investigation the relationship between self-care and readmission in patients with chronic heart failure

background chronic heart failure (chf) is associated with unpredictably increased prevalence of hospital admissions. self-care is one of the most important aspects of management for patients with chf. self-care adequacy has led to increased satisfaction, independence in daily activities, reduced stress, and morbidity. objectives we aimed to assess the relationship between self-care behavior and readmission rate in patients with heart failure. patients and methods a total of 287 patients with a diagnosis of systolic chf with a left ventricular ejection fraction less than 35% admitted for acute heart failure were enrolled. the self-care behavior was assessed using schfi questionnaires that have three domains (self-care maintenance, self-care management, and self-care confidence). an acquired score greater than 70 was considered as proper self-care index. the study population was followed over three months after discharge for readmission. results this study showed that self-care behavior was improper in our study population. more than 75% of patients had a score less than 70 in the different domains for self-care. the multivariable regression analyses showed a significant relationship between self-care management (ß = 1.6, p = 0.006, or (ci) = 2.66 (1.37-5.1) and self-care confidence (ß = 0.9, p = 0.02, or (ci) = 2.01 (1.1-3.68) and readmission rate. conclusions we concluded that a good administration program such as education and a surveillance plan for the improvement of self-care behaviors would reduce hospital readmissions in patients with heart failure.