Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition. West J Nurs Res 2022 Apr;44(4):375-382
Date
03/13/2021Pubmed ID
33709833DOI
10.1177/0193945921997428Scopus ID
2-s2.0-85102468544 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
Heart failure (HF) is a growing public health problem. Self-management (SM) of HF is an important component of chronic disease management. Guided by the Individual and Family Self-Management Theory (IFSMT), we examined the associations among complexity of condition, self-regulation, and self-efficacy mediation of SM behaviors in a population of HF outpatients. A cross-sectional design was used. Seventy-three outpatients with HF were enrolled. Simple and multiple linear regressions were run for each outcome variable. Only self-regulation was significantly associated with SM behavior. Complexity of condition was not significantly associated with SM behavior. There was no mediation by self-efficacy. Future nursing interventions should explore self-regulation in HF to provide a clearer understanding of the processes used to change health behavior. SM may be particularly useful in HF with preserved ejection fraction (EF), where there is no proven pharmacological treatment.
Author List
Zaharova S, Litwack K, Gopalakrishnan S, Ellis J, Saltzberg MTAuthors
Sandeep Gopalakrishnan MS, PhD Assistant Professor and Director, Biobehavioral Research Laboratory in the College of Nursing department at University of Wisconsin - MilwaukeeSvetlana Zaharova PhD, MSN Assistant Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Cross-Sectional StudiesHeart Failure
Humans
Self-Control
Self-Management
Stroke Volume
