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Published online: 2021-05-18
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The Revised Self-Care of Heart Failure Index — a new tool for assessing the self-care of Polish patients with heart failure

Natalia Świątoniowska-Lonc, Jacek Polański, Iwona Pilarczyk-Wróblewska, Beata Jankowska-Polańska
DOI: 10.33963/KP.a2021.0009
·
Pubmed: 34002843

open access

Online first
Original article
Published online: 2021-05-18

Abstract

Background: According to the European Society of Cardiology guidelines, self-care is a key part of treatment for patients with heart failure. A large evidence base has been accumulated regarding the direct impact of self-care on the outcome of patients with heart failure. In order to assess self-care in patients with heart failure and to evaluate the effectiveness of the interventions taken, a reliable and culturally acceptable instrument is required. The Revised Self-care of Heart Failure Index (SCHFI) is a new tool for assessing self-care in patients with heart failure.

Aim: Our aim was to test the reliability of the Polish version of the Revised SCHFI.

Methods: The standard forward-backward translation procedure was used to translate the Revised SCHFI questionnaire into Polish. The reliability of the SCHFI was assessed based on Cronbach’s α, item-total correlation, exploratory factor analysis, and confirmatory factor analysis.

Results: A total of 127 patients with heart failure (mean [SD] age, 68.5 [11.2] years) completed the questionnaire. The mean (SD) total self-care score in the study group was 51.92 (22.0). Patients scored the highest in terms of self-care confidence (mean [SD] score, 65.63 [21.0] points), and the lowest in symptom perception (mean [SD] score, 54.64 [18.28] points). The Revised SCHFI had satisfactory psychometric properties in all subscales (self-care maintenance α = 0.790, symptom perception α = 0.790, self-care management α = 0.705).

Conclusion: The Polish version of the Revised SCHFI is a reliable and valid instrument for assessing self-care level in heart failure patients.

Abstract

Background: According to the European Society of Cardiology guidelines, self-care is a key part of treatment for patients with heart failure. A large evidence base has been accumulated regarding the direct impact of self-care on the outcome of patients with heart failure. In order to assess self-care in patients with heart failure and to evaluate the effectiveness of the interventions taken, a reliable and culturally acceptable instrument is required. The Revised Self-care of Heart Failure Index (SCHFI) is a new tool for assessing self-care in patients with heart failure.

Aim: Our aim was to test the reliability of the Polish version of the Revised SCHFI.

Methods: The standard forward-backward translation procedure was used to translate the Revised SCHFI questionnaire into Polish. The reliability of the SCHFI was assessed based on Cronbach’s α, item-total correlation, exploratory factor analysis, and confirmatory factor analysis.

Results: A total of 127 patients with heart failure (mean [SD] age, 68.5 [11.2] years) completed the questionnaire. The mean (SD) total self-care score in the study group was 51.92 (22.0). Patients scored the highest in terms of self-care confidence (mean [SD] score, 65.63 [21.0] points), and the lowest in symptom perception (mean [SD] score, 54.64 [18.28] points). The Revised SCHFI had satisfactory psychometric properties in all subscales (self-care maintenance α = 0.790, symptom perception α = 0.790, self-care management α = 0.705).

Conclusion: The Polish version of the Revised SCHFI is a reliable and valid instrument for assessing self-care level in heart failure patients.

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Keywords

Revised Self-Care of Heart Failure Index, assessment, psychometrics, self-care, heart failure

About this article
Title

The Revised Self-Care of Heart Failure Index — a new tool for assessing the self-care of Polish patients with heart failure

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Online first

Article type

Original article

Published online

2021-05-18

DOI

10.33963/KP.a2021.0009

Pubmed

34002843

Keywords

Revised Self-Care of Heart Failure Index
assessment
psychometrics
self-care
heart failure

Authors

Natalia Świątoniowska-Lonc
Jacek Polański
Iwona Pilarczyk-Wróblewska
Beata Jankowska-Polańska

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