< 0.05)、知识(r= 0.238, p< 0.05)、自我效能感(r= 0.321, p< 0.05)、社会支持(r= 0.239,p< 0.05)与CHF患者自我护理存在显著相关。多因素分析显示,自我效能感是影响慢性心力衰竭患者自我护理的最主要因素(β=0.339)。自我效能感在慢性心力衰竭患者进行自我护理中具有重要作用,提高自我效能感可以通过对患者进行教育、激励、支持患者进行治疗过程来实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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