Delgado Bruno, Lopes Ivo, Mendes Tânia, Lopes Patrícia, Sousa Luís, López-Espuela Fidel, Preto Leonel, Mendes Eugénia, Gomes Bárbara, Novo André
Centro Hospitalar Universitário do Porto-Hospital de Santo António, Instituto de Ciências Biomédicas Abel Salazar-Universidade do Porto, 4050-313 Porto, Portugal.
Centro Hospitalar do Porto-Hospital de Santo António, 4099-001 Porto, Portugal.
Healthcare (Basel). 2021 Apr 8;9(4):434. doi: 10.3390/healthcare9040434.
Heart failure is often characterised by low exercise capacity and a great impairment of performance in the activities of daily living. The correct management of the disease can prevent the worsening of symptoms and promote a better quality of life. The aims of this study are to understand the relationship of gender and pathophysiological characteristics with self-care behaviour and to evaluate the self-care behaviour in a sample of Portuguese heart failure inpatients, using the Self-Care of Heart Failure Index (SCHFI). A cross-sectional multicentre study enrolling 225 heart failure inpatients from eight hospitals from Portugal was performed. At admission, each patient's functional capacity was evaluated as well as their self-care behaviour, using the SCHFI Portuguese v6.2. A comparison between self-care behaviour with gender was performed. The patients' mean age was 68.4 ± 10.7 years old, 68% were male and 82.3% had reduced ejection fraction. A mean value of 47.9, 35.6 and 38.8 points was found in the SCHFI score of the sections self-care maintenance, self-care management and self-care confidence, respectively. Heart failure inpatients present inadequate levels of self-care behaviour. The results do not suggest a relationship between gender and pathophysiological characteristics with self-care behaviour.
心力衰竭通常表现为运动能力低下以及日常生活活动表现严重受损。对该疾病的正确管理可以预防症状恶化并提高生活质量。本研究的目的是了解性别和病理生理特征与自我护理行为之间的关系，并使用心力衰竭自我护理指数（SCHFI）评估一组葡萄牙心力衰竭住院患者的自我护理行为。进行了一项横断面多中心研究，纳入了来自葡萄牙八家医院的225名心力衰竭住院患者。入院时，使用SCHFI葡萄牙语v6.2评估每位患者的功能能力及其自我护理行为。对自我护理行为与性别的差异进行了比较。患者的平均年龄为68.4±10.7岁，68%为男性，82.3%射血分数降低。自我护理维持、自我护理管理和自我护理信心部分的SCHFI评分平均值分别为47.9、35.6和38.8分。心力衰竭住院患者的自我护理行为水平不足。结果未显示性别和病理生理特征与自我护理行为之间存在关联。
