Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure

Cameron, Jan; Worrall‐Carter, Linda; Riegel, Bárbara; Lo, Sing Kai; Stewart, Simon

doi:10.1016/j.hrtlng.2008.11.004

Cited by 95 publications

(135 citation statements)

References 49 publications

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“…Eleven of the articles were rated as good quality, fifteen as fair quality (the articles are numbered according to quality score in Tables 2 and 4; studies numbered 1-11 are rated as good quality [18][19][20][21][22][23][24][25][26][27][28], and those numbered 12-26 are rated as fair quality [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43]). Four articles were excluded due to a low quality score [44][45][46][47].…”

Section: Resultsmentioning

confidence: 99%

“…Although some studies used the term ''self-care'' [26,27,33,40,43], other studies used other terms, including ''self-management'' [18,32,39], ''adherence'' [35], ''compliance'' [20,29,36] and ''self-care specific behaviours'' [21]. In addition, eight articles reported results on self-care management [22,25,30,31,33,38,41,42] and ten on self-care maintenance [22,25,30,31,33,34,37,38,41,42]. …”

Section: Resultsmentioning

confidence: 99%

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Determinants of heart failure self-care: a systematic literature review

et al. 2011

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Self-care is an important aspect of heart failure (HF) management. Information on the determinants of self-care is necessary for the development of self-care promotion interventions. HF self-care includes self-care management, self-care maintenance, sodium, fluid and alcohol intake restriction, physical activity, smoking cessation, monitoring signs and symptoms and keeping follow-up appointments. To assess the evidence regarding presumed determinants of HF self-care and make recommendations for interventions to promote self-care behavior among HF patients, a systematic literature review was conducted. Based on inclusion and exclusion criteria and a quality assessment, twenty-six articles were included. A best evidence synthesis was used. Results showed that the length of time since patients' diagnosis with HF is positively related to their performance of self-care maintenance. Moreover, it was found that HF patients' perceived benefits and barriers are related to their restriction of sodium intake, and that patients with type-D personality are less likely to consult medical professionals. There was also evidence for a few non-significant relationships. All other evidence was inconsistent, mainly due to insufficient evidence. Interventions that aim to increase the performance of self-care maintenance can teach newly diagnosed patients the skills that are usually attained with experience acquired as a result of living with HF for a longer time. Perceived benefits and barriers of restricting sodium intake could be targeted in interventions for sodium intake reduction among HF patients. Finally, interventions for the promotion of adequate consulting of medical professionals can specifically target HF patients with a type-D personality.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Determinants of heart failure self-care: a systematic literature review

et al. 2011

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“…11 Similarly, several recent studies have reported no independent effect of social support on HF self-care, regardless of the way social support was measured; for instance, as perceived emotional support 12 or marital status. 13,14 Ultimately, only one published study was found that linked social support and HF patients' self-care, in this case indicating that lack of social support, as measured by not having a partner, was associated with worse self-care overall. 15 Together these results suggest that there is a need to differentiate the effect of having a partner from the level of support the partner provides.…”

Section: Introductionmentioning

confidence: 89%

Social Support and Self-care in Heart Failure

Gallagher

Luttik

Jaarsma

2011

Journal of Cardiovascular Nursing

177

159

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“…medical management adherence, smoking cessation, physical activity, diet), there remain a number of questions about specific content and how to deliver self-management support in general, and for CHF in particular [18]. For clinicians, a consistent area of concern is the desire among patients for improved care, which is consistent with the findings from previous investigations stating that quality of communication and duration of the relationship between physician and patient affect the health literacy and self-efficacy of patients.…”

Section: Resultsmentioning

confidence: 99%

Significance of education and self-management support for patients with chronic heart failure in family physician practice

Korzh¹,

Krasnokutskiy²

2016

fmpcr

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Background. Chronic heart failure (CHF) is a disease that requires self-management by the patient, thus it is understood that when they are diagnosed, they need access to relevant information about their disease. Objectives. The purpose of this paper was to ascertain the sources and content of education for patients with CHF and evaluate the use of patient education for self-management support of patients with CHF in primary care. Material and methods. Patients were identified from a patient registry and physician referrals. 371 individuals responded to the questionnaire, and we estimated the effectiveness of patient education. Results. Whilst 91% of patients reported receiving education at the time of diagnosis, it is a concern that 9% say they were not provided information. Only a few patients said they had received education from hospital consultants. After the training, the percentage of patients who kept a diary of introspection increased almost three-fold, the percentage of patients measuring blood pressure and heart rate increased four-fold and measuring body mass increased six-fold. Conclusions. CHF education was mainly delivered in primary care by family physicians. While there have been a growing number of efficacious interventions for patients with CHF, their effectiveness will be limited without self-management support to assist patients in adopting behaviors that contribute to improved health.

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Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure

Abstract: Although cognitive function added to the model in predicting both self-care maintenance and management, it was not a significant predictor of CHF self-care compared with other modifiable and nonmodifiable factors. Depression explained only self-care management.

Cited by 95 publications

References 49 publications

Determinants of heart failure self-care: a systematic literature review

Determinants of heart failure self-care: a systematic literature review

Social Support and Self-care in Heart Failure

Significance of education and self-management support for patients with chronic heart failure in family physician practice

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