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

Vellone, Ercole
; 
Paturzo, Marco
; 
D'Agostino, Fabio
; 
Mottola, Antonella
; 
Petruzzo, Antonio
; 
Alvaro, Rosaria
; 
Riegel, Barbara
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Author
Vellone, Ercole
Paturzo, Marco
D'Agostino, Fabio
Mottola, Antonella
Petruzzo, Antonio
Alvaro, Rosaria
Riegel, Barbara
Abstract
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 selfcare. Intervention studies are needed to improve self-care in Italian HF patients.
Keywords
self-care, heart failure, caregivers, carers, cognition, comorbidity
Date
2017
Type
Journal article
Journal
Salute e Società
Book
Volume
16
Issue
1
Page Range
51-64
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Collections
Mary MacKillop Institute for Health Research
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URI
https://hdl.handle.net/20.500.14802/23870
Relation URI
DOI
10.3280/SES2017-001005
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Event URL
Open Access Status
License
File Access
Controlled
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