Self-care in heart failure patients: major results of a 7-year research program in Italy

Journal title SALUTE E SOCIETÀ
Author/s Ercole Vellone, Marco Paturzo, Fabio D’Agostino, Antonella Mottola, Antonio Petruzzo, Rosaria Alvaro, Barbara Riegel
Publishing Year 2017 Issue 2017/1 Language English
Pages 14 P. 51-64 File size 703 KB
DOI 10.3280/SES2017-001005
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Self-care improves patients’ outcomes in heart failure (HF). In this article we report the main results of a 7-year research program conducted in Italy. First, we established validity and reliability of the Self-Care of HF Index v.6.2 and the Caregiver Contribution to Self-Care of HF Index in the Italian population. Second, we tested the situation-specific theory of HF self-care that showed adequate fit to the data. Third, we showed in a sample of 1.192 HF patients that only about the 20% of them performs adequate self-care. Forth, we described caregiver contribution to self-care in a sample of 515 HF caregivers and we showed a low level of caregiver contribution to HF self-care. Fifth, we showed that patients and caregivers influence each other self-care. Six, we found that self-care confidence mediates between cognition and self-care, and comorbidity moderates between self-care confidence and self-care. Intervention studies are needed to improve self-care in Italian HF patients.

Keywords: Self-care; heart failure; caregivers; carers; cognition; comorbidity

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  • A longitudinal assessment of chronic care pathways in real-life: self-care and outcomes of chronic heart failure patients in Tuscany E. Guidotti, F. Pennucci, A. Valleggi, S. De Rosis, C. Passino, in BMC Health Services Research 1146/2022
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Ercole Vellone, Marco Paturzo, Fabio D’Agostino, Antonella Mottola, Antonio Petruzzo, Rosaria Alvaro, Barbara Riegel, Self-care in heart failure patients: major results of a 7-year research program in Italy in "SALUTE E SOCIETÀ" 1/2017, pp 51-64, DOI: 10.3280/SES2017-001005