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
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Campo DC | Valor | Idioma |
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dc.contributor | Grupo Winter Heridas: Wounds, Innovation, Therapeutics and Research (WINTER HERIDAS) | es_ES |
dc.contributor.author | Calero-Molina, Esther | - |
dc.contributor.author | Moliner, Pedro | - |
dc.contributor.author | Hidalgo, Encarna | - |
dc.contributor.author | Rosenfeld, Laia | - |
dc.contributor.author | Verdú-Rotellar, Jose Maria | - |
dc.contributor.author | Verdú, José | - |
dc.contributor.author | Yun, Sergi | - |
dc.contributor.author | Garay, Alberto | - |
dc.contributor.author | Alcoberro, Lidia | - |
dc.contributor.author | Jimenez-Marrero, Santiago | - |
dc.contributor.author | Jose, Nuria | - |
dc.contributor.author | Calvo, Elena | - |
dc.contributor.author | Ruiz, Marta | - |
dc.contributor.author | Garcimartin, Paloma | - |
dc.contributor.author | Alcaide-Aldeano, Alex | - |
dc.contributor.author | Delso, Cristina | - |
dc.contributor.author | Alcober, Laia | - |
dc.contributor.author | Enjuanes, Cristina | - |
dc.contributor.author | Comin-Colet, Josep | - |
dc.contributor.other | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia | es_ES |
dc.date.accessioned | 2022-03-21T09:49:20Z | - |
dc.date.available | 2022-03-21T09:49:20Z | - |
dc.date.issued | 2022-03-12 | - |
dc.identifier.citation | International Journal of Nursing Studies. 2022, 129: 104233. https://doi.org/10.1016/j.ijnurstu.2022.104233 | es_ES |
dc.identifier.issn | 0020-7489 (Print) | - |
dc.identifier.issn | 1873-491X (Online) | - |
dc.identifier.uri | http://hdl.handle.net/10045/122274 | - |
dc.description.abstract | 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. | es_ES |
dc.language | eng | es_ES |
dc.publisher | Elsevier | es_ES |
dc.rights | © 2022 Elsevier Ltd. | es_ES |
dc.subject | Heart failure | es_ES |
dc.subject | Self-care | es_ES |
dc.subject | Heart failure nursing | es_ES |
dc.subject | Psychosocial factors | es_ES |
dc.subject | Scale | es_ES |
dc.subject.other | Enfermería | es_ES |
dc.title | 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 | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.peerreviewed | si | es_ES |
dc.identifier.doi | 10.1016/j.ijnurstu.2022.104233 | - |
dc.relation.publisherversion | https://doi.org/10.1016/j.ijnurstu.2022.104233 | es_ES |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es_ES |
Aparece en las colecciones: | INV - WINTER HERIDAS - Artículos de Revistas |
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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 |
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