Predictors of Fluid Retention Prevention Behavior among Patients with Heart Failure

Main Article Content

Phitsamai Anpanlam
Pattarapong Makarawate
Wasana Ruaisungnoen


Purpose: This research aimed to investigate predictors of fluid retention prevention behavior among patients with heart failure.

Design: Predictive correlational study.

Methods: Study sample consisted of 71 patients with heart failure who received care at one tertiary hospital in Khon Kaen province. Data were collected from October 2019 to January 2020 using questionnaires with interviewing method. The data were analyzed using descriptive statistics, Pearson product moment correlation coefficient and Spearman rank correlation coefficient, and stepwise multiple regression analysis.

Main findings: functional health literacy and critical health literacy were found to be significantly associated with fluid retention prevention behavior (r = .31, p = .009, rs = .36, p = .002, respectively) among people with heart failure. In addition, it was found that male gender was negatively associated with fluid retention prevention behavior (rs = - .32, p = .006). However, only male gender and critical health literacy were found to be significant predictors of fluid retention prevention behavior, which together could explain 18.3 percent (adjusted R2 square = .18) of the behavior.

Conclusion and recommendations: Significant predictors of fluid retention prevention behavior among patients with heart failure included critical health literacy and male gender. Consequently, nursing activities aim at improving fluid retention prevention behavior among patients with heart failure should focus on improving critical health literacy and promoting awareness among male patients.

Article Details

How to Cite
Anpanlam, P. ., Makarawate, P. ., & Ruaisungnoen, W. (2021). Predictors of Fluid Retention Prevention Behavior among Patients with Heart Failure. Nursing Science Journal of Thailand, 39(3), 47–59. Retrieved from
Research Papers


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