Journal article
Relationship Between Self-care and Health-Related Quality of Life in Older Adults With Moderate to Advanced Heart Failure
The Journal of cardiovascular nursing, Vol.27(1), pp.8-15
01/01/2012
DOI: 10.1097/JCN.0b013e3182106299
PMID: 21558868
Abstract
Background: Heart failure (HF) patients who follow the treatment regimen and attend to symptoms before they escalate are assumed to have better health-related quality of life (HRQOL) than those with poor self-care, but there are few data available to support or refute this assumption. Objective: The objective of the study was to describe the relationship between HF self-care and HRQOL in older (>= 65 years old) adults with moderate to advanced HF. Methods: Self-care was measured using the 3 scales (maintenance, management, and confidence) of the Self-care of Heart Failure Index. Scores range from 0 to 100, with higher numbers indicating better self-care. Health-related quality of life was measured with the Minnesota Living With Heart Failure Questionnaire, a 2-subscale (physical and emotional) instrument. Lower numbers on the Minnesota Living With Heart Failure Questionnaire indicate better HRQOL. Pearson correlations, independent-samples t-tests, and linear and logistic regression modeling were used in the analysis. Results: In 207 adults (72.9 [SD, 6.3] years), New York Heart Association class III (82%) or IV, significant linear associations were observed between self-care confidence and total (r = -0.211; P = .002), physical (r = -0.189; P = .006), and emotional HRQOL (r = -0.201; P = .004). Patients reporting better (below median) HRQOL had higher confidence scores compared with patients reporting above-median HRQOL scores (58.8 [19.2] vs 52.8 [19.6]; P = .028). Confidence was an independent determinant of total (beta s = -3.191; P = .002), physical (beta s = -2.346; P = .002), and emotional (beta s = -3.182; P = .002) HRQOL controlling for other Self-care of Heart Failure Index scores, age, gender, and New York Heart Association class. Each 1-point increase in confidence was associated with a decrease in the likelihood that patients had worse (above median) HRQOL scores (odds ratio, 0.980 [95% confidence interval, 0.963-0.998]) with the same controls. No significant associations were found between self-care maintenance or management and HRQOL. Conclusions: The degree of individual confidence in HF self-care is related to HRQOL, but self-reports of specific maintenance and management behaviors are not. Interventions that improve self-care confidence may be particularly important in older adults with moderate to advanced HF.
Details
- Title: Subtitle
- Relationship Between Self-care and Health-Related Quality of Life in Older Adults With Moderate to Advanced Heart Failure
- Creators
- Harleah G. Buck - Pennsylvania State UniversityChristopher S. Lee - Oregon Health & Science UniversityDebra K. Moser - University of KentuckyNancy M. Albert - Cardiovascular MedicineTerry Lennie - University of KentuckyBrooke Bentley - Eastern Kentucky UniversityLinda Worrall-Carter - Australian Catholic UniversityBarbara Riegel - University of Pennsylvania
- Resource Type
- Journal article
- Publication Details
- The Journal of cardiovascular nursing, Vol.27(1), pp.8-15
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/JCN.0b013e3182106299
- PMID
- 21558868
- ISSN
- 0889-4655
- eISSN
- 1550-5049
- Number of pages
- 8
- Language
- English
- Date published
- 01/01/2012
- Academic Unit
- Nursing
- Record Identifier
- 9984370461202771
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