Correlation Between Affective Status and Self-careBehaviors in Patients with Heart Failure

Background: poor self-care in patients with heart failure (hf) is directly associated with thepatient’s general health getting deteriorated and hospitalized.objectives: one of the factors influencing compliance with self-care behaviors is mood status.the aim of this study was to determine the relationship between affective status with self-carebehaviors in patients with hf.materials & methods: in this analytical cross-sectional study, 372 hf outpatients referring to aspecialized heart clinic have been included using convenient sampling method. study tools had 4parts including demographic and social factors, the european heart failure self-care behaviorsscale, and positive and negative affect scales. the collected data were analyzed using multivariatelinear regression model.results: the multivariate model adjusted for patient’s education, suffering from chronicobstructive pulmonary disease, and heart failure duration showed that positive affects (β=0.113,standard error (se) =0.056, p=0.046) and negative affect (β=0.341, se=0.053, p<0.001) weresignificantly related to self-care behaviors, but anhedonia did not have any significant relationwith self-care behaviors (β= -0.105, se=0.097, p=0.280). the separate models accounted for 8to 11% of the variance in the self-care behaviors.conclusion: the result of current study indicates that patients’ mood statue including positiveand negative affect are significant contributors of self-care behaviors. so, it is recommendedthat in addition to the patient’s physical condition, the rehabilitation program of the heart failure patients should incorporate their psychological and mental status.