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KMID : 0367020160280030302
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Journal of Korean Academic of Adult Nursing
2016 Volume.28 No. 3 p.302 ~ p.313
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Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure
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Yang In-Suk
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Abstract
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Purpose: The objective of this study was to identify factors related to self-care adherence in symptomatic patients with heart failure (HF).
Methods: Using a cross-sectional design, a convenience sample 209 outpatient clinic patients were recruited at two medical centers. Between October 2011 and August 2012, data were collected using the structured questionnaire. Factors related to self-care adherence were examined using hierarchical multiple regression.
Results: Mean age of participants was 67.71 years and a half of them (53.6%) were female. They showed relatively low self-care adherence with mean scores of 61.88±12.92. Lower self-care adherence was reported in asking for low sodium items, weighing oneself, checking for ankle edema, and exercising for 30 minutes. The overall model significantly explained 23.9% of variance in self-care adherence. Among the predictors, education, New York Heart Association functional classification, and social support were statistically significant in influencing self-care adherence. The variable of negative emotional status such as anxiety and depression were not found to be significant.
Conclusion: These findings demonstrate that social support could help self-care adherence among symptomatic patients with HF. Thus, programs targeting self-care adherence in this population should consider the strategies improving social support.
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KEYWORD
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Social support, Anxiety, Depression, Self care, Heart failure
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