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Patterns of self-ca...
Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up
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- Lee, Christopher S. (författare)
- Oregon Health and Science University, OR 97201 USA
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- Bidwell, Julie T. (författare)
- Emory University, GA 30322 USA
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- Paturzo, Marco (författare)
- University of Roma Tor Vergata, Italy
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- Alvaro, Rosaria (författare)
- University of Roma Tor Vergata, Italy
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- Cocchieri, Antonello (författare)
- Catholic University, Italy
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- Jaarsma, Tiny, Professor, 1964- (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
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- Strömberg, Anna (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Riegel, Barbara (författare)
- University of Penn, PA 19104 USA
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- Vellone, Ercole (författare)
- University of Roma Tor Vergata, Italy
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(creator_code:org_t)
- MOSBY-ELSEVIER, 2018
- 2018
- Engelska.
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Ingår i: Heart & Lung. - : MOSBY-ELSEVIER. - 0147-9563 .- 1527-3288. ; 47:1, s. 40-46
- Relaterad länk:
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https://europepmc.or...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background: Heart failure (HF) self-care is important in reducing clinical events (all-cause mortality, emergency room visits and hospitalizations). HF self-care behaviors are multidimensional and include maintenance (i.e. daily adherence behaviors), management (i.e. symptom response behaviors) and consulting behaviors (i.e. contacting a provider when appropriate). Across these dimensions, patterns of successful patient engagement in self-care have been observed (e.g. successful in one dimension but not in others), but no previous studies have linked patterns of HF self care to clinical events. Objectives: To identify patterns of self-care behaviors in HF patients and their association with clinical events. Methods: This was a prospective, non-experimental, cohort study. Community-dwelling HF patients (n = 459) were enrolled across Italy, and clinical events were collected one year after enrollment. We measured dimensions of self-care behavior with the Self-Care of HF Index (maintenance, management, and confidence) and the European HF Self-care Behavior Scale (consulting behaviors). We used latent class mixture modeling to identify patterns of HF self-care across dimensions, and Cox proportional hazards modeling to quantify event-free survival over 12 months of follow-up. Results: Patients (mean age 71.8 +/- 12.1 years) were mostly males (54.9%). Three patterns of self-care behavior were identified; we labeled each by their most prominent dimensional characteristic: poor symptom response, good symptom response, and maintenance-focused behaviors. Patients with good symptom response behaviors had fewer clinical events compared with those who had poor symptom response behaviors (adjusted hazard ratio = 0.66 10.46-0.96], p = 0.03). Patients with poor symptom response behaviors had the most frequent clinical events. Patients with poor symptom response and those with maintenance-focused behaviors had a similar frequency of clinical events. Conclusions: Self-care is significantly associated with clinical events. Routine assessment, mitigation of barriers, and interventions targeting self-care are needed to reduce clinical events in HF patients. (C) 2017 Elsevier Inc. All rights reserved.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Mortality; Heart failure; Prospective study; Self-care; Survival
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Lee, Christopher ...
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Bidwell, Julie T ...
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Paturzo, Marco
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Alvaro, Rosaria
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Cocchieri, Anton ...
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Jaarsma, Tiny, P ...
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visa fler...
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Strömberg, Anna
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Riegel, Barbara
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Vellone, Ercole
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Heart & Lung
- Av lärosätet
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Linköpings universitet