Research on Socioeconomic Impact of Self-management in Patients with Chronic Heart Failure

Rong SU; Ling LIN; Ailing YANG; Mingguo ZHANG; Yunfei LI; Yasha LIANG

doi:10.12259/j.issn.2095-610X.S20240912

Volume 45 Issue 9

Sep. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(9): 76-82

Rong SU, Ling LIN, Ailing YANG, Mingguo ZHANG, Yunfei LI, Yasha LIANG. Research on Socioeconomic Impact of Self-management in Patients with Chronic Heart Failure[J]. Journal of Kunming Medical University, 2024, 45(9): 76-82. doi: 10.12259/j.issn.2095-610X.S20240912

Citation:

Rong SU, Ling LIN, Ailing YANG, Mingguo ZHANG, Yunfei LI, Yasha LIANG. Research on Socioeconomic Impact of Self-management in Patients with Chronic Heart Failure[J]. Journal of Kunming Medical University, 2024, 45(9): 76-82. doi: 10.12259/j.issn.2095-610X.S20240912

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Research on Socioeconomic Impact of Self-management in Patients with Chronic Heart Failure

doi: 10.12259/j.issn.2095-610X.S20240912

Dept. of Geriatric Cardiology，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650500，China

Received Date: 2024-04-23
Available Online: 2024-09-04
Publish Date: 2024-09-25

Abstract

Abstract

Objective To investigate the socioeconomic impact of self-management in patients with chronic heart failure（CHF） . Methods Convenient sampling method was used to investigated and analyzed the self-management of 1762 CHF patients aged 18~89 one month after discharge in Yunnan Province from September 2019 to May 2023. Principal component analysis method was used to construct comprehensive socioeconomic status （SES）, and binary Logistic regression analysis was used to investigate the socioeconomic impact of self-management in patients with CHF. Results The proportions of exercise management, monitoring symptom/weight, medication as prescribed, low sodium diet, fluid or water intake control and regular follow-up were 29.2%, 37.7%, 80.9%, 58.0%, 3.3% and 45.5% in patients with CHF, respectively. The proportion of exercise management and low sodium diet was different in different gender patients （P < 0.01）. Compared with young patients, older ones were more likely to follow prescribed medication, monitor symptoms or weight, and eat a low-sodium diet. Patients with higher education and income were also more likely to follow prescribed medication, exercise management, monitoring symptoms or weight, and regularly follow-up. Non-farmer patients had higher rates of prescribed medication, exercise management, monitoring of symptoms or weight, and regular follow-up than farmer patients. The binary logistic regression analysis results showed that a higher proportion of prescribed medication, monitoring of symptoms/weight, exercise management, and regular follow-up was found in the higher SES（P < 0.05）. Conclusion The self-management of CHF patients is generally low, and there are socioeconomic effects. Improving self-management in patients with CHF should focus on patients with low socioeconomic status.
- Chronic heart failure,
- Self-management,
- Socioeconomic status

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References(23)

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