Caspian Journal of

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Rouhi Balasi L, Salari A, Ashouri A, Nourisaeed A, Ahmadnia Z, Moaddab F et al . Correlation between Affective Status and Self-care Behaviors in Patients with Heart Failure. CJHR 2022; 7 (4) :227-234
URL: http://cjhr.gums.ac.ir/article-1-260-en.html

Background: Poor self-care in patients with heart failure (HF) is directly associated with the patient’s general health getting deteriorated and hospitalized.
Objectives: One of the factors influencing compliance with self-care behaviors is mood status. The aim of this study was to determine the relationship between affective status with self-care behaviors in patients with HF.
Materials and Methods: In this analytical cross-sectional study, 372 HF outpatients referring to a specialized heart clinic have been included using convenient sampling method. Study tools had 4 parts including demographic and social factors, the European Heart Failure Self-care Behaviors scale, and positive and negative affect scales. The collected data were analyzed using multivariate linear regression model.
Results: The multivariate model adjusted for patient’s education, suffering from chronic obstructive pulmonary disease, and heart failure duration showed that positive affects (β=0.113, standard error (SE) =.056, P=0.046) and negative affect (β=0.341, SE=.053, P<0.001) were significantly related to self-care behaviors, but anhedonia did not have any significant relation with self-care behaviors (β=-0.105, SE=0.097, P=0.280). The separate models accounted for 8 to 11% of the variance in the self-care behaviors.
Conclusions: The result of current study indicates that patients' mood statue including positive and negative affect are significant contributors of self-care behaviors. So, it is recommended that in addition to the patient’s physical condition, the rehabilitation program of the heart failure patients should incorporate their psychological and mental status.