Self-care Moderates the Relationship Between Symptoms and Health-Related Quality of Life in Heart Failure

Auld, Jonathan P.; Mudd, James O.; Gelow, Jill M.; Hiatt, Shirin O.; Lee, Christopher S.

doi:10.1097/jcn.0000000000000447

Cited by 53 publications

(53 citation statements)

References 42 publications

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“…When HF patients had poor self-care practice their quality of life become worse. This finding is consistent with other similar studies report, heart failure patients who had poor selfcare engagement had worse HRQOL (18,24,30,34,36,37). Kessing et al (30) also reported that lower self-care was associated not only with the overall HRQOL but also with physical and emotional subcomponents of quality of life.…”

Section: Discussionsupporting

confidence: 90%

“…Heart failure patients' HRQOL is dependent on the patients' level of engagement in self-care behaviors (18). Self-care behavior is a modifiable factor that emphasizes the actions to be taken by HF patients to maintain life, healthy functioning and to improve the overall HRQOL (19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

“…Improving HRQOL is one of the primary objectives in the management of patients with heart failure (26). Therefore, having a comprehensive understanding regarding the relationship between HF patients' self-care behaviors and their level of HRQOL will support to develop tailored interventions to reduce symptom burden and improve patient quality of life (18).…”

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia

Seid

2020

Health Qual Life Outcomes

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Background: Heart Failure (HF) results in an immense impact on the patients' Health-related quality of life (HRQOL). Heart failure patients HRQOL is dependent on the patients' level of engagement in self-care behaviors. Therefore this study aimed to determine HF patients' health-related quality of life and its relationship with self-care behaviors. Methods: An institutional-based study was conducted on 284 heart failure patients at the University of Gondar referral hospital. The data were collected using a structured questionnaire-based interview. The data were analyzed using SPSS version 20. Both descriptive and analytical statistical tests were utilized. A multinomial logistic regression analysis was done to determine the association between HRQOL and different independent variables. Variables with a p-value< 0.05 were considered as a significant predictor of the outcome variable. Results: The finding of this study showed that more than sixty-six percent of the study population were females. The overall mean score of HF patients' quality of life was 46.4 ± 22.4 and the physical and emotional subscale mean score was 20.2 ± 9.8 and 10.5 ± 6.8 respectively. The majority of the study participants 147(51.8%) had poor quality of life. The multinomial logistic regression analysis result showed that rural residence (odds ratio 2.41, 95% CI, 1.23 to 4.71) and inadequate level of self-care practice (odds ratio 2.61, 95% CI, 1.43 to 4.78) were independent predictors of poor HRQOL. The correlation analysis also showed that there was a significant negative relationship between HF patients' HRQOL score and Self-care practice score (r = − 0.127, P = 0.032). Conclusion: Overall, the majority of HF patients had poor HRQOL. Heart failure patients' HRQOL was significantly associated with place of residence and patients' level of self-care practice. Therefore, patients with HF are required to learn the benefit of self-care behaviors to improve their quality of life and to decrease the disease progression. Furthermore, HF patients who come from rural areas need special emphasis in each follow-up evaluation.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia

Seid

2020

Health Qual Life Outcomes

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“…These studies have focused on medical correlates of QOL, with little attention to the potential influence of psycho-behavioral characteristics. For example, self-efficacy and self-care management are two factors that are modifiable and have been found to moderate the effects of chronic illness on QOL [ 52 , 53 ], yet this relationship has not been examined in patients with cancer-related LEL. These and other potentially modifiable factors need to be assessed and identified to allow for their inclusion in future strategies aimed towards improving QOL and psychosocial well-being within this understudied population.…”

Section: Discussionmentioning

confidence: 99%

The Quality of Life and Psychosocial Implications of Cancer-Related Lower-Extremity Lymphedema: A Systematic Review of the Literature

Bowman

Piedalue

Baydoun

et al. 2020

JCM

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Lower-extremity lymphedema (LEL) is a progressive, lifelong complication of cancer that places a substantial burden upon cancer survivors’ quality of life (QOL) and psychosocial well-being. Despite its prevalence, cancer-related LEL is inconsistently diagnosed, treated, and poorly recognized by health care professionals. The purpose of this systematic review was to summarize and appraise the quantitative literature evaluating the impact of cancer-related LEL on patients’ psychosocial well-being and QOL. Three databases (PubMed, PROQuest, and Scopus) were searched for observational research articles published before May 1st, 2020. Twenty-one articles were eligible (cross-sectional (n = 16), prospective cohort designs (n = 3), and retrospective cohort designs (n = 2)). The majority of studies reported a negative relationship between cancer-related LEL and global QOL and/or one or more psychosocial domains including (1) physical and functional; (2) psycho-emotional; (3) social, relational and financial. A greater number of LEL symptoms and higher LEL severity were associated with poorer QOL. Although the evidence to date suggests a negative relationship between cancer-related LEL and patients’ QOL and psychosocial well-being, there is a substantial need for longitudinal analyses to examine the directionality and temporality of this effect in order to inform cancer survivorship care modelling and improve patient outcomes after cancer.

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“…These are depression, functional status, and HF knowledge, and the literature shows that they all play a key role in determining the self-care behavior of persons with HF. Depression is a major determinant of health-related quality of life in persons with HF [ 18 ]. Depression was evaluated using the Patient Health Questionnaire–9 (PHQ-9) [ 19 ], which is composed of nine items that ask about the frequency of problems patients suffered in the last 2 weeks.…”

Section: Methodsmentioning

confidence: 99%

Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure

Al‐Hammouri

Rababah

Hall

et al. 2020

BMC Cardiovasc Disord

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Background Self-care behavior has been reported to be below optimum in persons with heart failure, while the underlying decision making is not well understood. The Hot/Cool System model is a psychological model that may have potential applications in decision making process in persons with heart failure. The aim of this study was to examine the decision making process in self-care behavior in persons with heart failure in the light of the Hot/Cool System model. Methods We used the Hoot/Cool System Model to guide this study. Participants with heart failure from in-patients setting ( N = 107) were recruited. Data were collected using self-report questionnaires. Moderated mediation analysis was used to study complex relationships among study variables. Results The current study showed that impulsivity and perceived stress were negatively associated with self-care behavior. The results also showed that self-care confidence and impulsivity significantly predict self-care maintenance. The moderated mediation analysis revealed that self-care confidence mediated the relationship between impulsivity and self-care maintenance at lower levels of perceived stress, but not at higher levels of perceived stress. Conclusion Our findings revealed that persons with heart failure tend to make impulsive choices that may negatively affect disease progression under higher levels of perceived stress. This study provides foundational knowledge regarding the decision making process in persons with heart failure.

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Self-care Moderates the Relationship Between Symptoms and Health-Related Quality of Life in Heart Failure

Abstract: In HF, HRQOL is dependent on both the severity of physical and depressive symptoms and the level of engagement in HF self-care behaviors. Future research should consider both self-care behaviors and symptoms when examining patient HRQOL.

Cited by 53 publications

References 42 publications

Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia

Health-related quality of life and extent of self-care practice among heart failure patients in Ethiopia

The Quality of Life and Psychosocial Implications of Cancer-Related Lower-Extremity Lymphedema: A Systematic Review of the Literature

Self-care behavior: a new insight of the role of impulsivity into decision making process in persons with heart failure

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