Resilience and Self-Care in Patients with Heart Failure: A Cross-Sectional Study:

Qasim Kani Hayef; Alice Khachian; Alaa Jawad Kadhim; Mahnaz Seyedoshohadaee; Shima Haqhani

doi:10.36321/kjns.vi20242.16508

Authors

Qasim Kani Hayef Ministry of Health, Al-Hussein Teaching Hospital, Thi Qar, Iraq. https://orcid.org/0009-0007-7839-5793
Alice Khachian Nursing and Midwifery Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Alaa Jawad Kadhim University of Baghdad, College of Nursing, Adult Nursing Department, Baghdad, Iraq. https://orcid.org/0000-0002-4306-6830
Mahnaz Seyedoshohadaee Nursing and Midwifery Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Shima Haqhani Department of Statistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran

DOI:

https://doi.org/10.36321/kjns.vi20242.16508

Keywords:

Resilience, Self-Care, Heart failure

Abstract

Background: A key component of managing heart failure, self-care can significantly affect patient outcomes. Patients may find the constant and intricate demands of self-care stressful, and they may need to show resilience to manage their symptoms.

Objectives: The present study aimed to identify resilience and self-care among patients with heart failure.

Methodology: The design of the present study was cross-sectional. The research population consisted of heart failure patients visiting the cardiac hospitals and admitted to the cardiac ward. A convenience sampling method was used to select 200 patients with heart failure. The data were collected from April 6th, 2023 to June 29th, 2023 about the participants’ demographic variables, Self-Care of Heart Failure Index (SCHFI V6.2 English), and the Connor-Davidson Resilience Scale (CD-RISC). The data were analyzed using descriptive statistics (percentage, frequency, standard deviation, mean score) for the demographic variables. To assess reliability, Cronbach’s alpha was used.

Results: The present study showed that the majority of sample (n=185, 92.5%) had a medium level of self-care in symptom perception (Mean±SD= 28.86±16.32), self-care maintenance (Mean±SD= 34.2±15.63), and self-care management (Mean±SD= 35.52±17.25). The research findings showed a strong negative association between patients' resilience and self-care (p<0.001). There was a statistically significant association between self-care and participants’ marital status (p=0.02). Self-care was greater among those who were married.

Conclusion: The present findings showed that patients with heart failure had a moderate level of self-care and resilience. There were associations between resilience and self-care in heart failure patients. The variables that may mediate or affect self-care need to be well-recognized by the research population