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Mediated effects of...
Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure : a longitudinal study
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- Lin, Chung-Ying (författare)
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong,Hong Kong Polytech Univ, Peoples R China
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- Ganji, Maryam (författare)
- Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Iran,Univ Tehran Med Sci, Iran
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- Griffiths, Mark D. (författare)
- International Gaming Research Unit, Nottingham Trent University, UK,Nottingham Trent Univ, England
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- Ernsth-Bravell, Marie, 1973- (författare)
- Jönköping University,HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping),Jonkoping Univ, Sweden
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- Broström, Anders (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Department of Clinical Neurophysioloy, Linköping University Hospital, Sweden,Region Östergötland, Neurofysiologiska kliniken US,Jonkoping Univ, Sweden
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- Pakpour, Amir H. (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Iran,Jonkoping Univ, Sweden; Qazvin Univ Med Sci, Iran
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(creator_code:org_t)
- 2019-09-13
- 2020
- Engelska.
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Ingår i: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 19:2, s. 155-164
- Relaterad länk:
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http://irep.ntu.ac.u...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background:Given the importance of improving health for patients with heart failure, the present study examined the temporal associations between eHealth literacy, insomnia, psychological distress, medication adherence, quality of life and cardiac events among older patients with heart failure.Methods:With a longitudinal design older patients with echocardiography verified heart failure (N=468; 50.4% New York Heart Association class II, mean age 69.3±7.3 years; 238 men) in need of cardiac care at seven Iranian university outpatient clinics went through clinical examinations and completed the following questionnaires at baseline: eHealth literacy scale (eHEALS, assessing eHealth literacy); 5-item medication adherence report scale (MARS-5, assessing medication adherence); Minnesota living with heart failure questionnaire (MLHFQ, assessing quality of life); insomnia severity index (ISI, assessing insomnia); and hospital anxiety and depression scale (HADS, assessing psychological distress). All the patients completed the ISI and HADS again 3 months later; and the MARS-5 6 months later. Also, their cardiac events were collected 18 months later. Three mediation models were then conducted.Results:eHealth literacy had direct and indirect effects (through insomnia and psychological distress) on medication adherence and quality of life. Moreover, eHealth literacy had protecting effects on cardiac events (hazard ratio (HR) 0.53; 95% confidence interval (CI) 0.37, 0.65) through the mediators of insomnia (HR 0.19; 95% CI 0.15, 0.26), psychological distress (HR 0.08; 95% CI 0.05, 0.12) and medication adherence (HR 0.05; 95% CI 0.04, 0.08).Conclusion:As eHealth literacy was a protector for patients with heart failure, healthcare providers may plan effective programmes to improve eHealth literacy for the population. Additional benefits of improving eHealth literacy in heart failure may be decreased insomnia and psychological distress, improved quality of life, as well as decreased cardiovascular events.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Cardiac events
- eHealth literacy
- heart failure
- mediation model
- quality of life
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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