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"Background: Heart failure (HF) constitutes a major health problem and is a leading cause of morbidity and mortality in the United States. Self-care strategies have been proposed as a means of disease management if practiced consistently, and should slow the progression of HF and reduce re-hospitalization rate. Unfortunately, few individuals actually perform selfcare practices. According to Orem\u2019s self-care theory, basic conditioning factors are predictors of self-care ability. Purpose: To test the relationships between the variables identified in Orem\u2019s theory of self-care among a group of individuals diagnosed with varying degrees of HF and to determine if self-care agency is significantly related to self-care behavior. Four research questions with their accompanying hypotheses were posed. Theoretical Framework: Orem\u2019s theory of self-care. Methods: A non-experimental, exploratory, and descriptive correlation design was employed wherein data were collected at one point in time using a voluntary convenience sample. Participants with HF from various cardiology group clinics in an urban area of central Florida completed the: (1) Multidimensional Scale of Perceived Social Support, (2) Heart Failure Knowledge Test, (3) Specific Activity Scale, (4) Revised Heart Failure Self-Care Behavior Scale, and (5) Exercise Self-Care Agency Instrument. Data were analyzed using multiple regression, t-test, and ANOVA. Results: Social support was found to be a significant predictor of self-care behavior, and self-care agency was significantly correlated to self-care behavior. However, knowledge of heart failure and state of health were not significantly related to self-care behavior. Conclusion: These findings have implications in the areas of nursing education, nursing practice, nursing research, and public policy. Future research should focus on obtaining a sample more representative of the population as a whole and recruitment of a larger sample size."
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