Relationships Between Knowledge, Self-Efficacy, Self-Regulation, Social Support, and Self-Management Behavior Regarding Fluid Volume Overload in Chronic Heart Failure Patients
Keywords:
Chronic Heart Failure Patients, Fluid Volume Overload, Self-Management Behavior Regarding Fluid Volume OverloadAbstract
This descriptive correlational research aims to investigate the relationships between knowledge, self-efficacy, self-regulation, social support, and self-management behavior regarding fluid volume overload in chronic heart failure patients. The purposive sample was 84 patients with chronic heart failure. Data were collected through the knowledge about fluid volume overload questionnaire, the self-efficacy questionnaire, the self-regulation questionnaire, the social support questionnaire, and the self-management behaviors regarding fluid volume overload questionnaire in chronic heart failure patients. Pearson’s Product Moment Correlation was used to analyze the data.
The study results showed that patients with chronic heart failure had moderate levels of the overall self-management behaviors regarding fluid volume overload. Knowledge and self-regulation had a moderately positive correlation with self-management behaviors regarding fluid volume overload (r = .40, r = .64, both p < .05, respectively). Self-efficacy and social support had a highly positive correlation with self-management behaviors regarding fluid volume overload (r = .86, r = .94, both p < .05, respectively). The results suggest that nurses should enhance patients’ knowledge of fluid volume overload, self-efficacy, and self-regulation. Social support should be taken into the consideration in providing healthcare services.
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Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Delling, F. N., Djousse, L., Elkind, M., Ferguson, J. F., Fornage, M., Khan, S. S., Kissela, B. M., Knutson, K. L., Kwan, T. W., Lackland, D. T., Lewis, T. T., American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation. 2020; 141(9): e139–e596.
Zaharova S, Litwack K, Gopalakrishnan S, Ellis J, Saltzberg MT. Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition. Western Journal of Nursing Research. 2022; 44(4): 375-382.
O’Connor, C. M. High heart failure readmission rates: is it the health system’s fault?. Journals of the American College of Cardiology. 2017; 5(5): 393-393.
Oeing, C. U., Tschöpe, C., & Pieske, B. The new ESC Guidelines for acute and chronic heart failure 2016. Herz. 2016; 41(8): 655-663.
Heart Association of Thailand. Practice Guidelines for Diagnosis and Care of Heart Failure Patients, (1st Edition). Nextstep Design; 2019. (in Thai)
South Eastern Sydney local health district. General practitioners flexible diuretic guidelines. SESLHD District Handbook; 2012.
John, A., Alpert, P. T., Kawi, J., & Tandy, R. The Relationship Between Self-Efficacy and Fluid and Dietary Compliance in Hemodialysis Patients. Clinical Scholars Review. 2012; 6(2): 98-104.
Kanjanavanit, R. (Ed.). Comprehensive heart failure management program (2nd ed.). USA: Concept medical; 2015. (in Thai)
Suriyanon T. Quality of life of heart failure patients. Journal of The Royal Thai Army Nurses. 2017; 18(1): 39-45. (in Thai)
Kaijanavanich R, and Phromminthikul A. Integrated Care Manual for Patients with Chronic Heart Failure. Maharaj Nakorn Chiang Mai Hospital Faculty of Medicine, Chiang Mai University; 2014. (in Thai)
Phromwong W, and MeeNongwa J. Selfmanagement of overhydration in patients with heart failure. Wachiravej and Journal of Urban Medicine. 2019; 63(4): 297-304. (in Thai)
Woods, L. S., Walker, K. N., & Duff, J. S. Perceptions of fluid restriction self-care in heart failure. British Journal of Cardiac Nursing. 2018; 13(5): 236-242.
Makaya, M., Matsuoka, S., & Kato, N. Combination of depression and poor knowledge regarding heart failure: a strong determinant of self-care behavior in patients with heart failure. European Heart Journal. 2013; 34(suppl_1): 952.
Ryan, P., & Sawin, K. J. The individual and family self-management theory: Background and perspectives on context, process, and outcomes. Nursing Outlook. 2009; 57(4): 217–225.
Luangphithak S. Factors Influencing SelfManagement of Heart Failure Patients. Master Degree of Nursing Science. Burapha University;2015. (in Thai)
Sirikutjatuporn K. Factors predicting selfmanagement behavior of diabetic elderly, Type 2. Thesis. Master Degree of Nursing Science. Mahidol University; 2017. (in Thai)
Mizuno M, Kajimoto K, Sato N. Clinical profile, management, and mortality in veryelderly patients hos- pitalized with acute decompensated heart failure: an analysis from the ATTEND registry. European Journal of Internal Medicine. 2016; 27: 80–85.
Lim NK, Lee SE, Lee HY, Choe HJ, Kim H, Choi JO. Risk prediction for 30-day heart failurespecific readmission or death after discharge: data from the Korean Acute Heart Failure (KorAHF) registry. Journal of Cardiology. 2019; 73(2): 108-13.
Rattanajaratsakul N. The effect of adjusting furosemide diuretics by the patient himself. compare withThe doctor adjusts the furosemide diuretic. in patients with chronic heart failure with less than normal left ventricular contractions. Master Degree of Nursing Science. Chulalongkorn University; 2013. (in Thai)
Lorio, A., Senni, M., Barbati, G., Greene, S. J., Poli, S., Zambon, E., & Di Lenarda, A. Prevalence and prognostic impact of non-cardiac co-morbidities in heart failure outpatients with preserved and reduced ejection fraction: a community-based study. European journal of heart failure. 2018; 20(9): 1257-1266.
Stamp, K. D., Dunbar, S. B., Clark, P. C., Reilly, C. M., Gary, R. A., Higgins, M., & Ryan, R. M. Family partner intervention influences self-care confidence and treatment selfregulation in patients with heart failure. European Journal of Cardiovascular Nursing. 2016; 15(5): 317-327.
Anpanlam P. Factors Predicting Behavioral Prevention of Hyperhidrosis in Heart Failure Patients. Master Degree of Nursing Science. Khon Kaen University; 2020. (in Thai)
Kaewkanya C, Prichawong S, & Chim Luang J. Selection factors predicting depression in chronic heart failure patients. Journal of The Royal Thai Army Nurses. 2017; 18: 66-73. (in Thai)
Komchieb J. The relationship between knowledge. perceived obstacles perceived benefit social support self-efficacy with sodium salt consumption behavior of heart failure patients Master Degree of Nursing Science. Chulalongkorn University; 2013. (in Thai)
Al Husna, C. H., Yetti, K., & Sukmarini, L. Determinant of fluid adherence among hemodialysis patients in Malang, Indonesia. Enfermeria Clinica Journals. 2019; 29: 117-122.
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