Interplay between psychosocial and heart failure related factors may partially explain limitations in self-efficacy in patients with heart failure and poor self-care behaviour: insights from a real-world cohort of 1,123 patients
Por favor, use este identificador para citar o enlazar este ítem:
http://hdl.handle.net/10045/122274
Título: | Interplay between psychosocial and heart failure related factors may partially explain limitations in self-efficacy in patients with heart failure and poor self-care behaviour: insights from a real-world cohort of 1,123 patients |
---|---|
Autor/es: | Calero-Molina, Esther | Moliner, Pedro | Hidalgo, Encarna | Rosenfeld, Laia | Verdú-Rotellar, Jose Maria | Verdú, José | Yun, Sergi | Garay, Alberto | Alcoberro, Lidia | Jimenez-Marrero, Santiago | Jose, Nuria | Calvo, Elena | Ruiz, Marta | Garcimartin, Paloma | Alcaide-Aldeano, Alex | Delso, Cristina | Alcober, Laia | Enjuanes, Cristina | Comin-Colet, Josep |
Grupo/s de investigación o GITE: | Grupo Winter Heridas: Wounds, Innovation, Therapeutics and Research (WINTER HERIDAS) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Palabras clave: | Heart failure | Self-care | Heart failure nursing | Psychosocial factors | Scale |
Área/s de conocimiento: | Enfermería |
Fecha de publicación: | 12-mar-2022 |
Editor: | Elsevier |
Cita bibliográfica: | International Journal of Nursing Studies. 2022, 129: 104233. https://doi.org/10.1016/j.ijnurstu.2022.104233 |
Resumen: | Background and aims: Worse self-care is associated with a higher risk of readmission and mortality in patients with heart failure (HF). Little is known about how the interplay between clinical and psycho-social factors may modulate self-care behaviours in these patients. The aim of our study was to identify clinical, and particularly psycho-social factors associated with worse self-care and assess their interaction inpatients with heart failure. Methods and results: We conducted an observational, prospective, cohort study of 1,123 consecutive patients with chronic heart failure.. Self-care was assessed with the modified European Heart Failure Self-care Behavior Scale 9-item version (EHFSCBS-9), and both clinical and psycho-social profile of the patients included were also meticulously evaluated. A total of 484 patients (43%) were women, mean age was 72 years, and mean left ventricular ejection fraction was 44.5%. In multivariable analyses combining clinical and psycho-social factors, low social support (OR 3.53, 95% CI [2.13-5.86]; p-value <0.001), absence of caregiver support (OR 2.16, 95% CI [1.34 -3.48]; p-value 0.001) and depressive symptoms (OR 2.40, 95% CI [1.53-3.77]; p-value <0.001) were independent determinants of impaired global self-care. Advanced functional class was associated with better self-care (OR 0.43, 95%CI [0.26-0.70]; p-value 0.001). No other clinical factors remained significantly associated with self-care in these joint models. In discrimination analyses, models containing psycho-social determinants outperformed models only containing heart failure -related (clinical) variables (all p-values<0.001). Conclusion: Impairment in self-care behaviour is strongly determined by psycho-social factors. Specifically, low social support, the lack of caregiver support and the presence of depressive symptoms are the main drivers of the risk of impairment of self-care in heart failure patients. Evaluation of self-care and self-care interventions should be complemented by a comprehensive psycho-social assessment in patients with heart failure. |
URI: | http://hdl.handle.net/10045/122274 |
ISSN: | 0020-7489 (Print) | 1873-491X (Online) |
DOI: | 10.1016/j.ijnurstu.2022.104233 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © 2022 Elsevier Ltd. |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.1016/j.ijnurstu.2022.104233 |
Aparece en las colecciones: | INV - WINTER HERIDAS - Artículos de Revistas |
Archivos en este ítem:
Archivo | Descripción | Tamaño | Formato | |
---|---|---|---|---|
Calero-Molina_etal_2022_IntJNursingStud_accepted.pdf | Accepted Manuscript (acceso abierto) | 820,82 kB | Adobe PDF | Abrir Vista previa |
Calero-Molina_etal_2022_IntJNursingStud_final.pdf | Versión final (acceso restringido) | 1,12 MB | Adobe PDF | Abrir Solicitar una copia |
Todos los documentos en RUA están protegidos por derechos de autor. Algunos derechos reservados.