Shojaei Fateme, Ebrahimi Seyyed-Meisam, Assemi Sedighe
Department of Medical-Surgical Nursing, Abhar School of Nursing, Zanjan University of Medical Sciences, Tahmasebi Street, PO Box 4561789391, Abhar, Zanjan Province, Iran.
Saudi Med J. 2011 Oct;32(10):1034-8.
To diagnose self-care behavior of heart failure (HF) patients and their correlations with the affecting variables such as age, gender, marriage, educational status, disease duration, left ventricular ejection fraction, and contextual chronic diseases.
This descriptive-analytical study was conducted in 5 hospitals of Tehran and Iran Universities of Medical Sciences, Tehran, Iran between March to April 2006. After providing written consent, 250 eligible patients participated. We used the Persian version of the European Self-Care Behavior questionnaire to collect information. The gathered data were analyzed by descriptive statistics, one-way ANOVA, independent-t, and other appropriate tests using SPSS software version 11.5.
We found out that only 26% of patients had good self-care and the behavior of I take my medications as prescribed was the most performed behavior. These behaviors had a significant reverse relationship with age and re-hospitalization rate, and a direct relationship with other variables (p=0.0001).
It is necessary to understand self-care behaviors of HF patients, and then offer individual and special educational programs regarding these behaviors, and also to follow these behaviors. Administration of these programs by nurses will raise HF patients' capabilities and quality of life.
诊断心力衰竭（HF）患者的自我护理行为及其与年龄、性别、婚姻状况、教育程度、病程、左心室射血分数以及并存慢性病等影响变量之间的相关性。
这项描述性分析研究于2006年3月至4月在伊朗德黑兰的5家医院以及德黑兰医科大学进行。在获得书面同意后，250名符合条件的患者参与了研究。我们使用欧洲自我护理行为问卷的波斯语版本来收集信息。使用SPSS 11.5软件通过描述性统计、单因素方差分析、独立样本t检验及其他适当检验对收集到的数据进行分析。
我们发现只有26%的患者具有良好的自我护理能力，“我按规定服药”这一行为是执行最多的行为。这些行为与年龄和再住院率呈显著负相关，与其他变量呈正相关（p = 0.0001）。
有必要了解HF患者的自我护理行为，然后针对这些行为提供个性化的特殊教育项目，并对这些行为进行跟踪。由护士实施这些项目将提高HF患者的能力和生活质量。
