Document Type
Technical Report
Date of this Version
9-2009
Publication Source
Heart & Lung
Volume
38
Issue
5
Start Page
410
Last Page
418
DOI
10.1016/j.hrtlng.2008.11.004
Abstract
Objective
Self-care is a key component in the management of chronic heart failure (CHF). Yet there are many barriers that interfere with a patient's ability to undertake self-care. The primary aim of the study was to test a conceptual model of determinants of CHF self-care. Specifically, we hypothesized that cognitive function and depressive symptoms would predict CHF self-care.
Methods
Fifty consecutive patients hospitalized with CHF were assessed for self-care (Self-Care of Heart Failure Index), cognitive function (Mini Mental State Exam), and depressive symptoms (Cardiac Depression Scale) during their index hospital admission. Other factors thought to influence self-care were tested in the model: age, gender, social isolation, self-care confidence, and comorbid illnesses. Multiple regression was used to test the model and to identify significant individual determinants of self-care maintenance and management.
Results
The model of 7 variables explained 39% (F [7, 42] 3.80; P = .003) of the variance in self-care maintenance and 38% (F [7, 42] 3.73; P = .003) of the variance in self-care management. Only 2 variables contributed significantly to the variance in self-care maintenance: age (P < .01) and moderate-to-severe comorbidity (P < .05). Four variables contributed significantly to the variance in self-care management: gender (P < .05), moderate-to-severe comorbidity (P < .05), depression (P < .05), and self-care confidence (P < .01). When cognitive function was removed from the models, the model explained less of the variance in self-care maintenance (35%) (F [6, 43] 3.91; P = .003) and management (34%) (F [6, 43] 3.71; P = .005).
Conclusion
Although cognitive function added to the model in predicting both self-care maintenance and management, it was not a significant predictor of CHF self-care compared with other modifiable and nonmodifiable factors. Depression explained only self-care management.
Copyright/Permission Statement
© 2009. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Recommended Citation
Cameron, J., Worrall-Carter, L., Riegel, B., Kai Lo, S., & Stewart, S. (2009). Testing a Model of Patient Characteristics, Psychologic Status, and Cognitive Function as Predictors of Self-Care in Persons with Chronic Heart Failure. Heart & Lung, 38 (5), 410-418. http://dx.doi.org/10.1016/j.hrtlng.2008.11.004
Included in
Behavioral Medicine Commons, Cardiology Commons, Cardiovascular Diseases Commons, Circulatory and Respiratory Physiology Commons, Medical Humanities Commons, Neurology Commons, Nursing Commons, Preventive Medicine Commons
Date Posted: 02 November 2018
This document has been peer reviewed.