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Abstract

COJ Nursing & Healthcare

An Exploration of Factors Related to Rehospitalisation for Patients with Chronic Heart Failure

  • Open or CloseChunhua Ma*

    Associate Professor, School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China

    *Corresponding author:Chunhua Ma, Associate Professor, School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China, Email: mawinter@126.com

Submission: August 17, 2020; Published: September 02, 2020

DOI: 10.31031/COJNH.2020.06.000642

ISSN: 2577-2007
Volume6 Issue4

Abstract

Background: The previous studies showed many factors impacting rehospitalisation, such as, demographic factors, clinical factors, and psychological factors, however, none studies focus on associations between patient activation, self-efficacy, heart failure knowledge, medication adherence and rehospitalisation among patients with chronic heart failure.

Purpose: To investigate the impacts of patient activation, self-efficacy, heart failure knowledge and medication adherence on rehospitalisation for chronic heart failure patients.

Methods: This was a secondary analysis of the longitudinal observational survey about factors influencing hospital readmission in chronic heart failure patients. A total of 432 participants were enlisted using convenience sampling from three university hospitals, Guangzhou, Southern China. The factors influencing rehospitalisation covered demographic and clinical variables, patient activation, heart failure knowledge, self-efficacy, and medication adherence. The univariate and multivariate logistic regression was used to examine the factors affecting hospital readmissions of chronic heart failure patients.

Result: The major factors influencing rehospitalisation for patients with chronic heart failure were as follows: poor NYHA function (OR=2.96, p=0.019), lower patient activation (OR=3.81, p<0.001), inadequate HF knowledge (OR=1.46, p=0.037), lower self-efficacy (OR=2.53, p<0.001), and non-adherence to medication (OR=2.28, p=0.011).

Conclusion: Poor cardiac function, lower activation, self-efficacy, inadequate heart failure knowledge and non-adherence to medication were associated with hospital readmissions in chronic heart failure patients, the findings indicate these factors should be underlined in preventing rehospitalisation in the population.

Keywords: Heart failure; Knowledge; Medication adherence; Patient activation; Rehospitalisation; Self-efficacy

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