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Nursing Research and Practice
Volume 2013, Article ID 254352, 5 pages
Clinical Study

Predictors of Better Self-Care in Patients with Heart Failure after Six Months of Follow-Up Home Visits

1Cardiology Division, Heart Failure Clinic, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brazil
2Cardiology Institute of Rio Grande Sul, Cardiology Fundation, Porto Alegre, RS, Brazil
3Graduate Program of Cardiovascular Science, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
4Federal University of Health Science of Porto Alegre, Porto Alegre, RS, Brazil
5Statistics Division, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brazil
6Graduate Program, School of Nursing, Federal University of Rio Grande do Sul, Rua São Manoel 963, Bairro Rio Branco, 90620-110 Porto Alegre, RS, Brazil

Received 28 May 2013; Accepted 1 August 2013

Academic Editor: Victoria Vaughan Dickson

Copyright © 2013 Melina Maria Trojahn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study aimed to examine the predictors of better self-care behavior in patients with heart failure (HF) in a home visiting program. This is a longitudinal study nested in a randomized controlled trial (ISRCTN01213862) in which the home-based educational intervention consisted of a six-month followup that included four home visits by a nurse, interspersed with four telephone calls. The self-care score was measured at baseline and at six months using the Brazilian version of the European Heart Failure Self-Care Behaviour Scale. The associations included eight variables: age, sex, schooling, having received the intervention, social support, income, comorbidities, and symptom severity. A simple linear regression model was developed using significant variables ( ), followed by a multivariate model to determine the predictors of better self-care. One hundred eighty-eight patients completed the study. A better self-care behavior was associated with patients who received intervention ( ), had more years of schooling ( ), and had more comorbidities ( ). Having received the intervention ( ) and having a greater number of comorbidities ( ) were predictors of better self-care. In the multivariate regression model, being in the intervention group and having more comorbidities were a predictor of better self-care.