You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 159 No. 14, July 26, 1999 TABLE OF CONTENTS
  Archives
  •  Online Features
  Clinical Observation
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (93)
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Topic Collections
 •Patient Education/ Health Literacy
 •Cardiovascular System
 •Adherence
 •Congestive Heart Failure/ Cardiomyopathy
 •Alert me on articles by topic
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Factors Influencing Knowledge of and Adherence to Self-care Among Patients With Heart Failure

Hanyu Ni, PhD, MPH; Deirdre Nauman, RN; Donna Burgess, RN; Kendra Wise; Kathy Crispell, MD; Ray E. Hershberger, MD

Arch Intern Med. 1999;159:1613-1619.

Background  Patient education has been shown to be a key component in comprehensive heart failure management. Few data, however, are available regarding patients' knowledge of and adherence to self-care recommendations for the disease.

Objectives  To assess the knowledge level of and adherence to self-care among patients with heart failure and to determine associated factors.

Methods  We conducted a needs-assessment survey among new patients visiting a heart failure clinic from April 1997 through June 1998. Multiple linear regression analysis was used to assess the factors predictive of patients' knowledge level and adherence behaviors.

Results  Of the 113 patients surveyed, 77% were referred by cardiologists and 60% had New York Heart Association class III or IV status. Two thirds of the patients reported receiving information or advice about self-care from health care providers. When asked how much they knew about congestive heart failure, however, 37% said "a little or nothing," 49% said "some," and only 14% said "a lot." Approximately 40% of the patients did not recognize the importance of weighing themselves daily and 27% weighed themselves twice a month or less often. Although 80% of the patients knew they should limit their salt intake, only one third always avoided salty foods. Additionally, 25% of the patients did not appreciate the risk of alcohol use and 36% believed they should drink a lot of fluids. The multiple linear regression analysis indicated that a higher knowledge score was associated with being married, prior hospitalization, and having received both advice and information about self-care from physicians or nurses. A poor adherence behavior score was associated with being unmarried, lower perceived self-efficacy, a lack of knowledge about self-care, and no prior hospitalization.

Conclusions  We observed a gap between patients receiving and absorbing or retaining information on self-care for congestive heart failure supplied by health care providers. Self-care education needs to be directed to outpatients in addition to inpatients.


From the Oregon Heart Failure Project, Heart Failure Treatment Program (Drs Ni, Crispell, and Hershberger and Mss Nauman, Burgess, and Wise), and the Department of Public Health (Dr Ni), Oregon Health Sciences University, Portland, Ore.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

State of the Science: Promoting Self-Care in Persons With Heart Failure: A Scientific Statement From the American Heart Association
Riegel et al.
Circulation 2009;120:1141-1163.
FULL TEXT  

Palliative care in congestive heart failure.
Goodlin
J Am Coll Cardiol 2009;54:386-396.
ABSTRACT | FULL TEXT  

Reexamining Misconceptions About {beta}-Blockers in Patients With Diabetes
McGill
Clin. Diabetes 2009;27:36-46.
ABSTRACT | FULL TEXT  

Improving Medication Adherence in Chronic Cardiovascular Disease
Albert
Crit Care Nurse 2008;28:54-64.
FULL TEXT  

Caveat Emptor: The Need for Evidence, Regulation, and Certification of Home Telehealth Systems for the Management of Chronic Conditions
Farberow et al.
American Journal of Medical Quality 2008;23:208-214.
ABSTRACT  

Hospital Discharge Education for Patients With Heart Failure: What Really Works and What Is the Evidence?
Paul
Crit Care Nurse 2008;28:66-82.
FULL TEXT  

'Can I come off the tablets now?' A qualitative analysis of heart failure patients' understanding of their medication
Field et al.
Fam Pract 2006;23:624-630.
ABSTRACT | FULL TEXT  

Compliance in heart failure patients: the importance of knowledge and beliefs
van der Wal et al.
Eur Heart J 2006;27:434-440.
ABSTRACT | FULL TEXT  

Integrating heart failure guidelines into clinical practice
Swedberg and Ekman
Eur Heart J Suppl 2005;7:J21-J25.
ABSTRACT | FULL TEXT  

The crucial role of patient education in heart failure
Stromberg
Eur J Heart Fail 2005;7:363-369.
ABSTRACT | FULL TEXT  

Patients' and nurses' views of nurse-led heart failure clinics in general practice: a qualitative study
Lloyd-Williams et al.
Chronic Illness 2005;1:39-47.
ABSTRACT  

Non-compliance in patients with heart failure; how can we manage it?
van der Wal et al.
Eur J Heart Fail 2005;7:5-17.
ABSTRACT | FULL TEXT  

Patients' Interest in Reading Their Medical Record: Relation With Clinical and Sociodemographic Characteristics and Patients' Approach to Health Care
Fowles et al.
Arch Intern Med 2004;164:793-800.
ABSTRACT | FULL TEXT  

Pharmacological treatment in patients with heart failure: patients knowledge and occurrence of polypharmacy, alternative medicine and immunizations
Martinez-Selles et al.
Eur J Heart Fail 2004;6:219-226.
ABSTRACT | FULL TEXT  

Readiness for Behavioral Changes in Patients With Heart Failure
Sneed and Paul
Am J Crit Care 2003;12:444-453.
ABSTRACT | FULL TEXT  

Differences in psychosocial and behavioral profiles between heart failure patients admitted to cardiology and geriatric wards
De Geest et al.
Eur J Heart Fail 2003;5:557-567.
ABSTRACT | FULL TEXT  

Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: Results from a prospective, randomised trial
Stromberg et al.
Eur Heart J 2003;24:1014-1023.
ABSTRACT | FULL TEXT  

Development and testing of the European Heart Failure Self-Care Behaviour Scale
Jaarsma et al.
Eur J Heart Fail 2003;5:363-370.
ABSTRACT | FULL TEXT  

Uptake of self-management strategies in a heart failure management programme
Wright et al.
Eur J Heart Fail 2003;5:371-380.
ABSTRACT | FULL TEXT  

Nurse-led heart failure clinics in Sweden
Stromberg et al.
Eur J Heart Fail 2001;3:139-144.
ABSTRACT | FULL TEXT  

Team Management of Patients With Heart Failure : A Statement for Healthcare Professionals From the Cardiovascular Nursing Council of the American Heart Association
Grady et al.
Circulation 2000;102:2443-2456.
FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1999 American Medical Association. All Rights Reserved.