Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2016 Jun;28(3):302-313. Korean.
    Published online Jun 30, 2016.
    https://doi.org/10.7475/kjan.2016.28.3.302
    © 2016 Korean Society of Adult Nursing
    Original Article

    Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure

    In-Suk Yang
      • Department of Nursing, Kyungil University, Gyeongsan, Korea.
    • Corresponding author: Yang, In-Suk. Department of Nursing, Kyungil University, 50 Gamasil-gil, Hayang-eup, Gyeongsan 38428, Korea. Tel: +82-53-600-5664, Fax: +82-53-600-5679, Email: insookyang@gmail.com
    Received April 05, 2016; Revised June 16, 2016; Accepted June 20, 2016.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    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.

    Keywords
    Social support; Anxiety; Depression; Self care; Heart failure

    Tables

    Table 1
    Differences in Self-Care Maintenance based on Sociodemographic and Clinical Characteristics (N=209)

    Table 2
    Social Support, Negative Emotional Status, and Self-Care Maintenance (N=209)

    Table 3
    Descriptive Statistics for Individual Items of the Self-care Maintenance Scale (N=209)

    Table 4
    Bivariate Associations among Key Variables (N=209)

    Table 5
    Hierarchical Regression Model of Predicting Self-care Maintenance in Patients with Symptomatic Heart Failure (N=209)

    Notes

    This study was supported by the Korean Society of Adult Nursing fund in 2011.

    This manuscript is an addition based on the author' doctoral dissertation(2012) from Ewha University.

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    MeSH Terms
    Ambulatory Care Facilities
    Ankle
    Anxiety
    Classification
    Depression
    Edema
    Education
    Female
    Heart Failure*
    Heart*
    Humans
    Self Care*
    Sodium
    Metrics
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    Tables
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