Self-care in rural residents with heart failure: What we are missing
| Autor: | Thomas S. Nesbitt, Kathleen Dracup, Kyoung Suk Lee, Michele M. Pelter, Debra K. Moser |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Adult Male Rural Population medicine.medical_specialty Urban Population Health literacy Heart failure 030204 cardiovascular system & hematology Affect (psychology) 03 medical and health sciences 0302 clinical medicine Rurality Health care self-care Medicine Humans 030212 general & internal medicine Intensive care medicine Socioeconomic status Aged Advanced and Specialized Nursing Aged 80 and over Heart Failure business.industry Middle Aged medicine.disease Confidence interval United States Self Care Medical–Surgical Nursing Female Cardiology and Cardiovascular Medicine business Psychosocial rurality |
| Zdroj: | Lee, KS; Moser, DK; Pelter, MM; Nesbitt, T; & Dracup, K. (2017). Self-care in rural residents with heart failure: What we are missing. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 16(4), 326-333. doi: 10.1177/1474515116666439. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/9qd0w97k |
| DOI: | 10.1177/1474515116666439. |
| Popis: | As heart failure (HF) is a progressive, debilitating condition, life-long self-care is required to achieve good outcomes. Rural residents with HF encounter more challenges with adherence to self-care than their urban counterparts because of rural-urban inequalities related to socioeconomic resources and access to health care. To date, investigators have focused on self-care in HF patients in urban settings, although factors related to self-care may be different between rural and urban residents.The aim of this study was to explore the variables related to self-care in HF patients living in rural areas.A total of 580 patients in the USA were included in this analysis. We included 12 variables reflecting four aspects that affect patients' decisions to perform self-care: health literacy, psychosocial status, current symptom status, and aging status. We measured self-care using the European Heart Failure Self-Care Scale-9.Depressive symptoms (β = 0.28, 95% confidence interval (CI): 0.16 to 0.45), lower perceived control (β = -0.15, 95% CI: -0.32 to -0.08), better symptom status (β = -0.11, 95% CI: -0.13 to -0.003), and annual income of |
| Databáze: | OpenAIRE |
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