The realities regarding self-management of chronic heart failure and the relationship between self-management and a clinical indicator of chronic heart disease

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  • 慢性心不全患者の疾病の自己管理の実態と心不全の臨床指標との関連
  • マンセイ シンフゼン カンジャ ノ シッペイ ノ ジコ カンリ ノ ジッタイ ト シンフゼン ノ リンショウ シヒョウ ト ノ カンレン

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Abstract

The purpose of this study is to clarify the realities regarding self-management relating to chronic heart failure and to investigate relationships between factors of self-management and Brain natriuretic peptide (BNP), which is one of the clinical indicators of heart disease. The results of this study will be used for the development of a chronic heart failure (CHF) management program. The interview test was given to 109 outpatients at one clinic and two hospitals. Results indicated that only 7.3% of participants had knowledge of CHF, and fewer than 20% had knowledge of a lowsodium diet and fluid intake. More than 70% of participants had diabetes and hypertension. Moreover, analyzing the data of 89 participants, BNP among 21 of 89 participants, in the selfmanagement factors, deteriorated significantly. In addition, the relationship between the results of selfmanagement factors and BNP among 89 participants showed that participants who did not carry out a low-sodium diet deteriorated more than participants who did. Therefore, as these results indicate, proper knowledge of CHF and self-management, as well as management of CHF factors, need to be included in CHF disease management programs.

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