Predictors of Fluid Retention Prevention Behavior among Patients with Heart Failure

Main Article Content

Phitsamai Anpanlam
Pattarapong Makarawate
Wasana Ruaisungnoen

Abstract

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.

Downloads

Download data is not yet available.

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 https://he02.tci-thaijo.org/index.php/ns/article/view/243105
Section
Research Papers

References

The Heart Association of Thailand under the Royal Patronge of H.M. the King. Thai heart guideline 2014. Bangkok: A- Plus Print; 2014. 72 p. (in Thai).

Jacobson AF, Sumodi V, Albert NM, Butler RS, DeJohn L, Walker D, et al. Patient activation, knowledge, and health literacy association with self-management behaviors in persons with heart failure. Hear Lung. 2018;47(5):447–51. doi: 10.1016/j.hrtlng.2018.05.021.

Peterson PN, Shetterly SM, Clarke CL, Bekelman DB, Chan PS, Allen LA, et al. Health literacy and outcomes among patients with heart failure. JAMA. 2011;305(16):1695–701. doi: 10.1001/jama.2011.512.

Rice H, Say R, Betihavas V. The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review. Patient Educ Couns. 2018;101(3):363–74. doi: 10.1016/j.pec.2017.10.002.

Rouse GW, Albert NM, Butler RS, Morrison SL, Forney J, Meyer J, et al. A comparative study of fluid management education before hospital discharge. Heart Lung 2016;45(1):21-8. doi: 10.1016/j.hrtlng.2015.11.003.

Melin M, Hägglund E, Ullman B, Persson H, Hagerman I. Effects of a tablet computer on self-care, quality of life, and knowledge: a randomized clinical trial. J Cardiovasc Nurs. 2018;33(4):336–43. doi: 10.1097/JCN.0000000000000462.

Jirojanakul P. The concept of health promotion theory and its application. Bangkok: The Royal institute of Thailand; 2013. 176 p. (in Thai).

Son Y-J, Shim DK, Seo EK, Seo EJ. Health literacy but not frailty predict self-care

behaviors in patients with heart failure. Int J Environ Res Public Heal. 2018;15(11):2474. doi: 10.3390/ijerph15112474.

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259–67. doi: 10.1093/heapro/15.3.259.

Alspach JG. Heart failure and low health literacy: mitigating this lethal combination. Crit Care Nurse. 2015;35(5):10–4. doi: 10.4037/ccn2015734.

Cox SR, Liebl MG, McComb MN, Chau JQ, Wilson AA, Achi M, et al. Association between health literacy and 30-day healthcare use after hospital discharge in the heart failure population. Res Soc Adm Pharm. 2017;13(4):754–8. doi: 10.1016/j.sapharm.2016.09.003.

Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns. 2015;98(1):41–8. doi: 10.1016/j.pec.2014.10.006.

Teeoutid W, Kunsongkeit W, Dungpaeng S. Factor influencing self-management behaviors of sodium restriction among congestive heart failure patients. Journal of Boromrajonani College of Nursing, Bangkok. 2019;35(1):120-9. (in Thai).

Biddle MJ, Moser DK, Pelter MM, Robinson S, Dracup K. Predictors of adherence to self-care in rural patients with heart failure. J Rural Health. 2020;36(1):120-9. doi: 10.1111/jrh.12405.

Prochota B, Szwamel K, Uchmanowicz I. Socio-clinical variables affecting the level of self-care in elderly patients with heart failure. Eur J Cardiovasc Nurs. 2019;18(7):628-36. doi: 10.1177/1474515119855600.

Plangklang R. Factors Effecting to Prevention of Complication’ Diabetic Mellitus Among Diabetic Mellitus Type 2 at Public Health Center 2, Division of Public Health and Environment, Nakhon Sawan Municipality. Journal of Health Science and Community Public Health. 2018;1(2):86–101. (in Thai).

Vellone E, Fida R, Ghezzi V, D’Agostino F, Biagioli V, Paturzo M, et al. Patterns of self-care in adults with heart failure and their associations with sociodemographic and clinical characteristics, quality of life, and hospitalizations: a cluster analysis. J Cardiovasc Nurs. 2017;32(2):180–9. doi: 10.1097/JCN.0000000000000325.

Pimpasan P, Wirojratana P, Jitramontree N. Factors related to self-care behaviours in older adults with heart failure. Thai Journal of Nursing Council. 2018;33(1):103-15. (in Thai).

Suphunnakul P, Sirinual S, Noin J, Chayodom V, Singhadej O. Factors predicting self-care behaviors among elderly with type 2 diabetes in Sukhothai province. EAU Heritage Journal Science and Technology. 2017;11(1):211–23. (in Thai).

Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med. 1998;17(14):1623-34. doi: 10.1002/(SICI)1097-0258(19980730)17:14<1623::aid-sim871>3.0.CO;2-S.

Chen AMH, Yehle KS, Plake KS, Murawski MM, Mason HL. Health literacy and self-care of patients with heart failure. J Cardiovasc Nurs. 2011;26(6):446–51. doi: 10.1097/JCN.0b013e31820598d4.

Chirawatkul A. Biostatistics for health science research. Khon Kean: Department of Biostatistics and Demography, Faculty of Public Health, Khon Kaen University; 2008. 314 p. (in Thai).

Thato R. Nursing research: concepts to application. 4th ed. Bangkok: Chulalongkorn University; 2018. 590 p. (in Thai).

Wunnapake J, Phatisena T. Relationship between health intelligence and personal factors and health behavior of hypertension in Talad sub-district, Muang district, Nakhon Ratchasima. Journal of Suvarnabhumi Institute of Technology (Humanities and Social Science). 2018;4 Suppl:176-85. (in Thai).

Kareesun K, Malathum P, Sutti N. Relationship among Health Literacy, Knowledge about Hypertention Control, and Health Behavior in Older Persons with Hypertention. Rama Nurs J. 2019;25(3):280–95. (in Thai).