The Psychosocial Aspects of Heart Failure

Artinian, Nancy T.

doi:10.1097/00000446-200312000-00014

Cited by 16 publications

(4 citation statements)

References 41 publications

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“…Similar to results from other studies, 64% of participants had screening scores that indicated they had depressive symptoms, with 42% in the moderately severe to severe range (Artinian, 2003; Chung et al, 2008; Guck et al, 2003). The findings for the instrument measurement validity statistics (i.e., Cronbach’s alpha, sensitivity, specificity, positive predictive value, negative predictive value, and Spearman’s rank correlation) indicated that the PHQ-9 has good internal consistency and is a valid tool for the diagnosis of the prevalence and severity of depressive symptoms in a research setting compared with the research gold standard, the CES-D. Other research studies reported similar findings in primary care settings (Huang, Chung, Kroenke, Delucchi, & Spitzer, 2006; Kroenke & Spitzer, 2002; McManus et al, 2005).…”

Section: Discussionsupporting

confidence: 86%

“…The United States currently has 700,000 new heart failure (HF) diagnoses each year (Lloyd‐Jones et al., 2009). More than 45% of patients with HF experience repeated episodes of serious depression (Artinian, 2003; Chung et al., 2008; Guck, Elsasser, Kavan, & Barone, 2003), have a 4‐fold increase in negative HF outcomes compared with those with no depression (Rutledge, Reis, Linke, Greenberg, & Mills, 2006), and often have higher health costs (Welch, Czerwinski, Ghimire, & Bertsimas, 2009) and reduced quality of life (Lichtman et al., 2008).…”

mentioning

confidence: 99%

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Comparing Patient and Nurse Specialist Reports of Causative Factors of Depression Related to Heart Failure

Bowden¹,

Fitzgerald²,

Piamjariyakul³

et al. 2010

Perspectives in Psychiatric Care

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PURPOSE The purpose of this study was to compare participants’ and a psychiatric nurse specialist’s reports on factors precipitating depression and to validate a depression screening instrument. DESIGN AND METHODS Participants were screened for and asked to self-report causative factors of their depression. Participants with moderately severe and severe depressive symptoms received a psychiatric nurse specialist assessment. FINDINGS Participants self-reported several causative factors of depression. The psychiatric nurse specialist discovered these plus additional factors. The screening instrument was found to be reliable and valid for the measurement of depressive symptoms. PRACTICE IMPLICATIONS Participant self-report identifies many causative factors of depression. The psychiatric nurse specialist identifies additional factors, allowing individualized diagnoses and treatments.

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Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

Comparing Patient and Nurse Specialist Reports of Causative Factors of Depression Related to Heart Failure

Bowden¹,

Fitzgerald²,

Piamjariyakul³

et al. 2010

Perspectives in Psychiatric Care

View full text Add to dashboard Cite

show abstract

“…Artinian found that caregivers play an important role in both a patient's disease management and quality of life. 15 In a study characterizing the specific roles that caregivers played in enhancing the lives of patients with heart failure, pivotal functions included encouraging patients in self-care and adherence to treatment regimens, and monitoring for early symptom changes. 16 Thus, understanding the experiences of LVAD caregivers has implications not only for the well-being of caregivers, but for patients as well.…”

Section: Discussionmentioning

confidence: 99%

Caregiving for patients requiring left ventricular assistance device support

et al. 2010

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“…Researchers have found that a significant number of patients fail to adapt their lifestyles to prevent worsening of their heart disease following PCI [32]. Drawing from previous research, questions were asked to assess the participants' understanding of their heart disease, intention to participate in cardiac rehabilitation, and awareness of available resources [33][34][35][36][37].…”

Section: Chronic Disease Managementmentioning

confidence: 99%

Self-Care Behaviour and Factors Associated with Patient Outcomes Following Same-Day Discharge Percutaneous Coronary Intervention

Lauck

Johnson

Ratner

2009

European Journal of Cardiovascular Nursing

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Background: The demand for percutaneous coronary intervention (PCI) exerts constant pressure on health care systems to meet the growing needs of patients. The practice of same-day discharge PCI has emerged as a medically safe option to optimize resource utilization and improve access to care. Aim: The purpose of this study was to describe elective same-day discharge PCI patients' self-care behaviour in the two to five days following their procedure, and the factors associated with cardiac self-efficacy (CSE) and self-care agency (SCA). Methods: Using a cross-sectional correlational design, 98 consecutive patients were contacted by telephone, following PCI, and asked about their CSE, SCA, and adherence to discharge recommendations. Associations between selected variables were explored through multiple regression analysis. Results: The findings revealed a high degree of adherence to discharge recommendations, although participants' appreciation of the long term management of their chronic disease was limited. Factors associated with lower levels of CSE and SCA included the burden of having additional chronic co-morbidities, living alone and lacking social support, and a positive screening for psychosocial distress. Conclusion: Same-day discharge PCI presents a sustainable option for delivery of care for most patients. Some clients may require additional support to manage the transition between acute intervention and chronic disease management. Crown

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The Psychosocial Aspects of Heart Failure

Cited by 16 publications

References 41 publications

Comparing Patient and Nurse Specialist Reports of Causative Factors of Depression Related to Heart Failure

Comparing Patient and Nurse Specialist Reports of Causative Factors of Depression Related to Heart Failure

Caregiving for patients requiring left ventricular assistance device support

Self-Care Behaviour and Factors Associated with Patient Outcomes Following Same-Day Discharge Percutaneous Coronary Intervention

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