Appropriate Self-Care Practice and Associated Factors among Adult Heart Failure Patients Attending Follow up at Jimma University Medical Centre, Jimma, South West Ethiopia, 2017.

Abstract

Back ground: Heart failure (HF) is a serious condition that places large demands on self-care. Failure to adhere with self-care recommendations is common and associated with frequent hospitalization. Understanding the factors that contribute for appropriate self-care practice is essential in developing effective health care interventions. Therefore the purpose of this study is to determine the magnitude of appropriate self care practice and associated factors among adult heart failure patients attending follow up at Jimma University Medical Centre. Objective: To determine magnitude of appropriate self care practice and associated factors among adult heart failure patients attending follow up at Jimma university medical centre Jimma south west Ethiopia,2017. Methods: A total of 362 respondents were sampled to be interviewed. Cross sectional study was conducted from February 1 – April 2 / 2017. Study participants were selected by using systematic random sampling techniques. Data was collected using interviewer administered structured questionnaires and check lists was used to review records of respondents. Data were entered in to Epi-data version 3.1 soft ware and exported to SPSS 21.0 for analysis. Multivariate logistic regression was used to identify factors associated with appropriate self care practice among heart failure patients. Result: Two hundred fifty two (76.4%) of the respondents had appropriate self care practice. On multivariate logistic regression low educational status (AOR: 0.03 CI: 0.01, 0.09), and absence of co morbidities (AOR: 0.02, CI: 0.01, 0.10) were associated with appropriate self care practice. Conclusion and recommendation: In this study the proportion of respondents with appropriate self care practice is low. Low educational status and presence of co morbidities were identified as predictors for appropriate self care practice. Further support should be provided to heart failure patients with low educational status and special attention should be given to patients with multiple co morbidities.