Illness perception, self-care behaviour and quality of life of heart failure patients: A longitudinal questionnaire survey

H, Goodman; Firouzi, Ashi; Banya, Winston; Lau-Walker, Margaret; Cowie, Martin R.

doi:10.1016/j.ijnurstu.2012.11.007

Cited by 78 publications

(79 citation statements)

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“…Given their potential for facilitating positive outcomes across a wide range of illness populations, the role of illness perceptions as modifiable risk factors for depression and anxiety in HF warrants research attention. Psychological symptom severity has been shown to predict self-care in HF patients (Riegel et al 2009) and recently a study by Goodman et al reported that despite improved self-monitoring over time HF patients who reported a poor emotional state and a belief that their illness was outside their control failed to translate their self-monitoring into self-management, highlighting the importance of patients' understanding and perceptions of their condition (Goodman et al 2013). Work grouping patients by their illness perceptions suggests that reduced QoL and depression are more common in patients with certain types of illness perception (Le Grande et al 2012).…”

Section: Psychological Aspects Of Hf Treatmentmentioning

confidence: 99%

The contribution of illness perception to psychological distress in heart failure patients

et al. 2014

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Background: The influences on the psychological well-being of heart failure (HF) patients have received limited attention. Illness perceptions are a specific set of cognitive representations that have been shown to predict health-related outcomes in other patient groups. This study sought to explore the role of illness perceptions in the psychological well-being of HF patients by creating a profile of illness perceptions in HF and examining their relations with anxiety and depression. Methods: Participants were 95 consecutive outpatients. Indices of psychological well-being were depression and anxiety, measured using the Hospital Anxiety and Depression Scale (HADS). Illness perceptions were measured using the Illness Perception Questionnaire -Revised (IPQ-R). Functional status was also determined using the New York Heart Association (NYHA) classification. Results: Illness perceptions were associated with indices of psychological well-being. Regression analyses showed that illness perceptions accounted for a significant proportion of the variance in both depression and anxiety. The contribution of illness perceptions was greater than that made by traditional covariates (socio-demographic variables and functional status). Conclusions: Results highlight dynamic interrelations between perceptions of illness and mental health indices. They also suggest that in considering the role of illness perceptions in psychological well-being, the primary focus should be on the overall dynamic of an individual's illness experience rather than on specific illness dimensions. Findings highlight the potential role of illness perceptions in depression and anxiety in HF. This has implications for interventions to maximise psychological well-being in this patient group.

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Section: Psychological Aspects Of Hf Treatmentmentioning

confidence: 99%

The contribution of illness perception to psychological distress in heart failure patients

et al. 2014

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“…Depression negatively influences the evolution of HF because it is associated with non-adherence of patients to self-care recommendations, contributing to increase readmission rates, treatment costs and mortality (15) . The presence of depressive symptoms can lead to ineffective or even harmful coping mechanisms (11) . The sense of coherence has been defined as the use of internal resources to deal with stress and the demands of life (16) .…”

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confidence: 99%

“…At the end, each behavior has received yes when it was present or performed or no in the absence of such behavior. The choice of these behaviors for non-pharmacological measures was based on the literature on the subject (4,(10)(11)19) . The presence of depressive symptoms was assessed by the depression subscale of the Hospital Anxiety and Depression Scale (HADS) (20) in its version validated for Portuguese (21) .…”

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confidence: 99%

“…Clinically, the majority presented chagasic HF, severe impairment of cardiac function, were classified in NYHA class III, and had other comorbidities such as hypertension and arrhythmias. Given these characteristics, the group of patients in this study is at high risk for hospital readmissions, since they have the profile found in the literature of patients hospitalized or readmitted due to clinical HF decompensation (9,11) . In the performance of self-care behaviors, men and women differed only in relation to rest after physical activity or extra effort, since men with HF carried out this behavior more often than women.…”

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Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Ferreira

Silva

Furuya

et al. 2015

Rev. esc. enferm. USP

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Objective:To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. Method: A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). Results: No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002). Conclusion: Special attention should be given to women with HF considering self-care and depressive symptoms. DESCRIPTORSHeart Failure; Self Care; Sense of Coherence; Depression; Hospitalization; Nursing Care.Self-care, sense of coherence and depression in patients hospitalized for decompensated heart failure Autocuidado, senso de coerência e depressão em pacientes hospitalizados por insuficiência cardíaca descompensada Autocuidado, sentido de coherencia y depresión en pacientes hospitalizados por insuficiencia cardiaca descompensada INTRODUCTIONHeart failure (HF) is a chronic condition of complex treatment for involving multiple factors in its origin and evolution, as well as high socioeconomic costs (1) . It is also a public health priority and its prevalence increased over the last decade. Low cost strategies such as using electronic messages have been tested to promote adherence to selfcare behaviors in the long run without straining the health resources (2) . Achieving results of impact for patients and the health system is a major challenge for HF management.Despite advances in the diagnosis and treatment of HF, the disease morbidity and mortality remain high. In addition, HF patients have high rates of readmissions, with about 30% of patients readmitted in a year period (1,3) , and each hospitalization adding extra weight to worsening the survival curve (4) . The HF decompensation is detrimental for both the physical as the emotional performance of patients, and contributes to a reduction in life expectancy and worsening in quality of life (3) . In Brazil, there are about 6.5 million patients with HF. Approximately one third of these patients are hospitalized annually (1) . The factors related to readmission are the presence of other medical conditions, age (5)(6) , inadequate left ventricular ejection fraction (LVEF), among others (7) . In 2011, there were 258,069 admissions and the mortality proportion was 9.34% (8) , with predominance of the male gender among hospitalizations due to HF decompensation (9) . Several factors can lead patients with HF to clinical decompensation, as the...

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“…Os resultados do escore total neste estudo foram semelhantes aos de outros estudos com população brasileira (37,5; dp=18,4 ) (Santos J. et al 2009) e com população espanhola (31,7 e dp = 21,3) (Naveiro-Rilo et al, 2014) e (37,8 e dp = 21,1) (Garin et al, 2013) , cujas características da população eram semelhantes a do presente estudo, mas inferiores aos descritos em outros estudos (Cruz et al, 2010 (57.5), Carson et al, 2009 (50.8), Maric et al,2010(44.0) ,Wu, 2009, Linda, 2013 (63.4). Goodman, 2013 (57.2)), realizados com amostras com classe funcional mais elevada.…”

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Illness perception, self-care behaviour and quality of life of heart failure patients: A longitudinal questionnaire survey

Cited by 78 publications

References 32 publications

The contribution of illness perception to psychological distress in heart failure patients

The contribution of illness perception to psychological distress in heart failure patients

Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

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