The Relationship between Self-Care and LACE Score as the Predictor of Re-Hospitalisation among Heart Failure Patients in Dr M. Salamun Hospital, Bandung, Indonesia
DOI:
https://doi.org/10.31674/mjn.2025.v16i03.016Abstract
Background: The unpredictability of heart failure leads to high rates of hospitalisation and re-hospitalisation rates within 30 days ranging from 19% to 25%. The cause of the rehospitalisation of heart failure patients is mainly due to noncompliance with self-care behaviours and poor family support. Studies showed that re-hospitalisation predictors Length of stay, Acuity, Comorbidity and Emergency (LACE) Score can be used to reduce re-hospitalisation and improve self-care skills. However, there is limited study of the combination of patient self-care intervention with LACE to reduce re-hospitalisation rates in heart failure patients. Objective: This study investigates the relationship between self-care and LACE score as a predictor of rehospitalisation. Methods: A quantitative correlational design was used. Total 25 participants who were readmitted between November and December of 2022 was included in the study. The sampling technique used purposive sampling and Rank Spearman bivariate analysis using IBM SPSS Statistic 29.0. Validated Self-Care Heart Failure Index (SCHFI) and LACE score questionnaires were distributed among the respondents. Results: The self-care ability result showed 72% of patients had a poor level compared to 28% having a good level. Nevertheless, the LACE score showed that 80% have a low risk while only 20% have a moderate level of rehospitalisation risk (score is 5-6). With a p-value of 0.001, there is a strong correlation between self-care and LACE score as a predictor of rehospitalisation. Conclusions: The results showed the projected self-care skills and the LACE score as a predictor of heart failure patients' rehospitalisation will help lower the 30-day readmission rate.
Keywords:
Heart Failure, LACE Score, Re-Hospitalisation, Self-CareDownloads
References
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