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Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Autocuidado, Sentido De Coherencia Y Depresión En Pacientes Hospitalizados Por Insuficiencia Cardiaca Descompensada

OBJECTIVE

To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender.

METHOD

A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8).

RESULTS

No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002).

CONCLUSION

Special attention should be given to women with HF considering self-care and depressive symptoms.

Heart Failure. Self Care; Sense of Coherence; Depression; Hospitalization; Nursing Care


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br