埃塞俄比亚东南部公立医院心力衰竭患者的自我护理行为及相关因素。
Self-care behavior and associated factors among patients with heart failure in public hospitals of Southeast Ethiopia.
机构信息
Nursing Department, Madda Walabu University Goba Referral Hospital.
Nursing Department, School of Health Science, Madda Walabu University Goba Referral Hospital.
出版信息
J Int Med Res. 2022 Aug;50(8):3000605221119367. doi: 10.1177/03000605221119367.
OBJECTIVE
This study was performed to assess self-care behavior and associated factors among patients with heart failure attending public hospitals in Southeast Ethiopia in 2021.
METHODS
An institutional-based cross-sectional study was conducted among 420 patients with heart failure from 15 May to 30 June 2021 using a simple random sampling technique. A multivariable binary logistic model was used to identify factors associated with self-care behavior. Statistical significance was declared at p < 0.05.
RESULTS
The magnitude of good self-care behavior among patients with heart failure was 53.6% [95% confidence interval (CI), 48.9-58.3]. Factors associated with self-care behavior were treatment with a beta blocker [adjusted odds ratio (AOR), 0.49; 95% CI, 0.27-0.89], treatment with digitalis (AOR, 0.11; 95% CI, 0.05-0.24), the level of social support (AOR, 0.07; 95% CI, 0.03-0.15), and the presence of depressive symptoms (AOR, 0.21; 95% CI, 2.70-8.33).
CONCLUSION
Slightly more than half of the respondents had good self-care behavior. Attention should be given to enhancing good self-care practice through integration of health education as routine care.
目的
本研究旨在评估 2021 年埃塞俄比亚东南部公立医院心力衰竭患者的自我护理行为及其相关因素。
方法
本研究采用基于机构的横断面研究，于 2021 年 5 月 15 日至 6 月 30 日期间，使用简单随机抽样技术，对来自 15 家医院的 420 名心力衰竭患者进行了研究。采用多变量二项逻辑回归模型，确定与自我护理行为相关的因素。统计显著性水平定义为 p<0.05。
结果
心力衰竭患者中良好自我护理行为的比例为 53.6%[95%置信区间(CI)，48.9-58.3]。与自我护理行为相关的因素包括使用β受体阻滞剂治疗[校正优势比(AOR)，0.49；95%CI，0.27-0.89]、使用地高辛治疗(AOR，0.11；95%CI，0.05-0.24)、社会支持水平(AOR，0.07；95%CI，0.03-0.15)和抑郁症状的存在(AOR，0.21；95%CI，2.70-8.33)。
结论
略超过一半的受访者有良好的自我护理行为。应重视通过将健康教育纳入常规护理来增强良好的自我护理实践。
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