Abstract

RODRIGUEZ GAZQUEZ, Mª de los Ángeles; ARREDONDO HOLGUIN, Edith  and  SALAMANCA ACEVEDO, Yurany Andrea. Self-care agency ability and factors related to the agency in people with heart failure of Medellin (Colombia). Enferm. glob. [online]. 2013, vol.12, n.30, pp.183-195. ISSN 1695-6141.

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.

Keywords : heart failure; self-care; education; nursing; nursing theory; nursing research.

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