The Relationship Between Family Support and Self-Care in Heart Failure Patients: A Cross-sectional Study in Garut City, Indonesia

Sulastini Sulastini; Bambang  Aditya Nugraha; Rahmi Nurul Madinah

doi:10.56303/jhnresearch.v4i2.399

Authors

Sulastini Sulastini Department of Nursing, STIKes Karsa Husada Garut, Indonesia
Bambang Aditya Nugraha Department of Nursing, Universitas Padjadjaran, Indonesia
Rahmi Nurul Madinah Department of Nursing, STIKes Karsa Husada Garut, Indonesia

Keywords:

Chronic Illness, Family Support, Heart Failure, Self-Care Management

Abstract

Heart failure is a pathophysiological condition due to impaired heart function in pumping blood that is chronic and progressive, and contributes to high morbidity and mortality rates. Reducing these rates requires a treatment strategy that maintains the health and well-being of patients, one of which is through effective self-care management. In its implementation, the role of family is an important aspect as a source of non-medical support that can motivate patients to undergo treatment. This study aimed to analyze the relationship between family support and self-care practices among individuals with heart failure attending polyclinics in Garut City. A quantitative cross-sectional design was employed, involving 105 participants who were selected through purposive sampling. Data were collected using a family support questionnaire the Caregiver Contribution to Self-Care of Heart Failure Index version 2 (CC-SCHFI v.2), then The Spearman rank correlation test was used for data analysis. The results showed that most participants had high levels of family support (81%), and demonstrated moderate self-care practice (88,6%). There was a strong and significant positive correlation between family support and self-care behavior (r = 0.680; p < 0.001), suggesting that better family support is associated with improved self-care practices among heart failure patients. Family support significantly enhances self-care behavior in heart failure patients. Involving family members in disease management programs is essential to promote better health outcomes.

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References

AHA. American Heart Association. 2022. Heart Failure.

WHO. World Health Organization. 2025. Cardiovascular Disease.

Kemenkes. Kementerian Kesehatan RI. 2022. Penyakit Jantung Penyebab Utama Kematian.

Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Vol. 145, Circulation. 2022. 895–1032 p.

Hardiyana MT, Kristinawati B. Gambaran Peran Keluarga Dalam Perawatan Pasien Gagal Jantung : Perspektif Pasien. Heal Inf J Penelit [Internet]. 2023 Apr 29;15(1 SE-Journal Supplement).

Susanto J, Makhfudli M, Yusuf A, Lestari TP, Mardhika A, Ilkafah I. Correlation Between Family Support and Self-Care Behavior of Heart Failure Patients. Malaysian J Public Heal Med. 2022;22(3):253–8.

Martínez N, Connelly CD, Pérez A, Calero P. Self-care: A concept analysis. Int J Nurs Sci [Internet]. 2021 Oct;8(4):418–25.

Tulu SN, Cook P, Oman KS, Meek P, Kebede Gudina E. Chronic disease self‐care: A concept analysis. Nurs Forum [Internet]. 2021 Jul 3;56(3):734–41.

Jaarsma T, Hill L, Bayes-Genis A, La Rocca HPB, Castiello T, Čelutkienė J, et al. Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23(1):157–74.

Afşar F. Self-Care of Patients with Advanced Stage Heart Failure. In 2024. Available from: https://www.intechopen.com/chapters/88392

Whitehead L, Jacob E, Towell A, Abu-Qamar M, Cole-Heath A. The role of the family in supporting the self-management of chronic conditions: A qualitative systematic review. J Clin Nurs. 2018 Jan;27(1–2):22–30.

Schulman-Green Dena, Feder Shelli L, Dionne-Odom J. Nicholas, Batten Janene, En Long Victoria Jane, Harris Yolanda, et al. Family Caregiver Support of Patient Self-Management During Chronic, Life-Limiting Illness: A Qualitative Metasynthesis. J Fam Nurs [Internet]. 2020 Dec 17;27(1):55–72.

Sousa H, Ribeiro O, Afreixo V, Costa E, Paúl C, Ribeiro F, et al. “ Should WE Stand Together ?”: A systematic review analysis of the effectiveness of family- based interventions for adults with chronic physical diseases. 2021;(June):1–19.

Herawati E, Ab A, Tombong AB, Panrita S, Bulukumba H, Community D, et al. Family Support With Life Quality In Patients With Failure To Convert Heart. Compr Heal Care. 2019;11–7.

Permana RA, Arief YS, Bakar A. Dukungan Keluarga Berhubungan dengan Perilaku Perawatan Diri Pasien Gagal Jantung di Surabaya. J Penelit Kesehat Suara Forikes. 2021;12:26–30.

Sampelan NS. Hubungan Self Care Dan Dukungan Keluarga Dengan Kualitas Hidup Pada Pasien Gagal Jantung Kongestif Di Rsd Dr. H. Soemarno Sosroatmodjo. SAINTEKES J Sains, Teknol Dan Kesehat [Internet]. 2023 Apr 28;2(2 SE-Articles):213–24.

Świątoniowska-Lonc N, Polański J, Pilarczyk-Wróblewska I, Jankowska-Polańska B. The Revised Self-Care of Heart Failure Index - a new tool for assessing the self-care of Polish patients with heart failure. Kardiol Pol. 2021;79(7–8):841–7.

Riegel B, Dickson VV, Vellone E. The Situation-Specific Theory of Heart Failure Self-care: An Update on the Problem, Person, and Environmental Factors Influencing Heart Failure Self-care. J Cardiovasc Nurs. 2022;37(6):515–29.

Hany A, Vatmasari RA. The effectiveness of self-care management in treating heart failure : A scoping review. Healthc Low-resource Setting. 2023;11.

Pahria T, Pitora T, Afirmasari E. Faktor-Faktor yang Mempengaruhi Self-Care pada Pasien Heart Failure. J Penelit Kesehat Suara Forikes. 2022;13(6):886–93.

Mackie BR, Marshall AP, Mitchell ML. Exploring family participation in patient care on acute care wards: A mixed-methods study. Int J Nurs Pract. 2021 Apr;27(2):e12881.

Mariyani M, Azriful A, Bujawati E. Family Support Through Self Care Behavior for Hypertension Patients. Divers Dis Prev Res Integr [Internet]. 2021 Aug 31;2(1 SE-Article):1–8.

Hany A, Yulistianingsih E, Kusumaningrum BR. Family empowerment and family ability to self-care for heart failure patients in the intermediate care room. Int J Public Heal Sci. 2022;11(1):248–53.