• Users Online: 265
  • Print this page
  • Email this page
Year : 2015  |  Volume : 4  |  Issue : 1  |  Page : 5

Investigation the relationship between self-care and readmission in patients with chronic heart failure

1 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
2 Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran

Correspondence Address:
Nasim Naderi
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran
IR Iran
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.5812/cardiovascmed.25472

Rights and Permissions

Background: Chronic heart failure (CHF) is associated with unpredictably increased prevalence of hospital admissions. Self-care is one of the most important aspects of management for patients with CHF. Self-care adequacy has led to increased satisfaction, independence in daily activities, reduced stress, and morbidity. Objectives: We aimed to assess the relationship between self-care behavior and readmission rate in patients with heart failure. Patients and Methods: A total of 287 patients with a diagnosis of systolic CHF with a left ventricular ejection fraction less than 35% admitted for acute heart failure were enrolled. The self-care behavior was assessed using SCHFI questionnaires that have three domains (self-care maintenance, self-care management, and self-care confidence). An acquired score greater than 70 was considered as proper self- care index. The study population was followed over three months after discharge for readmission. Results: This study showed that self-care behavior was improper in our study population. More than 75% of patients had a score less than 70 in the different domains for self-care. The multivariable regression analyses showed a significant relationship between self-care management (ß=1.6, P = 0.006, OR (CI) = 2.66 (137-5.1) and self-care confidence (ß = 0.9, P = 0.02, OR (CI) = 2.01 (1.1-3.68) and readmission rate. Conclusions: We concluded that a good administration program such as education and a surveillance plan for the improvement of self- care behaviors would reduce hospital readmissions in patients with heart failure.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded326    
    Comments [Add]    
    Cited by others 12    

Recommend this journal