Carina M Hjelm1, Anders Broström2, Barbara Riegel3, Kristofer Årestedt4, Anna Strömberg5. 1. Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden; Department of Cardiothoracic Surgery, County Council of Östergötland, Sweden. Electronic address: carina.hjelm@liu.se. 2. Department of Clinical Neurophysiology, County Council of Östergötland, Sweden; Department of Nursing Science, School of Health Sciences, Jönköping University, Sweden. 3. Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden; University of Pennsylvania School of Nursing, Philadelphia, USA. 4. Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden; School of Health and Caring Sciences, Linnaeus University Kalmar, Sweden. 5. Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden; Department of Cardiology, County Council of Östergötland, Sweden.
Abstract
BACKGROUND: Self-care requires that patients learn to care for themselves. Cognitive impairment and depression can decrease the ability and interest in performing self-care. The objectives were to explore the association between cognitive function and self-care in heart failure patients, and to examine if this association was moderated by symptoms of depression. METHODS: This cross-sectional study included 105 heart failure patients in NYHA II-IV, median age 72 years. Self-care was measured with the European Heart Failure Self-Care Behavior Scale, cognitive function with a neuropsychological battery, and depressive symptoms were measured with the Patient Health Questionnaire. The associations between the study variables were examined with multiple regression analyses. RESULTS: Psychomotor speed was the only cognitive dimension significantly associated with self-care. The association between psychomotor speed and self-care was not moderated by symptoms of depression. CONCLUSIONS: Deficits in psychomotor speed have implications for how patients should be educated and supported to perform self-care.
BACKGROUND: Self-care requires that patients learn to care for themselves. Cognitive impairment and depression can decrease the ability and interest in performing self-care. The objectives were to explore the association between cognitive function and self-care in heart failurepatients, and to examine if this association was moderated by symptoms of depression. METHODS: This cross-sectional study included 105 heart failurepatients in NYHA II-IV, median age 72 years. Self-care was measured with the European Heart Failure Self-Care Behavior Scale, cognitive function with a neuropsychological battery, and depressive symptoms were measured with the Patient Health Questionnaire. The associations between the study variables were examined with multiple regression analyses. RESULTS: Psychomotor speed was the only cognitive dimension significantly associated with self-care. The association between psychomotor speed and self-care was not moderated by symptoms of depression. CONCLUSIONS:Deficits in psychomotor speed have implications for how patients should be educated and supported to perform self-care.
Authors: Matthew E Dupre; Hanzhang Xu; Bradi B Granger; Scott M Lynch; Alicia Nelson; Erik Churchill; Janese M Willis; Lesley H Curtis; Eric D Peterson Journal: Am Heart J Date: 2017-10-05 Impact factor: 4.749
Authors: Janaka Lovell; Tony Pham; Samer Q Noaman; Marie-Claire Davis; Marilyn Johnson; Joseph E Ibrahim Journal: BMC Cardiovasc Disord Date: 2019-04-29 Impact factor: 2.298