The impact of self-care behavior on quality of life among patients with heart failure in Malaysia: a cross-sectional study
Dublin Core
Title
The impact of self-care behavior on quality of life among patients with heart failure in Malaysia: a cross-sectional study
Subject
heart failure, quality of life, Self-care behavior
Description
Introduction: Individuals with heart failure anticipate adjustment to self-care behaviors following hospital discharge.
Self-care in heart failure includes medication adherence, dietary modifications, symptom monitoring, and activity
adjustment. Adequate self-care behavior may contribute to enhanced outcomes, decreased hospitalization, and
improved quality of life in patients with heart failure. This study aimed to determine the level of self-care behavior,
quality of life, and its relationships among patients with heart failure.
Methods: A cross-sectional study using purposive sampling was conducted among 200 heart failure patients at a
teaching hospital in Selangor, Malaysia. The sample size was determined using G*Power to ensure adequate statistical
power. Data were collected using the Self-Care of Heart Failure Index (SCHFI) and the Minnesota Living with Heart
Failure Questionnaire (MLHFQ). Descriptive statistics, Pearson’s correlation, and multiple linear regression were used
in this study.
Results: The results indicated that the total mean score of self-care behavior was 145.42 and SD=16.23. Most patients
demonstrated good quality of life (n=73, 36.5%), moderate quality of life (n=62, 31%), and poor quality of life (n=65, 32.5
%). Pearson's correlation revealed a significant (p<0.001) correlation (r = 0.651) between self-care behavior and quality
of life.
Conclusions: In conclusion, this study demonstrated that higher levels of self-care are associated with better quality of
life in patients with heart failure. It is recommended that nurses provide individualized self-care education at discharge,
focusing on medication adherence, symptom monitoring, and lifestyle changes to improve quality of life.
Self-care in heart failure includes medication adherence, dietary modifications, symptom monitoring, and activity
adjustment. Adequate self-care behavior may contribute to enhanced outcomes, decreased hospitalization, and
improved quality of life in patients with heart failure. This study aimed to determine the level of self-care behavior,
quality of life, and its relationships among patients with heart failure.
Methods: A cross-sectional study using purposive sampling was conducted among 200 heart failure patients at a
teaching hospital in Selangor, Malaysia. The sample size was determined using G*Power to ensure adequate statistical
power. Data were collected using the Self-Care of Heart Failure Index (SCHFI) and the Minnesota Living with Heart
Failure Questionnaire (MLHFQ). Descriptive statistics, Pearson’s correlation, and multiple linear regression were used
in this study.
Results: The results indicated that the total mean score of self-care behavior was 145.42 and SD=16.23. Most patients
demonstrated good quality of life (n=73, 36.5%), moderate quality of life (n=62, 31%), and poor quality of life (n=65, 32.5
%). Pearson's correlation revealed a significant (p<0.001) correlation (r = 0.651) between self-care behavior and quality
of life.
Conclusions: In conclusion, this study demonstrated that higher levels of self-care are associated with better quality of
life in patients with heart failure. It is recommended that nurses provide individualized self-care education at discharge,
focusing on medication adherence, symptom monitoring, and lifestyle changes to improve quality of life.
Creator
Abdul Razak3
, and Nor Masita Esa4
, and Nor Masita Esa4
Source
http://dx.doi.org/10.20473/jn.v20i3.67901
Date
15 August 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Abdul Razak3
, and Nor Masita Esa4, “The impact of self-care behavior on quality of life among patients with heart failure in Malaysia: a cross-sectional study,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11152.