Seminole State College of Florida, USA
Posters & Accepted Abstracts: Adv Practice Nurs
Statement of Problem: Self-care is recommended in heart failure (HF) management and to reduce hospitalizations, yet only one study has demonstrated improved patient outcomes with adequate self-care. This study evaluated perceived social support and self-care in hospitalized HF patients compared with community dwelling HF patients. Methodology & Theoretical Orientation: The medical outcomes study of social support (MOS-SS) and the self-care of heart failure index (SCHFI) were the key measurement instruments for this multisite descriptive study. Multiple regression and twosample t tests for unequal variances were used to analyze the data from a convenience sample of 121 hospitalized HF patients and a comparative study of 211 community-dwelling HF patients. Theoretical frameworks were the self-care of HF theory and the stress-buffering model of the social support theory. Findings: Hospitalized HF patients had significantly lower self-care maintenance scores and perceived social support than community-dwelling HF patients. Perceived social support was associated only with self-care confidence, and self-care confidence was associated with self-care maintenance and self-care management. 25% of hospitalized study candidates had cognitive impairment compared with less than 6% of community-dwelling patients. Conclusion & Significance: Community-dwelling HF patients had better self-care skills than hospitalized HF patients. Additional research is needed to determine the best strategies for improving self-care or reasonable substitutes in these patients. Additional research is also needed to evaluate cognitive impairment across the spectrum of HF patients, as this impairs selfcare success.
Journal of Advanced Practices in Nursing received 1736 citations as per Google Scholar report