Self-Perceived Barriers to Heart Failure Self-Management in Adult Patients
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Problem: Use of standardized educational materials regarding self-management of heart failure by nurses during inpatient stay results in gaps in patient ability to self-manage their illness. Objective: Identify gaps in self-management ability using two tools (Heart failure Needs assessment questionnaire HFNAQ and Needs assessment tool- progressive disease NAT-PD). Methods: Use a Plan Do Study Act design in the implementation of the HFNAQ and NAT-PD on a grab-bag sample of patients admitted with heart failure. Demographic and comorbid illness information was collected. Data Analysis: Analysis involves descriptive statistics, comparing means, independent t-test as well as bi-variate analysis. Results: Ninety percent (90%) of participants (n = 30) had caregivers readily available. Lack of caregiver resulted in a decreased in average well-being score (NAT-PD) and a decrease in average total domain score (HFNAQ). High correlation between the NAT-PD and the HFNAQ tool (r2 = 59.6%). Discussion: Many patients with heart failure also have many comorbid illnesses and caregivers play a significant role in managing care burden. Limitations of this study include small sample size. Implications: The findings of this study show that the potential for future research and use of the above tools.