Self-care agency ability and factors related to the agency in people with heart failure of Medellin (Colombia)
Supporting Agencies
- Grupo de investigación “Cuidado de la salud cardiovascular” de la Universidad Nacional de Colombia
- “Grupo de Investigación Práctica de la Enfermería en el Contexto Social" y Comité para el Desarrollo de la Investigación de la Universidad de Antioquia
Abstract
Objective: To explore the association between the ability of self-care agency with some basic conditioning factors related to the agency in people with heart failure of Medellin (Colombia)Material and methods: A cross-sectional study was conducted in a convenience sample of 266 people with heart failure of two hospitals in the city of Medellín (Colombia) from 2007 to 2011. An instrument which included socio-demographic variables, social support and clinics was used. To evaluate the ability of self-care agency was used the version of the Appraisal of Self-care Agency Scale-ASA of Evers, validated in Spanish by Gallegos.
Results: The self-care agency ability was deficient in 47, 0% of the participants. The higher ASA scores were found in people 51 years old, higher socioeconomic levels, married, technical or university education, those who practiced leisure activities, with any kind of social support and those with functional class I and ejection fraction of 40%. Logistic regression analysis showed that sufficient self-care agency is related to ejection fraction, age and marital status.
Conclusion: The self-care agency ability was deficient in the middle of the participants. Basic conditioning factors, like ejection fraction, age and marital status, were associated with better self-care agency ability.
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