KIẾN THỨC VÀ HÀNH VI TỰ CHĂM SÓC CỦA NGƯỜI BỆNH SUY TIM

Abstract

The study was conducted on 143 heart failure patients with 2 objectives: (1) To describe knowledge treatment adherence and self-care behavior of heart failure patients at Vimec Times City Hospital in 2021 and (2) To analyse some factors related to knowledge and self-care behavior of patients. Method cross-sectional descriptive design, using clinical examination data in medical records and heart disease questionnaire (AHFKT - V2 - Atlanta Heart Failure Knowledge Test) and patient self-care questionnaire (SCHFI V6.2 - Self-care of Heart Failure Index). The results showed that: knowledge about treatment adherence and self-care behavior of heart failure patients is quite limited. The number of patient with good general knowledge about drugs and correct use of drugs is very low (2,1%). Knowledge of self-monitoring of care only accounted for 9.8%. Knowledge and adherence behavior was still quite weak (ranged from 25% to 61%). Knowledge and practice have a positive correlation (R=0.61; P <0.001). Some factors related to knowledge and practice of patients include: The group with better knowledge about adherence and self-care performed better. The group with good knowledge, had a higher rate of correct practice (48.7% versus 10.6%; p<0.01). The group with good nursing advice and better practice (46.2%) compared with 6.6%; p<0.001). Conclusions: Number of heart failure patients with good knowledge about compliance treatment compliance is quite low, self-care behavior is still lacking. Factors related to knowledge are mainly quality of nurse’s counseling. Not good self-care practice is due to limited knowledge.