Level and Predictors of Self-Care Behaviors (SCB) Among Educated and Uneducated Patients with Heart Failure (HF) in Pakistan

Sunday, 27 July 2014: 1:55 PM

Ambreen Amirali Gowani, BSN, MSN
Cardiac cath lab, The Aga Khan University Hospital, Karachi, Pakistan


Self-care among heart failure patients is found to be affected by several factors including education as one of the most significant predictor. Prior studies on self-care, from western countries have revealed that higher the education better is the self-care. But the level of self-care and its predictors are yet un explored in developing countries like Pakistan. Therefore, this study aimed to compare the level of self-care and its associated factors among educated and uneducated HF patients of a country which has lowest literacy rates.


230 HF patients (115 educated and 115 uneducated) were recruited in the study. Their level of self care behaviors and its associated factors were assessed using European heart failure self-care behavior scale (EHFSCBs). via a cross sectional survey.


The overall level of Self-care behavior was significantly higher among educated HFpatients as compared to their uneducated counterparts (p=0.005). However, income was significantly associated with better self-care among educated patients (p=0.001) whereas, chronicity of HF diagnosis appeared as strong predictor of self care among the uneducated HF patients (p=0.024).


The results of the study imply that continuous supportive-educative interventions by the health care providers may enhance the experiential learning and level of self-care among the uneducated population with heart failure.