Heart Failure Rehospitalization and Delayed Decision Making

Xu, Jiayun; Gallo, Joseph J.; Wenzel, Jennifer; Nolan, Marie T.; Budhathoki, Chakra; Abshire, Martha; Bower, Kelsey; Arruda, Sofia; Flowers, D. Lynn; Szanton, Sarah L.; Himmelfarb, Cheryl Dennison; Gonzalez, Kaylin; Han, Hae Ra

doi:10.1097/jcn.0000000000000423

Cited by 37 publications

(44 citation statements)

References 36 publications

(40 reference statements)

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“…29 However, it was lower than that (50.7%) reported by Bhatt et al 30 The variation in prevalence may be attributed to the different screening tools and illness severity. Since depressive symptoms contribute to the increase in patients' hospitalizations, readmissions and mortality, and poor health-related quality of life, [7][8][9] it is essential to recognize and manage the depressive symptoms in patients with heart failure. This study showed that illness perceptions mediated the relationship between physical symptoms and depressive symptoms in heart failure patients, consistent with previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…6 Depressive symptoms have been found to contribute to increasing hospitalizations, readmissions and mortality and to a reduction in health-related quality of life in patients with heart failure. [7][8][9] To manage depressive and physical symptoms, it is essential to identify modifiable associated factors and the underlying mechanism between them in patients with heart failure.…”

mentioning

confidence: 99%

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The multiple mediating effects of illness perceptions and coping strategies on the relationship between physical symptoms and depressive symptoms in patients with heart failure

Chen

Fang

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Depressive symptoms are prevalent and cause poor health outcomes in patients with heart failure. Studies show that the physical symptoms of heart failure are associated with depressive symptoms. However, little is known about the underlying mechanisms of this relationship. Aims: The purpose of our study was to examine the associations between physical symptoms, illness perceptions, coping strategies and depressive symptoms and to test the multiple mediation effects of illness perceptions and coping strategies on the relationship between physical symptoms and depressive symptoms in patients with heart failure. Methods: Physical symptoms, illness perceptions, coping strategies and depressive symptoms were assessed using self-reported questionnaires among 302 patients (64.2±11.9 years, 54% male) with heart failure in a tertiary general hospital. A serial multiple mediation model was tested using the PROCESS macro for SPSS. Results: Depressive symptoms were positively correlated with physical symptoms ( r=0.487, p<0.01), illness perceptions ( r=0.499, p<0.01) and acceptance–resignation coping ( r=0.580, p<0.01). The relationship between physical symptoms and depressive symptoms was mediated by illness perceptions (indirect effect: 0.036, confidence interval (0.014, 0.059)) and by acceptance-resignation (indirect effect: 0.034, confidence interval (0.019, 0.053)), respectively, and by these two in serial (indirect effect: 0.021, confidence interval (0.013, 0.033)). Conclusion: Patients with heart failure who have more physical symptoms are vulnerable to the development of depression. Healthcare providers should implement interventions focused on changing illness perceptions and reducing acceptance–resignation coping to relieve depressive symptoms.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The multiple mediating effects of illness perceptions and coping strategies on the relationship between physical symptoms and depressive symptoms in patients with heart failure

Chen

Fang

et al. 2019

European Journal of Cardiovascular Nursing

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“…In addition to medical treatment, the implementation of standardized programs for the treatment of depression, such as the PROCEDE model, is shown to significantly improve symptoms of depression, quality of life, self-control and self-monitoring of patients [ 47 ]. Patients should be encouraged to take part in self-management and self-monitoring programs, in order to receie proper information on the HF symptoms and to be trained when to seek medical attention [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of diet, lifestyle and psychological factors in the prognosis of ischemic heart failure

et al. 2019

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Background/Objective Dietary patterns may play an important role in the prognosis of heart failure. Methods Dietary habits, sleeping habits, physical activity and anxiety and depression status were recorded in 326 patients (90 females, mean age 73.45 ± 10.9 years) with ischemic heart failure prospectively followed for 30 months. Results Lower ΗADS-depression scores (p = 0.03), a low-fat meat diet (p = 0.035) and moderate coffee consumption (p = 0.005) were associated with better prognosis. Non-significant differences were recorded in outcomes with regard to consumption of other dietary categories. Conclusions A balanced diet as well as emphasis on the treatment of depression may improve outcomes in ischemic heart failure.

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“…Vignettes were embedded within the semi‐structured interview. Further details about the mixed methods study can be found in a previous publication (Xu, J. et al, ).…”

Section: Methodsmentioning

confidence: 99%