Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition.
| Autor: | Zaharova, Svetlana, Litwack, Kim, Gopalakrishnan, Sandeep, Ellis, Julie, Saltzberg, Mitchell Todd |
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| Předmět: |
RESEARCH
STATISTICAL power analysis LEFT heart ventricle PATIENT participation ACADEMIC medical centers VENTRICULAR ejection fraction SELF-management (Psychology) PSYCHOLOGY of cardiac patients CROSS-sectional method RESEARCH methodology EFFECT sizes (Statistics) MULTIPLE regression analysis SEVERITY of illness index CARDIOVASCULAR agents SELF-efficacy HEALTH behavior FACTOR analysis QUESTIONNAIRES DESCRIPTIVE statistics HOSPITAL care STATISTICAL correlation DATA analysis software PEPTIDE hormones CARDIOVASCULAR disease nursing HEART failure COMORBIDITY |
| Zdroj: | Western Journal of Nursing Research; Apr2022, Vol. 44 Issue 4, p375-382, 8p |
| Abstrakt: | Heart failure (HF) is a growing public health problem. Self-management (SM) of HF is an important component of chronic disease management. Guided by the Individual and Family Self-Management Theory (IFSMT), we examined the associations among complexity of condition, self-regulation, and self-efficacy mediation of SM behaviors in a population of HF outpatients. A cross-sectional design was used. Seventy-three outpatients with HF were enrolled. Simple and multiple linear regressions were run for each outcome variable. Only self-regulation was significantly associated with SM behavior. Complexity of condition was not significantly associated with SM behavior. There was no mediation by self-efficacy. Future nursing interventions should explore self-regulation in HF to provide a clearer understanding of the processes used to change health behavior. SM may be particularly useful in HF with preserved ejection fraction (EF), where there is no proven pharmacological treatment. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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