Factors Related to Self-Care Behaviours in Older Adults with Heart Failure


  • ประภัสสร พิมพาสาร มหาวิทยาลัยมหิดล
  • วิราพรรณ วิโรจน์รัตน์
  • นารีรัตน์ จิตรมนตรี


heart failure, self-care behaviours, older adults, instrumental support, family relationship


Objective: To study relationships that comorbidities, family relationship, instrumental
support, and trust in healthcare teams could have with elderly heart failure patients’
self-care behaviours.
Design: Descriptive correlation research.
Procedure: This study used the situation-specifc theory of heart failure self-care
model developed by Riegel, et al, as the conceptual framework. The sample consisted
of 116 older adults with heart failure, aged 60-79 years. Data were collected by using
Charlson Comorbidity Index (CCI), together with interviews on family relationship,
instrumental social support scales (for heart failure), trust in healthcare teams, and heart
failure patients’ self-care behaviours. The data were analysed using descriptive statistics
and Spearman's correlation coeffcient.
Results: The participants showed a low level of comorbidities (mean ±SD of
2.48 ±1.24) and scored highly on family relationship, instrumental support, trust in
healthcare teams, and elderly heart failure patients’ self-care behaviours (means ±SDs
of 68.85 ±12.69, 20.62 ±5.46, 44.16 ±4.28, and 83.70 ±10.64, respectively).
An intervariate relationship analysis revealed a statistically signifcant relationship between
the heart failure patients’ self-care behaviours and comorbidities, family relationship,
instrumental support, and trust in healthcare teams (r = 0.191, p < 0.05, r = 0.360, p < 0.01,
r = 0.348, p < 0.01, and r = 0.221, p < 0.05, respectively).
Recommendations: Nurses and healthcare teams should encourage family members
to improve family relationship and should provide instrumental support for older adults
with heart failure.


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How to Cite

พิมพาสาร ป, วิโรจน์รัตน์ ว, จิตรมนตรี น. Factors Related to Self-Care Behaviours in Older Adults with Heart Failure. J Thai Nurse midwife Counc [Internet]. 2018 Jun. 12 [cited 2024 Feb. 25];33(1):103-15. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/118865