Longitudinal patterns and predictors of self-care behavior trajectories among Korean patients with heart failure: A 6-month prospective study
DC Field | Value | Language |
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dc.contributor.author | Kim, Da-Young | - |
dc.contributor.author | Son, Youn-Jung | - |
dc.date.accessioned | 2022-11-22T01:40:12Z | - |
dc.date.available | 2022-11-22T01:40:12Z | - |
dc.date.issued | 2023-03 | - |
dc.identifier.issn | 1527-6546 | - |
dc.identifier.issn | 1547-5069 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/59193 | - |
dc.description.abstract | Purpose This study aimed to identify distinct trajectories of self-care behaviors over 6 months after hospital discharge in patients with heart failure, including the baseline predictors affecting these trajectories. Design This was a prospective longitudinal observational cohort study with a 6-month follow-up. Methods A total of 158 patients with heart failure (mean age = 66.75 years, 62.7% men) were included in this study. Patients' characteristics, including cognitive function, health literacy, and social support were collected as possible baseline predictors of self-care behavior trajectories using a structured questionnaire and an electronic medical record review. Self-care behaviors were evaluated using the Korean version of the nine-item European Heart Failure Self-care Behavior Scale at baseline, 1, 3, and 6 months after hospital discharge. Latent growth model analysis was conducted to identify the homogeneous subgroups with distinct trajectories of self-care behaviors. Subsequently, multinomial logistic regression was used to assess whether baseline predictors were associated with these trajectories in patients with heart failure. Results Three distinct self-care behavior trajectory groups were identified: "low-decreased" (n = 33, 20.9%), "middle-increased" (n = 93, 58.9%), and "high-sustained" (n = 32, 20.2%). The multinomial logistic regression analysis showed that baseline adequate health literacy and positive social support significantly predicted patients' belonging to both the middle-increased and high-sustained self-care behavior trajectory groups compared to the low-decreased group. Importantly, better cognitive function at baseline was only significantly associated with the high-sustained self-care behavior trajectory compared to the low-decreased trajectory. Conclusion Our study revealed that only one-fifth of the patients belonged to the high-sustained self-care behavior group 6 months after hospital discharge. Strategies aimed at improving cognitive function, health literacy, and social support should be developed to sustain satisfactory self-care behaviors in patients with heart failure. Further studies with long-term follow-ups are required to identify other possible factors, as well as the baseline predictors of this study affecting longitudinal trajectories of self-care behaviors. Clinical relevance Healthcare providers should recognize and evaluate the distinct patterns of self-care behaviors over time in patients with heart failure. Importantly, assessing baseline cognitive function, health literacy, and social support before hospital discharge may be necessary to prevent a decline in self-care behaviors over time. | - |
dc.format.extent | 10 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | WILEY | - |
dc.title | Longitudinal patterns and predictors of self-care behavior trajectories among Korean patients with heart failure: A 6-month prospective study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1111/jnu.12833 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NURSING SCHOLARSHIP, v.55, no.2, pp 429 - 438 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000870101200001 | - |
dc.identifier.scopusid | 2-s2.0-85148372419 | - |
dc.citation.endPage | 438 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 429 | - |
dc.citation.title | JOURNAL OF NURSING SCHOLARSHIP | - |
dc.citation.volume | 55 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | cognitive function | - |
dc.subject.keywordAuthor | health literacy | - |
dc.subject.keywordAuthor | heart failure | - |
dc.subject.keywordAuthor | longitudinal study | - |
dc.subject.keywordAuthor | self-care behaviors | - |
dc.subject.keywordAuthor | social support | - |
dc.subject.keywordPlus | MINI-MENTAL-STATE | - |
dc.subject.keywordPlus | COGNITIVE IMPAIRMENT | - |
dc.subject.keywordPlus | HEALTH LITERACY | - |
dc.subject.keywordPlus | VALIDATION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | VERSION | - |
dc.relation.journalResearchArea | Nursing | - |
dc.relation.journalWebOfScienceCategory | Nursing | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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