Depressive Symptoms: Mediator of Event-Free Survival in Patients With Heart Failure.

Autor:	Hammash MH; 1 University of Louisville, Louisville, KY, USA., Lennie TA; 2 University of Kentucky, Lexington, KY, USA., Crawford T; 1 University of Louisville, Louisville, KY, USA., Heo S; 3 University of Arkansas for Medical Sciences, Little Rock, AR, USA., Chung ML; 2 University of Kentucky, Lexington, KY, USA., Biddle MJ; 2 University of Kentucky, Lexington, KY, USA., Dekker R; 2 University of Kentucky, Lexington, KY, USA., Wu JR; 4 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Rayens MK; 2 University of Kentucky, Lexington, KY, USA., Moser DK; 2 University of Kentucky, Lexington, KY, USA.
Jazyk:	angličtina
Zdroj:	Western journal of nursing research [West J Nurs Res] 2017 Apr; Vol. 39 (4), pp. 539-552. Date of Electronic Publication: 2016 Jul 18.
DOI:	10.1177/0193945916658883
Abstrakt:	Depressive symptoms and poor health perceptions are predictors of higher hospitalization and mortality rates (heart failure [HF]). However, the association between depressive symptoms and health perceptions as they affect event-free survival outcomes in patients with HF has not been studied. The purpose of this secondary analysis was to determine whether depressive symptoms mediate the relationship between health perceptions and event-free survival in patients with HF. A total of 458 HF patients (61.6 ± 12 years, 55% New York Heart Association Class III/IV) responded to one-item health perception question and completed the Patient Health Questionnaire-9. Event-free survival data were collected for up to 4 years. Multiple regression and Cox proportional hazards regression analysis showed that depressive symptoms mediated the relationship between health perceptions and event-free survival. Decreasing depressive symptoms is essential to improve event-free survival in patients with HF.
Databáze:	MEDLINE
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