Living Arrangements Modify the Relationship Between Depressive Symptoms and Self-care in Patients With Heart Failure

Lee, Kyoung Suk; Lennie, Terry A.; Yoon, Ju Young; Wu, Jia Rong; Moser, Debra K.

doi:10.1097/jcn.0000000000000327

Cited by 18 publications

(15 citation statements)

References 46 publications

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“…Research has shown that the experience of having symptoms can motivate chronically ill individuals to perform self-care 32. However, depressive symptoms and cognitive decline can blunt self-care by decreasing motivation to engage in healthy behaviors 45–47…”

Section: Proposing a Revision Of The Middle-range Theory Integrating mentioning

confidence: 99%

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

Riegel

Jaarsma

Lee

et al. 2019

Advances in Nursing Science

218

209

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The Middle-Range Theory of Self-Care of Chronic Illness has been used widely since it was first published in 2012. With the goal of theoretical refinement in mind, we evaluated the theory to identify areas where the theory lacked clarity and could be improved. The concept of self-care monitoring was determined to be underdeveloped. We do not yet know how the process of symptom monitoring influences the symptom appraisal process. Also, the manner in which self-care monitoring and self-care management are associated was thought to need refinement. As both of these issues relate to symptoms, we decided to enrich the Middle-Range Theory with knowledge from theories about symptoms. Here, we propose a revision to the Middle-Range Theory of Self-Care of Chronic Illness where symptoms are clearly integrated with the self-care behaviors of self-care maintenance, monitoring, and management.

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Section: Proposing a Revision Of The Middle-range Theory Integrating mentioning

confidence: 99%

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

Riegel

Jaarsma

Lee

et al. 2019

Advances in Nursing Science

218

209

View full text Add to dashboard Cite

show abstract

“…Depression and depressive symptoms are associated with poor self‐care in those with CVD or risk factors for CVD . Self‐care areas negatively affected include diet and medication adherence, exercise adherence, self‐monitoring, and appropriate response to symptoms …”

Section: Factors Influencing Self‐carementioning

confidence: 99%

Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke

Riegel¹,

Moser²,

Buck³

et al. 2017

JAHA

Self Cite

411

216

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Self‐care is defined as a naturalistic decision‐making process addressing both the prevention and management of chronic illness, with core elements of self‐care maintenance, self‐care monitoring, and self‐care management. In this scientific statement, we describe the importance of self‐care in the American Heart Association mission and vision of building healthier lives, free of cardiovascular diseases and stroke. The evidence supporting specific self‐care behaviors such as diet and exercise, barriers to self‐care, and the effectiveness of self‐care in improving outcomes is reviewed, as is the evidence supporting various individual, family‐based, and community‐based approaches to improving self‐care. Although there are many nuances to the relationships between self‐care and outcomes, there is strong evidence that self‐care is effective in achieving the goals of the treatment plan and cannot be ignored. As such, greater emphasis should be placed on self‐care in evidence‐based guidelines.

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“…Studies conducted on self‐care in other chronic conditions have found that being employed (Ausili et al., 2018) or unemployed (Cocchieri et al., 2015), education level (Ausili et al., 2018), caregiver support (Cocchieri et al., 2015) and living alone (Lee, Lennie, Yoon, Wu, & Moser, 2017) can influence self‐care, but these variables have never been investigated in ostomy self‐care. Regarding income, no significant relationship has been found between ostomy self‐care and income (Bulkley et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

Describing self‐care and its associated variables in ostomy patients

Giordano

Nicolotti

Corvese

et al. 2020

Journal of Advanced Nursing

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Aims: To describe self-care in ostomy patients, to identify socio-demographic and clinical variables associated with self-care and to identify the association between self-care self-efficacy and self-care over and above the variables associated with self-care. Design: Longitudinal and multicentre study. Data were collected between February 2017-May 2018. Methods: In this study, 523 ostomy patients were enrolled at baseline (T0) and 362 were followed-up after 6 months (T1). The Ostomy Self-Care Index was used to measure self-care maintenance, monitoring, management, and self-efficacy. Correlations between self-care dimensions and patient socio-demographic and clinical characteristics were performed with Pearson's or Spearman's correlations. Three separate two-step hierarchical regression analyses were performed to identify variables associated with self-care maintenance, monitoring, and management. Results: Participants' mean age was 69 years (SD 12.4); 63.9% were male and most had enterostomies (38.8% colostomies, 29.3% ileostomies) and permanent ostomies (72.5%). Patients had adequate self-care maintenance and monitoring at T0 and T1, while they had lower self-care management and self-efficacy at baseline. Significant variables associated with better self-care maintenance and self-care monitoring were female gender, more information received during hospitalization and better autonomy in stoma management, while a better level of education was an additional variable associated with self-care monitoring. Self-care self-efficacy produced a significant increase in the explained variance of self-care maintenance and self-care monitoring. None of the selected variables were significantly associated with selfcare management. Conclusion: Middle-high levels of self-care maintenance, monitoring, management, and self-efficacy were found. The variables associated with ostomy self-care and the role of self-care self-efficacy identified in this study can help in developing tailored nursing interventions. | 2983 GIORDANO et Al.

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Living Arrangements Modify the Relationship Between Depressive Symptoms and Self-care in Patients With Heart Failure

Cited by 18 publications

References 46 publications

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke

Describing self‐care and its associated variables in ostomy patients

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