Cognitive Therapy Improves Three-Month Outcomes in Hospitalized Patients With Heart Failure
| Autor: | Debra K. Moser, Terry A. Lennie, Rebecca L. Dekker, Ann R. Peden |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Kentucky Article law.invention Quality of life Randomized controlled trial law Surveys and Questionnaires Internal medicine Humans Medicine Survival analysis Aged Proportional Hazards Models Heart Failure Cognitive Behavioral Therapy Depression business.industry Proportional hazards model Repeated measures design Middle Aged medicine.disease Survival Analysis Hospitalization Treatment Outcome Heart failure Quality of Life Cognitive therapy Physical therapy Female Brief intervention Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Failure. 18:10-20 |
| ISSN: | 1071-9164 |
| DOI: | 10.1016/j.cardfail.2011.09.008 |
| Popis: | Background Patients with heart failure (HF) experience depressive symptoms that contribute to poorer outcomes. We tested the effects of a brief cognitive therapy intervention on depressive symptoms, negative thinking, health-related quality of life, and cardiac event-free survival. Methods and Results Hospitalized patients with depressive symptoms (n = 41, 66 ± 11 years, 45% female, 81% New York Heart Association Class III/IV) were randomly assigned to control group or a brief, nurse-delivered cognitive therapy intervention, delivered during hospitalization and followed by a 1-week booster phone call. Depressive symptoms, negative thinking, and health-related quality of life were measured at 1 week and 3 months. Cardiac event-free survival was assessed at 3 months. Mixed models repeated measures analysis of variance, Kaplan-Meier, and Cox regression were used for data analysis. There were significant improvements in depressive symptoms and health-related quality of life in both groups but no interactions between group and time. The control group had shorter 3-month cardiac event-free survival (40% versus 80%, P P = .04) than the intervention group. Conclusion Nurses can deliver a brief intervention to hospitalized patients with heart failure that may improve short-term, event-free survival. Future research is needed to verify these results with a larger sample size. |
| Databáze: | OpenAIRE |
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