Document Type

Technical Report

Date of this Version

2-20-2008

Publication Source

Annals of Behavioral Medicine

Volume

35

Issue

1

Start Page

70

Last Page

79

DOI

10.1007/s12160-007-9003-x

Abstract

Background

Social support can influence treatment adherence of patients with chronic illnesses, which may explain the positive effects of social support on heart failure (HF) outcomes.

Purpose

To investigate the effects of social support among patients with HF, we examined whether aspects of social support were associated with self-care, including medication adherence, dietary adherence, and HF symptom monitoring functions.

Methods

We recruited 74 patients with HF from cardiology clinics of a Veterans Affairs Medical Center and a university-affiliated hospital, and tested the relationships between social support and the patients' self-care.

Results

Consistent with previous research in older adults, family members, especially spouses, were often involved in the medical care of patients with chronic HF and provided a range of levels of support to patients. Self-care was generally poor, as measured across several self-care domains. Perceived social support was moderately associated with relatively better self-reported medication and dietary adherence, and other aspects of self-care such as daily weighing.

Conclusions

These findings suggest that a relatively higher level of self-care is an important correlate of social support and may explain how social support influences HF outcomes. This study also suggests that family members should play a greater part in clinical care focused on improving self-care.

Copyright/Permission Statement

This is a pre-copyedited, author-produced PDF of an article accepted for publication in the Annals of Behavioral Medicine following peer review. The version of record [Sayers, S.L., Riegel, B., Pawlowski, S., Coyne, J.C., Samaha, F.F. (2008). Social Support and Self-Care of Patients with Heart Failure. Annals of Behavioral Medicine 35, no. 1: 70-79] is available online at: http://dx.doi.org/10.1007/s12160-007-9003-x.

Keywords

heart failure, social support, self-care

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Date Posted: 02 November 2018

This document has been peer reviewed.