Exploration of the feasibility to combine patients with chronic obstructive pulmonary disease and chronic heart failure in self-management groups with focus on exercise self-efficacy

Giezeman, Maaike; Theander, Kersti; Zakrisson, Ann‐Britt; Sundh, Josefin; Hasselgren, Mikael

doi:10.1080/02813432.2022.2073961

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…But prior literature showed that patients disclosed decreased self‐efficacy in self‐managing BCRL (Ostby et al, 2018). Evidence revealed that self‐efficacy enhancing programs showed good effects in improving self‐management behaviours of other chronic diseases (Giezeman et al, 2022). Hence, self‐efficacy deserves to be assessed and intervened in LSMB‐enhancing programs.…”

Section: Discussionmentioning

confidence: 99%

Predicting lymphedema self‐management behaviours in breast cancer patients: A structural equation model with the Integrated Theory of Health Behaviour Change

Shen

Qiang

et al. 2023

Journal of Advanced Nursing

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AimsTo explore predictors of lymphedema self‐management behaviours among Chinese breast cancer survivors based on the Integrated Theory of Health Behaviour Change, and to clarify the interrelationship among these variables.DesignFurther analysis of a multicentre cross‐sectional and survey‐based study.MethodsA total of 586 participants with breast cancer were recruited from December 2021 to April 2022 in different cities in China. We used self‐reported questionnaires to collect data. Descriptive analysis, bivariate analysis and structural equation model were performed.ResultsThe Integrated Theory of Health Behaviour Change is suitable for predicting lymphedema self‐management behaviours. The final structural model showed good model fit. Social support, self‐efficacy and lymphedema knowledge positively affected lymphedema self‐management behaviours, directly and indirectly. Self‐regulation acted as a crucial mediator between these variables and self‐management. The direct path between social support and self‐regulation was not significant. Lymphedema knowledge and social support also influenced self‐management via illness perception, self‐efficacy and self‐regulation, sequentially. These variables explained 55.9% of the variance in lymphedema self‐management behaviours.ConclusionsThe modified model based on the Integrated Theory of Health Behaviour Change fitted well in predicting lymphedema self‐management behaviours among breast cancer patients. Lymphedema knowledge, illness perception, self‐efficacy, social support and self‐regulation directly and indirectly influenced lymphedema self‐management behaviours.ImpactThis study provides a theoretical basis for the assessment and interventions of lymphedema self‐management behaviours in breast cancer patients. Lymphedema self‐management behaviours should be assessed regularly and comprehensively, taking these predictors into consideration to identify potential barriers. Further research is needed to explore effective interventions integrating these significant predictors.Reporting MethodThis study was reported following Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross‐sectional studies.Patient or Public ContributionNo patient or public contributed to the design or conduct of the study, analysis or interpretation of the data, or in the preparation of the manuscript.What Does This Paper Contribute to the Wider Global Clinical Community?This study focused on identifying and predicting mechanism of self‐management based on a theory of behaviour change. The results can be applied among patients with other chronic diseases or high‐risk populations, and inspire the assessment and interventions facilitating self‐management behaviours.Study RegistrationThis study was registered as an observational study at Chinese Clinical Trial Registry: http://www.chictr.org.cn (ChiCTR2200057084).Implications for the Profession and/or Patient CareFor breast cancer patients with poor lymphedema self‐management behaviour, attention should be raised among nurses and involved healthcare staffs that lymphedema self‐management is multi‐faced. Strategies targeted at improving social support, self‐regulation, knowledge, self‐efficacy and illness perception should be also addressed in lymphedema self‐management programs, to facilitate more effective improvement of lymphedema self‐management behaviours.

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Section: Discussionmentioning

confidence: 99%

Predicting lymphedema self‐management behaviours in breast cancer patients: A structural equation model with the Integrated Theory of Health Behaviour Change

Shen

Qiang

et al. 2023

Journal of Advanced Nursing

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“…Patients with heart failure and chronic obstructive pulmonary disease have similar symptoms and functional level [ 24 ]. Undeniably, there is an obvious risk that patients with these symptoms who have not undergone an echocardiogram may be misdiagnosed.…”

Section: Limitationsmentioning

confidence: 99%

Heart failure patients without echocardiography are more commonly diagnosed in hospital care and are associated with higher mortality compared to primary care

Samskog,

Davidge,

Halling

et al. 2023

Scandinavian Journal of Primary Health Care

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Objective This Swedish study aimed to assess the prevalence, associated clinical factors, and mortality rates of heart failure patients diagnosed without echocardiograms in both hospital and primary care settings. Design We conducted a retrospective population-based study using data from the Region Halland healthcare database in Sweden covering 330,000 residents. Subjects From 2013–2019, 3,903 patients received an incidental heart failure diagnosis without an echocardiogram and they were followed for one year. Main outcome measures Using logistic and Cox regression analyses, we evaluated the prevalence, clinical characteristics, and all-cause mortality at intervals of 30, 100, and 365 days post-diagnosis. Results In this Swedish cohort, the one-year all-cause mortality rate was markedly higher for patients diagnosed in hospitals (42%) compared to those in primary care (20%, p < 0.001). Patients diagnosed in primary care were older and had fewer comorbidities and lower NT-proBNP levels. Hospital-diagnosed patients faced a significantly higher mortality rate in the initial 30 days but saw similar rates to primary care patients thereafter. Conclusion In a Swedish region, heart failure diagnoses without echocardiograms were more common in hospitals, and these patients initially faced worse prognoses. After the first month, however, the prognosis of hospital-diagnosed patients mirrored that of those diagnosed in primary care. These findings emphasize the need for improved diagnostic and treatment approaches in both care settings to enhance outcomes.

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“…Previous studies have extensively explored the relationship between CHF and the presence of depression and anxiety symptoms in patients [13]. Multiple studies have reported a higher prevalence of depression and anxiety symptoms among CHF patients compared to the general population.…”

Section: Introductionmentioning

confidence: 99%

Psychometric assessment of patients with congestive heart failure by using hospital anxiety and depression scale

Nadhrati Surura,

Al Bukhari,

Bellari Putri

et al. 2024

IJPHS

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Congestive heart failure (CHF) is a progressive health problem that has increased morbidity and mortality. However, studies on validating measures of anxiety and depression symptoms of CHF patients are still limited. The observational study enrolled 53 CHF patients who visited the Internal Medicine Department of Subulussalam General Hospital, Aceh, Indonesia. By using the total sampling method, the sample inclusion criteria were patients who were diagnosed with CHF and never consumed antidepressants before the diagnosis. Diagnosis data of CHF and its classification were obtained from clinical findings by an internist and evaluation of chest X-ray imaging with CTR>50%. The Hospital Anxiety and Depression Scale (HADS) was used in this study to show the prevalence of patients with depression and anxiety symptoms in Aceh, Indonesia. This finding might be valuable to Indonesian public policy in the context of health services.

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Exploration of the feasibility to combine patients with chronic obstructive pulmonary disease and chronic heart failure in self-management groups with focus on exercise self-efficacy

Cited by 5 publications

References 32 publications

Predicting lymphedema self‐management behaviours in breast cancer patients: A structural equation model with the Integrated Theory of Health Behaviour Change

Predicting lymphedema self‐management behaviours in breast cancer patients: A structural equation model with the Integrated Theory of Health Behaviour Change

Heart failure patients without echocardiography are more commonly diagnosed in hospital care and are associated with higher mortality compared to primary care

Psychometric assessment of patients with congestive heart failure by using hospital anxiety and depression scale

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