[Assessment instruments for the measurement of the health-related self-care of patients with heart failure].
Heart Failure is a frequent disease that is accompanied by much suffering for the patients and high costs for the health care system. An improvement of the health-related self-care is supposed to improve the outcomes of patients with heart failure. In order to evaluate the efficiency of interventions valid and reliable instruments measuring the health-related self-care are needed in practice and research. The aim of the systematic literature review is to create a synopsis of the present nursing assessment instruments for the measurement of the health-related self-care of patients with heart failure and to evaluate these instruments' reliability and validity. With a systematic literature search in three electronic databases and hand-search studies using instruments that measure the health-related self-care of patients with heart failure have been identified. The instruments are described and their reliability and validity are discussed.


RESULTS
Five Instruments were identified: European Heart Failure Self-care Behaviour Scale (EHFScBS); Revised Heart Failure Self-care Behaviour Scale (rHFScBS); Heart Failure Self-Care Inventory (HFS-CI), Self-Management of Heart Failure Scale (SMHF); Self-Care of Heart Failure Index (SCHFI). As far as the psychometric properties are concerned, each of these scales has its strengths and weaknesses. The EHFScBS, the HFS-CI, and the SCHFI can be recommended with restriction for use in practice and research. However, further testing in order to evaluate reliability and validity is necessary for all instruments.
Haasenritter
Jörg
J
Universität Marburg, Fachbereich Medizin, Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin. j.haasenritter@gmx.de
Panfil
Eva-Maria
EM
D006333:Heart Failure / Q000451:nursing*; D006801:Humans; D009730:Nursing Assessment / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012648:Self Care / Q000145:classification*