Relationship Between Self-Care and Health-Related Quality of Life in Older Adults with Moderate to Advanced Heart Failure

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dc.contributor.authorBuck, Harleah G
dc.contributor.authorLee, Christopher S
dc.contributor.authorMoser, Debra K
dc.contributor.authorAlbert, Nancy M
dc.contributor.authorLennie, Terry A
dc.contributor.authorBentley, Brooke
dc.contributor.authorWorrall-Carter, Linda
dc.contributor.authorRiegel, Barbara
dc.date2023-05-17T21:38:15.000
dc.date.accessioned2023-05-23T00:12:16Z
dc.date.available2023-05-23T00:12:16Z
dc.date.issued2012-01-01
dc.date.submitted2019-01-15T10:17:50-08:00
dc.description.abstractBackground: 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 (βs = −3.191; P = .002), physical (βs = −2.346; P = .002), and emotional (βs = −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.
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/41687
dc.legacy.articleid1191
dc.legacy.fields10.1097/JCN.0b013e3182106299
dc.legacy.fulltexturlhttps://repository.upenn.edu/cgi/viewcontent.cgi?article=1191&context=nrs&unstamped=1
dc.rightsThis is a non-final version of an article published in final form as Buck, H.G., Lee, C.S., Moser, D.K., Albert, N.M., Lennie, T., Bentley, B., Worrall-Carter, L., & Riegel, B. (2012). Relationship between Self-Care and Health-Related Quality of Life in Older Adults with Moderate to Advanced Heart Failure. Journal of Cardiovascular Nursing 24, no. 1: 8-15. DOI: 10.1097/JCN.0b013e3182106299
dc.source.beginpage8
dc.source.endpage15
dc.source.issue192
dc.source.issue1
dc.source.journalSchool of Nursing Departmental Papers
dc.source.journaltitleJournal of Cardiovascular Nursing
dc.source.peerreviewedtrue
dc.source.statuspublished
dc.source.volume27
dc.subject.otherconfidence
dc.subject.otherheart failure
dc.subject.otherquality of life
dc.subject.otherself-care
dc.subject.otherself-efficiency
dc.subject.otherBehavioral Medicine
dc.subject.otherCardiology
dc.subject.otherCardiovascular Diseases
dc.subject.otherCirculatory and Respiratory Physiology
dc.subject.otherGeriatrics
dc.subject.otherMedical Humanities
dc.subject.otherMedicine and Health Sciences
dc.subject.otherNursing
dc.subject.otherPreventive Medicine
dc.titleRelationship Between Self-Care and Health-Related Quality of Life in Older Adults with Moderate to Advanced Heart Failure
dc.typeReport
digcom.contributor.authorBuck, Harleah G
digcom.contributor.authorLee, Christopher S
digcom.contributor.authorMoser, Debra K
digcom.contributor.authorAlbert, Nancy M
digcom.contributor.authorLennie, Terry A
digcom.contributor.authorBentley, Brooke
digcom.contributor.authorWorrall-Carter, Linda
digcom.contributor.authorisAuthorOfPublication|email:briegel@nursing.upenn.edu|institution:University of Pennsylvania|Riegel, Barbara
digcom.identifiernrs/192
digcom.identifier.contextkey13626234
digcom.identifier.submissionpathnrs/192
digcom.typereport
dspace.entity.typePublication
relation.isAuthorOfPublication68d3b1e9-b70a-4447-8a7c-12c8e8e21394
relation.isAuthorOfPublication68d3b1e9-b70a-4447-8a7c-12c8e8e21394
relation.isAuthorOfPublication.latestForDiscovery68d3b1e9-b70a-4447-8a7c-12c8e8e21394
upenn.schoolDepartmentCenterSchool of Nursing Departmental Papers
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