Level and Predictors of Self-Care Behaviors (SCB) Among Educated and Uneducated Patients With Heart Failure (HF) in Pakistan
Gowani, Ambreen Amirali
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Session presented on Sunday, July 27, 2014: Purpose: Self-care among heart failure patients is found to be affected by several factors including education as one of the most significant predictor. Prior studies on self-care, from western countries have revealed that higher the education better is the self-care. But the level of self-care and its predictors are yet un explored in developing countries like Pakistan. Therefore, this study aimed to compare the level of self-care and its associated factors among educated and uneducated HF patients of a country which has lowest literacy rates. Methods: 230 HF patients (115 educated and 115 uneducated) were recruited in the study. Their level of self care behaviors and its associated factors were assessed using European heart failure self-care behavior scale (EHFSCBs) via a cross sectional survey. Results: The overall level of Self-care behavior was significantly higher among educated HFpatients as compared to their uneducated counterparts (p=0.005). However, income was significantly associated with better self-care among educated patients (p=0.001) whereas, chronicity of HF diagnosis appeared as strong predictor of self care among the uneducated HF patients (p=0.024). Conclusion: The results of the study imply that continuous supportive-educative interventions by the health care providers may enhance the experiential learning and level of self-care among the uneducated population with heart failure.