Self-care improves patients’ outcomes in heart failure (HF). In this article we report the main results of a 7-year research program conducted in Italy. First, we established validity and reliability of the Self-Care of HF Index v.6.2 and the Caregiver Contribution to Self-Care of HF Index in the Italian population. Second, we tested the situation-specific theory of HF self-care that showed adequate fit to the data. Third, we showed in a sample of 1.192 HF patients that only about the 20% of them performs adequate self-care. Forth, we described caregiver contribution to self-care in a sample of 515 HF caregivers and we showed a low level of caregiver contribution to HF self-care. Fifth, we showed that patients and caregivers influence each other self-care. Six, we found that self-care confidence mediates between cognition and self-care, and comorbidity moderates between self-care confidence and self-care. Intervention studies are needed to improve self-care in Italian HF patients.

Vellone, E., Paturzo, M., D'Agostino, F., Mottola, A., Petruzzo, A., Alvaro, R., et al. (2017). Self-care in heart failure patients: major results of a 7-year research program in Italy.

Self-care in heart failure patients: major results of a 7-year research program in Italy

VELLONE, ERCOLE;ALVARO, ROSARIA;
2017-01-01

Abstract

Self-care improves patients’ outcomes in heart failure (HF). In this article we report the main results of a 7-year research program conducted in Italy. First, we established validity and reliability of the Self-Care of HF Index v.6.2 and the Caregiver Contribution to Self-Care of HF Index in the Italian population. Second, we tested the situation-specific theory of HF self-care that showed adequate fit to the data. Third, we showed in a sample of 1.192 HF patients that only about the 20% of them performs adequate self-care. Forth, we described caregiver contribution to self-care in a sample of 515 HF caregivers and we showed a low level of caregiver contribution to HF self-care. Fifth, we showed that patients and caregivers influence each other self-care. Six, we found that self-care confidence mediates between cognition and self-care, and comorbidity moderates between self-care confidence and self-care. Intervention studies are needed to improve self-care in Italian HF patients.
2017
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE
English
Senza Impact Factor ISI
Self-care, heart failure, caregivers, cognition, comorbidity
Vellone, E., Paturzo, M., D'Agostino, F., Mottola, A., Petruzzo, A., Alvaro, R., et al. (2017). Self-care in heart failure patients: major results of a 7-year research program in Italy.
Vellone, E; Paturzo, M; D'Agostino, F; Mottola, A; Petruzzo, A; Alvaro, R; Riegel, B
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/174370
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