Perceived social support and self-care in patients hospitalized with heart failure

Chamberlain, Lyne

doi:10.1177/1474515117715842

Cited by 30 publications

(64 citation statements)

References 43 publications

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“…In addition, we found the mean scores of depressive symptoms for patients in both groups were higher than the cut-off values of Self-care is considered the cornerstone of HF treatment and the prevention of rehospitalisation (Chamberlain, 2017;Navidian et al, 2017;Shao et al, 2010;Xie et al, 2016). Our results support the findings; HF patients with lower self-care scores were likely to be readmitted to the hospital.…”

Section: Discussionmentioning

confidence: 69%

“…Self‐care is considered the cornerstone of HF treatment and the prevention of rehospitalisation (Chamberlain, ; Navidian et al, ; Shao et al, ; Xie et al, ). Our results support the findings; HF patients with lower self‐care scores were likely to be readmitted to the hospital.…”

Section: Discussionmentioning

confidence: 99%

“…One possible reason is that patients living with family members have more social support, including emotional support, financial assistance and daily care (Sun et al, ; Wang et al, ; Xie et al, ). Earlier studies revealed that social support from family members was linked to lower readmission and higher medication adherence, whereas a lack of social support and living alone was related to psychosocial distress in HF patients (Chamberlain, ; Zou et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

2019

Journal of Clinical Nursing

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Aims and objectives To examine the rate of rehospitalisation within 6 months after hospital discharge for patients with chronic heart failure (CHF) and to investigate the potential factors influencing rehospitalisation. Background The rehospitalisation rates of heart failure (HF) patients show large differences from previous studies. It is not clear whether HF patients readmit due to exacerbation of HF or to comorbidities or other diseases. Although many studies have investigated the factors influencing rehospitalisation of HF patients, the impacts of depression and self‐care on rehospitalisation in this population remain unclear in China. Design A longitudinal observational study was conducted. The study adheres to the STROBE guideline. Methods Four hundred thirty‐two CHF inpatients were recruited by using a convenience sampling method from three tertiary teaching hospitals in Guangzhou, southern China. The scales used included the demographic and clinical questionnaires, the Centre for Epidemiologic Studies Depression Scale, the Self‐Care of Heart Failure Index and the Charlson Comorbidity Index. Data were collected at two time points. A binary logistic regression was employed to determine factors associated with rehospitalisation of HF patients. Results The rehospitalisation rate of CHF patients was 23.6% (n = 102) within 6 months after hospital discharge. Of those patients, 74 (72.6%) were readmitted once, 20 patients (19.6%) were readmitted twice and eight patients (7.8%) were readmitted three times. The results from logistic regression showed that CHF patients who maintained self‐care behaviours (OR = 0.763, p = 0.026) and had better self‐care management (OR = 0.516, p = 0.041) and stronger self‐care confidence (OR = 0.854, p = 0.039) were less likely to readmit. The odds of rehospitalisation were 2.239 times higher in HF patients with depressive symptoms (OR = 2.239, p = 0.013) than in those without these symptoms. Compared to patients living alone, those who lived with family members were less likely to be readmitted to hospital (OR = 0.361, p = 0.048). Conclusions Rehospitalisation commonly occurs in CHF patients within 6 months after hospital discharge in China. A lower level of self‐care, the presence of depressive symptoms and not living with family members are key determinants that influence rehospitalisation for this population. Relevance to clinical practice Effective measures are required to improve CHF patients’ self‐care, reduce depressive symptoms and receive full support from family members.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

2019

Journal of Clinical Nursing

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“…Some previous studies demonstrated that patients with poor symptoms recognition and self‐care behaviour have a high risk of subsequent hospitalizations . On the contrary, other showed greater risk of hospitalization associated with better self‐care, suggesting that more consistent engagement in self‐care behaviours is driven in part by the progressive nature of HF .…”

Section: Discussionmentioning

confidence: 99%

“…Some previous studies demonstrated that patients with poor symptoms recognition and self-care behaviour have a high risk of subsequent hospitalizations. 36,37 On the contrary, other showed greater risk of hospitalization associated with better self-care, suggesting that more consistent engagement in self-care behaviours is driven in part by the progressive nature of HF. 38 In fact, few studies have demonstrated a reduction in readmission rates based on HF self-care education even in a dyadic way, including the caregiver, 39,40 and the use of self-management programmes have also shown inconsistent effects on outcomes even if most of these studies enrolled patients younger than those enrolled in our cohort.…”

Section: Self-care Ability and Outcomesmentioning

confidence: 98%

Most elderly patients hospitalized for heart failure lack the abilities needed to perform the tasks required for self‐care: impact on outcomes

Vidán

Martín‐Sánchez

Sánchez

et al. 2019

European J of Heart Fail

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Aim To evaluate the abilities to perform essential tasks for heart failure (HF) self‐management in elderly patients, and its influence on post‐discharge prognosis. Methods and results Overall, 415 patients ≥70 years old hospitalized for HF were included and followed during 1 year. The ability to perform six specific tasks (use of a scale, weight registration, diuretic identification, knowledge of salted foods, oedema identification, and treatment adjustment) was tested and distributed on terciles (T) of performance. Correlation with the self‐administered questionnaire European HF Self‐care Behaviour Scale (EHFScBS) was evaluated. The independent influence of self‐care on 1‐year mortality and readmission risks was calculated by Cox proportional hazards regression analysis. Mean age was 80.1 years. On average, patients could perform 2.9 ± 1.6 of self‐care tasks, and only 5.3% could perform the six tasks correctly. Patients with previous HF self‐care education had slight better performance (3.2 ± 1.6 vs 2.8 ± 1.6, P < 0.02). A weak correlation was found between EHFScBS and number of tasks correctly performed (r = −0.135; P = 0.006). One‐year mortality in T1, T2, and T3 patients was 33.0%, 20.7%, and 14.1%, respectively (P = 0.002). Multivariable analysis showed T2 and T3 groups having a lower adjusted mortality risk compared with T1 [hazard ratio (HR) 0.58; 95% confidence interval (CI) 0.32–1.03; and HR 0.40; 95% CI 0.21–0.77, respectively], without differences in readmissions. Conclusion Most elderly patients admitted for HF are unable to perform several essential tasks needed for HF self‐care. Self‐perception of care was poorly correlated with real ability, and poor self‐care ability was associated with higher 1‐year mortality risk.

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Correlates of malnutrition in patients with heart failure: the role of social support

Sharifi,

Afshari,

Vardanjani

et al. 2023

ESC Heart Failure

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AimsHeart failure (HF) is a major public health challenge. Malnutrition has a significant effect on HF prognosis. Understanding the impact of social and clinical factors on the risk of malnutrition is necessary because it may aid in improving the health status of HF patients.Methods and resultsThree hundred twenty patients with HF who were hospitalized in a heart centre in Shiraz, Iran, from March to November 2022 were studied. Two validated questionnaires were used to evaluate malnutrition and social support: (1) Mini‐Nutritional Assessment Short Form and (2) Medical Outcomes Study Social Support Survey. The participants were then divided into three groups: those with normal nutritional status (scores 12–14), those at risk of malnutrition (scores 7–11), and those who were malnourished (scores 0–6). The potential correlates of malnutrition (including socio‐demographic, clinical, comorbidities, and laboratory factors) were included in the study. Then, ordinal logistic regression was used to investigate the correlates of malnutrition. The mean age of the participants was 64.2 ± 11.2 years, and more than half were male and married. Normal nutritional status was seen in 110 (34.4%) participants, 151 (47.2%) were at risk of malnutrition, and 58 (18.1%) were malnourished. The mean social support score of the participants was 61.65 ± 12.91. According to the adjusted odds ratios (95% confidence intervals) obtained from multivariate analysis, increased risk of malnutrition was associated with having a lower social support score [0.95 (0.93–0.97), P‐value ≤ 0.001], lower body mass index [0.91 (0.86–0.97), P‐value = 0.004], higher New York Heart Association classification [1.26 (1.02–1.56), P‐value = 0.03], longer duration of disease [1.006 (1.001–1.01), P‐value = 0.006], and lower serum albumin level [0.25 (0.08–0.75), P‐value = 0.01].ConclusionsBesides the clinical conditions affecting the risk of malnutrition in patients with HF, social support may play an important role. Including this factor in HF guidelines and developing educational programmes may help improve HF patients' health.

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Perceived social support and self-care in patients hospitalized with heart failure

Abstract: This study supports the premise that heart failure rehospitalizations are related to inadequate self-care.

Cited by 30 publications

References 43 publications

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

Most elderly patients hospitalized for heart failure lack the abilities needed to perform the tasks required for self‐care: impact on outcomes

Correlates of malnutrition in patients with heart failure: the role of social support

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