Self-Care Practice and Associated Factors among Ambulatory Heart Failure Patients in Selected Public Hospitals of Sidama Regional State Ethiopia, 2022

Abstract

Background: Heart failure (HF) is a new issue that is significantly undergoing epidemiological change in low to middle income nations. Proper self-care is linked to better overall health and quality of life, improved clinical results, lower healthcare expenditures, and prevention or early identification of health issues in people with chronic conditions like Heart Failure (HF). Unfortunately, inadequate self-care is frequent among heart failure patients, and individuals find it extremely challenging to undertake self-care.Objective: The study was conducted to assess the Self-care Practice and Associated factors among Ambulatory Heart Failure Patients in Public Hospitals of Sidama Regional State, Ethiopia, 2022.Methods: Institution based Cross-sectional study was conducted in Public Hospitals of Sidama Regional State, Ethiopia from April, 2022 to May, 2022. The data was collected from Eligible participants by face-to-face interview while they are visiting a cardiac clinic to attend their follow ups using pre-tested structured questionnaire. Systematic Random Sampling method was employed to obtain the desired Sample Size. Data was coded and entered into Epi-data version 4.62 then exported to SPSS version 25.0.A Bivariate and Multivariable Logistic Regression Analysis was used to check the significant association of factors with the outcome variables.Results: The overall Prevalence of Good self-care Practice was 136 (52.7%) at 95% CI: (46.6, 58.7). The heart failure patients who had poor level of knowledge about self-care practice [AOR=2.434, 95% CI (1.086, 5.453)], Current alcohol drinker [AOR=3.681, 95% CI (1.075, 12.600)], Co-morbidities [AOR=2.463, 95% CI (1.150, 5.276)], were associated with poor or inadequate self-care practice as recommended as compared to their counter parts.Conclusion: Nearly half of the heart failure patients had poor self-care practice. Being current alcohol drinker, having Co-morbidity and Inadequate knowledge were predictors of self-care practice. As a result, nursing intervention programs regarding knowledge on heart failure are recommended for enhancing self-care practices.

Keywords: Self-care practice, Heart failure knowledge, Associated factors,sidamma.

DOI: 10.7176/JMPB/74-03

Publication date: January 31^st 2024