PMID- 31075932
OWN - NLM
STAT- MEDLINE
DCOM- 20191115
LR  - 20200309
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 16
IP  - 9
DP  - 2019 May 9
TI  - Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart 
      Failure: A Cross-Sectional Survey.
LID - 10.3390/ijerph16091625 [doi]
LID - 1625
AB  - Chronic heart failure patients require self-care behaviors and active monitoring 
      of signs and symptoms to prevent worsening. Most patients with this condition are 
      attended in primary healthcare centers. This study aimed to evaluate the 
      endorsement of and adherence to self-care behaviors in primary health care 
      patients with chronic heart failure. We conducted a multicenter cross-sectional 
      study. We randomly included chronic heart failure patients from 10 primary 
      healthcare centers in the Barcelona metropolitan area (Spain). Patients completed 
      the European Heart Failure Self-Care Behaviour Scale, a health literacy 
      questionnaire. Differences between groups were studied using ANOVA tests. We 
      included 318 patients with a mean age of 77.9 years, mild limitations in 
      functional activity New York Heart Association scale (NYHA) II = 51.25%), and a 
      low health literacy index of 79.6%. The endorsement of self-care behaviors was 
      low in daily weighing (10.66%), contacting clinicians if the body weight 
      increased (22.57%), and doing physical exercise regularly (35.58%). Patients with 
      lower educational levels and a worse health literacy had a lower endorsement. The 
      screening of individual self-care practices in heart failure patients might 
      improve the clinician follow-up. We suggest that primary healthcare clinicians 
      should routinely screen self-care behaviors to identify patients requiring a 
      closer follow-up and to design and adapt rehabilitation programs to improve 
      self-care.
FAU - Santesmases-Masana, Rosalia
AU  - Santesmases-Masana R
AUID- ORCID: 0000-0002-6890-3279
AD  - School of Nursing, Hospital Santa Creu i Sant Pau. Universitat Autonoma de 
      Barcelona (UAB), 08025, Barcelona, Spain. RSantesmases@santpau.cat.
FAU - Gonzalez-de Paz, Luis
AU  - Gonzalez-de Paz L
AUID- ORCID: 0000-0002-4767-8121
AD  - Les Corts Primary Healthcare Center, Primary Healthcare Transversal Research 
      Group, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), 08028 
      Barcelona, Spain. gonzalezdepaz@hotmail.com.
FAU - Hernandez-Martinez-Esparza, Elvira
AU  - Hernandez-Martinez-Esparza E
AUID- ORCID: 0000-0002-9736-9052
AD  - School of Nursing, Hospital Santa Creu i Sant Pau. Universitat Autonoma de 
      Barcelona (UAB), 08025, Barcelona, Spain. elviraherna95@gmail.com.
FAU - Kostov, Belchin
AU  - Kostov B
AUID- ORCID: 0000-0002-2126-3892
AD  - Primary Healthcare Transversal Research Group, Institut d'Investigacions 
      Biomediques August Pi i Sunyer (IDIBAPS), 08028 Barcelona, Spain. 
      badriyan@clinic.cat.
FAU - Navarro-Rubio, Maria Dolors
AU  - Navarro-Rubio MD
AD  - Patient Experience Department, Hospital Sant Joan de Deu, Esplugues del 
      Llobregat, Universitat Internacional de Catalunya, Sant Cugat del Valles, 08950 
      Esplugues de Llobregat, Spain. mnavarror@sjdhospitalbarcelona.org.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190509
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Aged
MH  - Body Weight
MH  - Chronic Disease
MH  - Cross-Sectional Studies
MH  - Exercise
MH  - Female
MH  - Health Literacy
MH  - Heart Failure/diagnosis/*therapy
MH  - Humans
MH  - Male
MH  - *Primary Health Care
MH  - *Self Care
MH  - Spain
MH  - Surveys and Questionnaires
PMC - PMC6539518
OTO - NOTNLM
OT  - health literacy
OT  - heart failure
OT  - primary healthcare
OT  - self-care practices
COIS- The authors declare no conflict of interest.
EDAT- 2019/05/12 06:00
MHDA- 2019/11/16 06:00
PMCR- 2019/05/01
CRDT- 2019/05/12 06:00
PHST- 2019/04/11 00:00 [received]
PHST- 2019/05/05 00:00 [revised]
PHST- 2019/05/07 00:00 [accepted]
PHST- 2019/05/12 06:00 [entrez]
PHST- 2019/05/12 06:00 [pubmed]
PHST- 2019/11/16 06:00 [medline]
PHST- 2019/05/01 00:00 [pmc-release]
AID - ijerph16091625 [pii]
AID - ijerph-16-01625 [pii]
AID - 10.3390/ijerph16091625 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2019 May 9;16(9):1625. doi: 
      10.3390/ijerph16091625.