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Vellone, Ercole | Alvaro, Rosaria | Mottola, Antonella | D'Agostino, Fabio | Paturzo, Marco

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

2017 - Franco Angeli

51-64 p.

  • 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. [Publisher's Text].

Ist Teil von

Salute e società : XVI, 1, 2017