Amini Mahboobeh, Gheibizadeh Mahin, Kalboland Mehrnaz Moradi, Sharhani Asaad
Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Educ Health Promot. 2024 Jan 22;12:438. doi: 10.4103/jehp.jehp_1467_22. eCollection 2023.
Self-care behaviors, which have a vital role in the management of heart failure disease, are influenced by several factors that are of paramount importance. This study aimed to determine the predictive role of spiritual health, social support, and quality of life in self-care behaviors among heart failure patients.
This descriptive-analytical study was conducted from July to September 2021 on 203 patients with heart failure. Samples were selected by convenience sampling method from six centers in Ahvaz city. Data were collected using a clinical-demographic information questionnaire, the European Heart Failure Self-care Behavior Scale (EHFScBs), the Multidimensional Scale of Perceived Social Support (MSPSS), the 12-Item Short Form Health Survey (SF-12), and Paloutzian and Ellison's Spiritual Well-being Scale. Data analysis was performed with SPSS 16 using descriptive and analytical statistical methods including Pearson's correlation coefficient, regression analysis, independent -test, and analysis of variance.
The mean and standard deviation of the age of the female and male participants were 63.54 ± 14.03 and 62.34 ± 13.79, respectively. The majority of the participants (54.2%) were female, had primary education (23.2%), and were married (82.8%). Statistically significant relationships were observed between perceived social support and self-care (r = -0.22, < 0.01), between spiritual health and self-care (r = -0.39, < 0.01), and between the quality of life and self-care (r = 0.62, < 0.01). However, no such relationship was found between demographic characteristics and self-care.
Considering the predictive role of spiritual health, social support, and quality of life in self-care behaviors, it is necessary for planners to pay special attention to these factors when designing educational-supportive programs for these patients.
自我护理行为在心力衰竭疾病管理中起着至关重要的作用，受到几个至关重要的因素影响。本研究旨在确定精神健康、社会支持和生活质量在心力衰竭患者自我护理行为中的预测作用。
本描述性分析研究于2021年7月至9月对203例心力衰竭患者进行。样本通过便利抽样法从阿瓦士市的六个中心选取。使用临床人口统计学信息问卷、欧洲心力衰竭自我护理行为量表（EHFScBs）、领悟社会支持多维量表（MSPSS）、12项简短健康调查问卷（SF - 12）以及帕洛茨安和埃里森的精神幸福感量表收集数据。使用SPSS 16进行数据分析，采用描述性和分析性统计方法，包括皮尔逊相关系数、回归分析、独立样本t检验和方差分析。
女性和男性参与者的年龄均值及标准差分别为63.54±14.03和62.34±13.79。大多数参与者（54.2%）为女性，接受小学教育（23.2%），已婚（82.8%）。在领悟社会支持与自我护理之间（r = -0.22，P < 0.01）、精神健康与自我护理之间（r = -0.39，P < 0.01）以及生活质量与自我护理之间（r = 0.62，P < 0.01）观察到具有统计学意义的关系。然而，在人口统计学特征与自我护理之间未发现此类关系。
考虑到精神健康、社会支持和生活质量在自我护理行为中的预测作用，规划者在为这些患者设计教育支持项目时，有必要特别关注这些因素。
