CORRELATION BETWEEN FAMILY SUPPORT AND SELF-CARE BEHAVIOR OF HEART FAILURE PATIENTS
Abstract
The decrease in the functional capacity of the heart to pump blood accompanied by symptoms of dyspnea causes heart failure patients to have physical limitations. This condition causes the patient to be unable to carry out self-care optimally, thus requiring the help of others, especially family. The study aimed was to identify the relationship between family support and behavior self-care of heart failure patients. The research design used a cross-sectional with many samples as many as 104 respondents. The research variable is family support, and self-care behavior measured using a questionnaire was declared valid and reliable. Data analysis used the Spearman rank test. The results study 53,8% of respondents moderate family support, and 47,1% of respondents have fewer self-care behavior skills. The Spearman Rank test results obtained p=0,000, with a correlation coefficient value of 0,709. The study concluded a relationship between family support and the self-care behavior of patients with heart failure, the relationship positively and strong. Better family support provides better self-care behavior will be. Nurses have a role to motivate families to be actively involved during the patient's self-care process while in the hospital or at home. Self-care for patients that can be carried out by the family in the form of caring for the family with the patient's condition, accepting the family with the patient's condition, providing assistance and seeking information about the patient's illness.
References
Black JM, Hawks JH. Keperawatan Medikal Bedah; Manajemen klinis untuk hasil yang diharapkan. Singapore: Elsevier Applied Science Publisher, 2014.
Riegel B, Moser DK, Buck HG, et al. Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke. J Am Heart Assoc; 6. Epub ahead of print 22 September 2017. DOI: 10.1161/JAHA.117.006997.
Sethares KA, Asselin ME. The effect of guided reflection on heart failure self-care maintenance and management: A mixed methods study. Hear Lung 2017; 46: 192–198.
Benjamin EJ, Muntner P, Alonso A, et al. Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association. Circulation; 139. Epub ahead of print 5 March 2019. DOI: 10.1161/CIR.0000000000000659.
Kemenkes RI. Hasil Utama Riskesdas 2013. Badan Penelitian dan Pengembangan Kesehatan, https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/ (2013, accessed 15 March 2021).
Cocchieri A, Riegel B, D’Agostino F, et al. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. Eur J Cardiovasc Nurs 2015; 14: 126–136.
Levin EG, Von CS, Richard D. Success of a Home-Based Cardiac Rehabilitation Program in a Population of Nearly 4 Million. J Am Coll Cardiol 2017; 69: 1731.
Awoke MS, Baptiste D-L, Davidson P, et al. A quasi-experimental study examining a nurse-led education program to improve knowledge, self-care, and reduce readmission for individuals with heart failure. Contemp Nurse 2019; 55: 15–26.
Herber OR, Atkins L, Störk S, et al. Enhancing self-care adherence in patients with heart failure: a study protocol for developing a theory-based behaviour change intervention using the COM-B behaviour model (ACHIEVE study). BMJ Open 2018; 8: e025907.
Liou H-L, Chen H-I, Hsu S-C, et al. The effects of a self-care program on patients with heart failure. J Chinese Med Assoc 2015; 78: 648–656.
Rosland A-M, Heisler M, Janevic MR, et al. Current and potential support for chronic disease management in the United States: The perspective of family and friends of chronically ill adults. Fam Syst Heal 2013; 31: 119–131.
Friedman MM, Bowden VR, Jones EG. Buku ajar keperawatan keluarga: Riset, Teori dan Praktek. 5th ed. Jakarta: EGC, 2010.
Fry M, McLachlan S, Purdy S, et al. The implications of living with heart failure; the impact on everyday life, family support, co-morbidities and access to healthcare: a secondary qualitative analysis. BMC Fam Pract 2016; 17: 139.
Fivecoat HC, Sayers SL, Riegel B. Social support predicts self-care confidence in patients with heart failure. Eur J Cardiovasc Nurs 2018; 17: 598–604.
Riegel B, Dickson VV, Faulkner KM. The Situation-Specific Theory of Heart Failure Self-Care. J Cardiovasc Nurs 2016; 31: 226–235.
Harnilawati SK. Konsep dan proses keperawatan keluarga. Takalar: Pustaka As Salam, 2013.
Clements L, Frazier SK, Moser DK, et al. The Mediator Effects of Depressive Symptoms on the Relationship between Family Functioning and Quality of Life in Caregivers of Patients with Heart Failure. Hear Lung 2020; 49: 737–744.
Graven LJ, Grant JS. Social support and self-care behaviors in individuals with heart failure: An integrative review. Int J Nurs Stud 2014; 51: 320–333.
Bidwell JT, Vellone E, Lyons KS, et al. Determinants of Heart Failure Self-Care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis. Res Nurs Health 2015; 38: 392–402.
Ahn S, Song R, Choi SW. Effects of Self-care Health Behaviors on Quality of Life Mediated by Cardiovascular Risk Factors Among Individuals with Coronary Artery Disease: A Structural Equation Modeling Approach. Asian Nurs Res (Korean Soc Nurs Sci) 2016; 10: 158–163.
Thomas RJ, Beatty AL, Beckie TM, et al. Home-Based Cardiac Rehabilitation. J Am Coll Cardiol 2019; 74: 133–153.
Auld JP, Mudd JO, Gelow JM, et al. Self-care Moderates the Relationship Between Symptoms and Health-Related Quality of Life in Heart Failure. J Cardiovasc Nurs 2018; 33: 217–224.
Sun J, Zhang Z-W, Ma Y-X, et al. Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors. World J Clin Cases 2019; 7: 2165–2175.
