scholarly journals Memory predicted self-care maintenance in patients with heart failure among cognitive functions: Results from a structural equation model

2021 ◽  
Author(s):  
JinShil Kim ◽  
Sun Hwa Kim ◽  
Jae Lan Shim ◽  
Seon Young Hwang
Keyword(s):  
Heart Failure ◽  
Structural Equation Model ◽  
Structural Equation ◽  
Memory Function ◽  
Secondary Analysis ◽  
Self Care ◽  
Equation Model ◽  
Cognitive Domain ◽  
Neuropsychological Screening ◽  
Patients With Heart Failure

Abstract Background: To explain the direction of specific cognitive function training that could prevent potential self-care deficits, the cognitive domain that affects self-care behaviours in patients with heart failure (HF) should be identified. This study aimed to confirm the relationship between major potential variables affecting self-care maintenance behaviours of patients with HF. The study also aimed to determine which cognitive domain predicts self-care maintenance among patients with HF. Methods: This descriptive study involved a secondary analysis using data of 201 patients with HF from two observational studies in three Korean hospitals. The structural equation model using AMOS version 24.0 was constructed to assess the relationships among the variables. The Seoul Neuropsychological Screening Battery was used to assess global cognition, immediate/delayed memory, and executive function, and the Self-Care of Heart Failure Index v.6.2. was used for self-care confidence and maintenance. Results: Self-care maintenance was affected by memory function with a significant direct effect (β=.43, p=.006), as well as self-care confidence (β=.70, p<.001). Memory function and global function indirectly affected self-care maintenance through self-care confidence (β=-.37, p=.002; β=.14, p=.030). Depressive symptoms also had an indirect effect through self-care confidence on self-care maintenance (β=-.21, p=.005). Conclusion: This study confirmed the need for periodic simple screening of the memory function and training to raise it in patients with HF, enhancing their self-care behaviours. It also suggests that supportive intervention is needed to enhance self-confidence as a mediator.

scholarly journals Structural equation model testing the situation-specific theory of heart failure self-care

2013 ◽  
Vol 69 (11) ◽  
pp. 2481-2492 ◽  
Author(s):  
Ercole Vellone ◽  
Barbara Riegel ◽  
Fabio D'Agostino ◽  
Roberta Fida ◽  
Gennaro Rocco ◽  
...  
Keyword(s):  
Heart Failure ◽  
Structural Equation Model ◽  
Structural Equation ◽  
Self Care ◽  
Equation Model ◽  
Model Testing

scholarly journals Patients with heart failure with and without a history of stroke in the Netherlands: a secondary analysis of psychosocial, behavioural and clinical outcomes up to three years from the COACH trial

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e025525
Author(s):  
Chantal F Ski ◽  
Martje H L van der Wal ◽  
Michael Le Grande ◽  
Dirk J. van Veldhuisen ◽  
Ivonne Lesman-Leegte ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Depressive Symptoms ◽  
The Netherlands ◽  
Clinical Outcomes ◽  
Secondary Analysis ◽  
Self Care ◽  
Patients With Heart Failure ◽  
All Cause Mortality

ObjectiveTo identify differences in psychosocial, behavioural and clinical outcomes between patients with heart failure (HF) with and without stroke.Design and participantsA secondary analysis of 1023 patients with heart failure enrolled in the Coordinating study evaluating Outcomes of Advising and Counselling in Heart failure.SettingSeventeen hospitals located across the Netherlands.Outcomes measuresDepressive symptoms (Centre for Epidemiological StudiesDepressionScale), quality of life (Minnesota Living with Heart Failure Questionnaire, Ladder of Life Scale), self-care (European Heart Failure Self-Care Behaviour Scale), adherence to HF management (modified version of the Heart Failure Compliance Questionnaire) and readmission for HF, cardiovascular-cause and all-cause hospitalisations at 18 months, and all-cause mortality at 18 months and 3 years.ResultsCompared with those without stroke, patients with HF with a stroke (10.3%; n=105) had twice the likelihood of severe depressive symptoms (OR 2.83, 95% CI 1.27 to 6.28, p=0.011; OR 2.24, 95% CI 1.03 to 4.88, p=0.043) at 12 and 18 months, poorer disease-specific and generic quality of life (OR 2.80, 95% CI 1.61 to 4.84, p<0.001; OR 2.00, 95% CI 1.09 to 3.50, p=0.019) at 12 months, poorer self-care (OR 1.80, 95% CI 1.05 to 3.11, p=0.034; OR 2.87, 95% CI 1.61 to 5.11, p<0.0011) and HF management adherence (OR 0.39, 95% CI 0.18 to 0.81, p=0.012; OR 0.35, 95% CI 0.17 to 0.72, p=0.004) at 12 and 18 months, higher rates of hospitalisations and mortality at 18 months and higher all-cause mortality (HR 1.43, 95% CI 1.07 to 1.91, p=0.016) at 3 years.ConclusionsPatients with HF and stroke have worse psychosocial, behavioural and clinical outcomes, notably from 12 months, than those without stroke. To ameliorate these poor outcomes long-term, integrated disease management pathways are warranted.

An East–West comparison of self-care barriers in heart failure

2017 ◽  
Vol 8 (7) ◽  
pp. 615-622 ◽  
Author(s):  
Shir Lynn Lim ◽  
Siew Pang Chan ◽  
Kim Yee Lee ◽  
Anne Ching ◽  
Richard J Holden ◽  
...  
Keyword(s):  
Heart Failure ◽  
Acute Heart Failure ◽  
Structural Equation ◽  
Self Care ◽  
Median Number ◽  
Equation Model ◽  
Related Factors ◽  
Heart Failure Patients ◽  
Significant Difference ◽  
Geographic Differences

Background: Barriers in heart failure self-care contribute to heart failure hospitalizations, but geographic differences have not been well-studied. We aimed to compare self-care barriers in heart failure patients managed at tertiary centers in an Eastern (Singapore) versus a Western (USA) nation. Methods: Acute heart failure patients were prospectively assessed with a standardized instrument comprising of 47 distinct self-care barriers. The multi-equation generalized structural equation model was used to evaluate for geographic differences in barriers experienced, and association of barriers with outcomes. Results: Patient-related factors accounted for six out of 10 most prevalent self-care barriers among the 90 patients, with a median number of 11 barriers reported per patient. The Western patients reported a higher level of barriers when compared with their Eastern counterparts (median (interquartile range) 15 (9–24) versus 9 (4–16), p=0.001), after adjusting for demographics and co-morbidities. Many of these differences could be explained by geographic differences between the countries. There was no significant difference identified in all-cause mortality (19.4% versus 10.2%) and heart failure re-hospitalization (41.9% versus 45.8%) at six months between the groups. Conclusions: Self-care barriers are highly prevalent among acute heart failure patients, and differ substantially between East and West, but were not associated with geographic differences in outcomes.

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