Rationale for targeted self-management strategies for breathlessness in heart failure

Asano, Reiko; Newton, Phillip J.; Currow, David C.; Macdonald, P.; Leung, Dominic Y.; Phillips, Jane; Perrin, Nancy; Davidson, Patricia M.

doi:10.1007/s10741-019-09907-w

Cited by 7 publications

(7 citation statements)

References 32 publications

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“…In general, male patients displayed lower selfmanagement ability than that of female patients, especially at 6 months and 12 months of follow-up (P<0.05). This observation is consistent with the study conducted by Wen and co-workers [13,14]. Nonetheless, it is necessary to note that whether gender is a direct factor affecting the level of self-management needs to be further con rmed by a larger number of patient samples.…”

Section: Discussionsupporting

confidence: 89%

Relationship between dyadic coping and self-management in patients with chronic heart failure

Shi

Tang

Wang

et al. 2023

Preprint

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Background and objective Whether the level of self-management with dyadic coping in chronic heart failure (CHF) patients remains unclear. We investigate the longitudinal changes and correlations between dyadic coping and self-management in patients with CHF. Methods In this study, 106 pairs of chronic heart failure patients and spouses treated in the Department of Cardiology of the Hefei First People's Hospital were selected as study subjects between September 2020 and September 2021. The dyadic coping scale and self-management scale were used for the follow-up survey to analyze the changes and correlation between patients' self-management ability and dyadic coping. Results We followed 106 patients (19 patients lost) CHF for one year, whose overall self-management ability showed a significant decreasing trend. Male patients displayed lower self-management ability than that of female patients, especially at 6 months and 12 months of follow-up (P<0.05). All patients and spouses showed similar decreasing trend in stress communication scores, cooperation scores, and negative coping scores, but the decreasing trend were more pronounced for male patients. There was a significant positive correlation between female patients' self-management ability and dyadic coping was observed at admission, 6 months and 12 months after discharge (P<0.05). While there was no significant correlation between self-management ability and dyadic coping in male patients at admission and 12 months of discharge (P>0.05), a significant correlation was monitored at 6 months of discharge (P<0.05). There was a significant positive correlation between self-management ability and dyadic coping of spouses in male patients (P<0.05). Conclusion Via elevating the dyadic coping level of patients' spouses, especially male spouses, the self-management ability of patients can be improved. The aforementioned findings provide a foundation for the future clinical nursing interventions to improve the life quality of CHF patients.

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Section: Discussionsupporting

confidence: 89%

Relationship between dyadic coping and self-management in patients with chronic heart failure

Shi

Tang

Wang

et al. 2023

Preprint

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“…From an economic point of view, the empowerment of self-care could reduce healthcare costs by adopting healthy lifestyles and increasing adherence to treatment, as found by others (Hamar et al, 2015;Richardson et al, 2005). Depression and anxiety are common in caregivers of patients with cardiovascular diseases (Li et al, 2022) and are known to profoundly interfere with the patient's self-care process, which, in turn, may prevent health recovery (Asano et al, 2021); conversely, the support given by caregivers to cardiovascular patients has been associated with a reduction in the frequency rate of patient anxiety and depression (Hansen et al, 2017), which, notably, are identified as determinants of self-care behaviors (Freedland et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Self‐care in coronary heart disease patient and caregiver dyads (HEARTS‐IN‐DYADS)—Protocol of a multicenter longitudinal study

Simonelli

Bolgeo

Iovino

et al. 2022

Research in Nursing & Health

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Self-care performed by patients and the caregiver contribution to this self-care are essential for improving cardiovascular outcomes; however, so far, no studies have sufficiently investigated this field in Italy. This paper describes a research protocol of a multi-center longitudinal study designed to investigate the self-care of patients affected by coronary heart disease (CHD), the caregiver's contribution to this selfcare, the predictors of patient and caregiver self-care, the mediating role of selfefficacy, and the self-care outcomes. Data collection will be performed across seven

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“…[19] Therefore, it is very important to judge whether elderly patients with heart failure are complicated by pulmonary infection. [20] At present, the diagnosis of heart failure combined with lung infection is mainly through imaging examination and bacterial culture. [21] Compared with imaging studies, bacterial culture can confirm whether there is pulmonary infection.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and management of pulmonary infection in elderly patients with heart failure

Pan

Qin

2021

Medicine

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Pulmonary infection is common in patients with heart failure, yet the risk factors remain unclear. We aimed to evaluate the clinical characteristics and risk factors of pulmonary infection in elderly patients with heart failure, to provide reference to the prevention of pulmonary infection.This study was a retrospective study design. We included elderly heart failure patient admitted to our hospital from April 1, 2018 to August 31, 2020. The characteristics and clinical data of pulmonary infection and no infection patients were assessed. Logistic regression analyses were conducted to identify the risk factors of pulmonary infections in patients with heart failure.A total of 201 patients were included. The incidence of pulmonary infection in patients with heart failure was 23.88%. There were significant differences in the age, diabetes, New York Heart Association (NYHA) grade, left ventricular ejection fraction (LVEF), C-reactive protein (CRP) between infection and no infection group (all P < .05), and there were not differences in the sex, body mass index, alcohol drinking, smoking, hypertension, hyperlipidemia, length of hospital stay between 2 groups (all P > .05). Logistic regression analyses indicated that age ≥70 years, diabetes, NYHA grade III, LVEF 55%, and CRP ≥10 mg/L were the independent risk factors of pulmonary infections in patients with heart failure (all P < .05). Pseudomonas aeruginosa (34.48%), Staphylococcus aureus (19.57%), and Klebsiella pneumoniae (15.22%) were the most common 3 pathogens in patients with pulmonary infection.Heart failure patients with age ≥70 years, diabetes, NYHA grade III, LVEF 55%, and CRP ≥10 mg/L have higher risks of pulmonary infections, preventive measures targeted on those risk factors are needed to reduce pulmonary infections.

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Rationale for targeted self-management strategies for breathlessness in heart failure

Cited by 7 publications

References 32 publications

Relationship between dyadic coping and self-management in patients with chronic heart failure

Relationship between dyadic coping and self-management in patients with chronic heart failure

Self‐care in coronary heart disease patient and caregiver dyads (HEARTS‐IN‐DYADS)—Protocol of a multicenter longitudinal study

Risk factors and management of pulmonary infection in elderly patients with heart failure

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