Research Article
Volume 2 Issue 3 - 2020
Knowledge and Self-Care Scores among Older Patients with Heart Failure: Subanalysis of a Multicenter Trial- HELEN-II
Eneida Rejane Rabelo-Silva1,2*, Marco Aurélio Lumertz Saffi2, Karen Brasil Ruschel2,3, Leticia Lopez Pedraza2, Vânia Hirakata2, Emiliane Nogueira de Souza4 and Claudia Mota Mussi2
1Universidade Federal do Rio Grande do Sul (UFRGS), Rua São Manoel, Bairro Rio Branco, Porto Alegre, RS, Brazil
2Hospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, Bairro Santa Cecília, Porto Alegre, RS, Brazil
3Instituto de Avaliação de Tecnologia em Saúde (IATS), Rua Ramiro Barcelos, Bairro Santa Cecília, Porto Alegre, RS, Brazil
4Universidade Federal das Ciências da Saúde de Porto Alegre (UFCSPA), Rua Sarmento Leite, Centro Histórico, Porto Alegre, RS, Brazil
*Corresponding Author: Eneida Rejane Rabelo-Silva, Universidade Federal do Rio Grande do Sul (UFRGS), Rua São Manoel, Bairro Rio Branco, Porto Alegre, RS, Brazil.
Received: February 06, 2020; Published: February 19, 2020


Aims and Objectives: To conduct a comparative analysis of heart failure knowledge scores and self-care abilities between middle-aged and older adults.

Background: Studies of self-care skills and behaviors in older adults in the heart failure setting are being discussed. Among older patients, self-care ability is challenging, as it involves complex behaviors, attitudes, and decision-making processes.

Design: This is a subgroup analysis of a multicenter randomized clinical trial (NCT-01213875).

Methods: Patients included had Heart Failure with reduced ejection fraction and were stratified by age: ≤ 65 years (middle-aged) and > 65 years (older). Knowledge and self-care were extracted from the trial database. 

Results: In a sample of 252 patients, predominantly male, the final knowledge score after 6 months of follow-up differed significantly between the middle aged and older subgroups (65.9% vs. 59.4% respectively). There were no between-group differences in self-care scores at the end of follow-up. 

Conclusion: The incidence and prevalence of heart failure increase with age. Our study suggests that younger patients have greater knowledge of their disease when compared to older patients.

Relevance to Clinical Practice: Knowing the profile of patients with heart failure allows the implementation of individualized nursing education interventions in different health settings, thus contributing to the reduction of unfavorable outcomes.

Keywords: Heart Disease; Knowledge; Self-Care; Nursing; Older Patients


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Citation: Eneida Rejane Rabelo-Silva., et al. “Knowledge and Self-Care Scores among Older Patients with Heart Failure: Subanalysis of a Multicenter Trial- HELEN-II”. EC Nursing & Healthcare 2.3 (2020): 01-07.

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