• Atencion primaria · Apr 2018

    [Heart failure in primary care: Attitudes, knowledge and self-care].

    • Cristina Salvadó-Hernández, Pilar Cosculluela-Torres, Carmen Blanes-Monllor, Neus Parellada-Esquius, Carmen Méndez-Galeano, Neus Maroto-Villanova, Rosa Maria García-Cerdán, M Pilar Núñez-Manrique, Carmen Barrio-Ruiz, Betlem Salvador-González, and en representación del grupo de investigación del proyecto COIB 5367-11.
    • ABS Viladecans 1, SAP Delta de Llobregat, DAP Costa de Ponent, Institut Català de la Salut, Viladecans, Barcelona, España; Grupo de investigación MACAP (Malaltia Cardiovascular en Atenció Primària), Costa de Ponent Institut Català de la Salut - Institut d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, España.
    • Aten Primaria. 2018 Apr 1; 50 (4): 213221213-221.

    ObjectiveTo determine the attitudes, knowledge, and self-care practices in patients with heart failure (HF) in Primary Care, as well as to identify factors associated with better self-care.DesignCross-sectional and multicentre study.SettingPrimary Care.ParticipantsSubjects over 18 years old with HF diagnosis, attended in 10 Primary Health Care Centres in the Metropolitan Area of Barcelona.Main MeasurementsSelf-care was measured using the European Heart Failure Self-Care Behaviour Scale. Sociodemographic and clinical characteristics, tests on attitudes (Self-efficacy Managing Chronic Disease Scale), knowledge (Patient Knowledge Questionnaire), level of autonomy (Barthel), and anxiety and depression screening (Goldberg Test), were also gathered in an interview. A multivariate mixed model stratified by centre was used to analyse the adjusted association of covariates with self-care.ResultsA total of 295 subjects (77.6%) agreed to participate, with a mean age of 75.6 years (SD: 11), 56.6% women, and 62% with no primary education. The mean self-care score was 28.65 (SD: 8.22), with 25% of patients scoring lower than 21 points. In the final stratified multivariate model (n=282; R2 conditional=0.3382), better self-care was associated with higher knowledge (coefficient, 95% confidence interval: -1.37; -1.85 to -0.90), and coronary heart disease diagnosis (-2.41; -4.36: -0.46).ConclusionSelf-care was moderate. The correlation of better self-care with higher knowledge highlights the opportunity to implement strategies to improve self-care, which should consider the characteristics of heart failure patients attended in Primary Care.Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

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