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Self care in patients with chronic heart failure. Pilot study - self care includes problems

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dc.title Self care in patients with chronic heart failure. Pilot study - self care includes problems en
dc.contributor.author Halmo, Renata
dc.contributor.author Galuszka, Jan
dc.contributor.author Langová, Kateřina
dc.contributor.author Galuszková, Dana
dc.relation.ispartof Biomedical Papers
dc.identifier.issn 1213-8118 OCLC, Ulrich, Sherpa/RoMEO, JCR
dc.date.issued 2015
utb.relation.volume 159
utb.relation.issue 1
dc.citation.spage 124
dc.citation.epage 130
dc.type article
dc.language.iso en
dc.publisher Univerzita Palackého v Olomouci
dc.identifier.doi 10.5507/bp.2013.044
dc.relation.uri http://biomed.papers.upol.cz/artkey/bio-201501-0019_self_care_in_patients_with_chronic_heart_failure_pilot_study_-_self_care_includes_problems.php
dc.subject self-care en
dc.subject self-management en
dc.subject self-care deficit theory en
dc.subject heart failure en
dc.subject education en
dc.description.abstract Aim. The goal of this pilot study was to define the scope of therapeutic self-care demand in heart failure (HF) patients according to the concepts of self-care postulated by D.E. Orem and to determine the level of problems experienced and self-care in these patients. Methods. A questionnaire consisting of 7 areas with closed format questions was developed according to the definition. The level of patient problems and level of self-care actions were mapped in each area. The questionnaire was distributed at the hospital outpatient clinic. The study group consisted of 47 heart failure patients (14 women) with following characteristics: average age 68 years, average BMI 29.4, resynchronization therapy 21%, hypertension 69.8%, diabetes mellitus 25.6%, coronary artery disease 46.5%, dilated cardiomyopathy 46.5%, obesity 46.5%, smoking history 39.5% (present and past smoking together), other cardiac disease 16.28%, condition after myocardial infarction 27.8% (NYHA II 41%, NYHA III 56.8%, NYHA IV 2.2%). Results. The greatest problems were in the area of physical activity, sleep and fatigue, the least were in the area of chest pain and blood circulation. The greatest self-care agency was shown in the area of managing problems with physical activities and sleep, the lowest in the area of liquid intake and output. In the patients' subjective opinion, fatigue and sleep problems had the greatest impact on the quality of life. There were no substantial differences in either area based on gender. Conclusions. The data can serve as a foundation for modifying the extent and structure of patient education for more comprehensive and more effective out-patient treatment of HF. en
utb.faculty Faculty of Humanities
dc.identifier.uri http://hdl.handle.net/10563/1004295
utb.identifier.obdid 43873552
utb.identifier.scopus 2-s2.0-84924483069
utb.identifier.wok 000351716500020
utb.source j-wok
dc.date.accessioned 2015-05-22T08:01:47Z
dc.date.available 2015-05-22T08:01:47Z
utb.contributor.internalauthor Halmo, Renata
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