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Trajectory of self-...
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Liljeroos, MariaLinköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Uppsala Univ, Sweden
(författare)
Trajectory of self-care behaviour in patients with heart failure : the impact on clinical outcomes and influencing factors.
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
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2020-01-29
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Sage Publications,2020
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-404515
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-404515URI
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https://doi.org/10.1177/1474515120902317DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-163712URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Funding Agencies|Netherlands Heart Foundation (NHF)Netherlands Heart Foundation [2008B083]
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BACKGROUND: Patients' self-care behaviour is still suboptimal in many heart failure (HF) patients and underlying mechanisms on how to improve self-care need to be studied.AIMS: (1) To describe the trajectory of patients' self-care behaviour over 1 year, (2) to clarify the relationship between the trajectory of self-care and clinical outcomes, and (3) to identify factors related to changes in self-care behaviour.METHODS: In this secondary analysis of the COACH-2 study, 167 HF patients (mean age 73 years) were included. Self-care behaviour was assessed at baseline and after 12 months using the European Heart Failure Self-care Behaviour scale. The threshold score of ⩾70 was used to define good self-care behaviour.RESULTS: Of all patients, 21% had persistent poor self-care behaviour, and 27% decreased from good to poor. Self-care improved from poor to good in 10%; 41% had a good self-care during both measurements. Patients who improved self-care had significantly higher perceived control than those with persistently good self-care at baseline. Patients who decreased their self-care had more all-cause hospitalisations (35%) and cardiovascular hospitalisations (26%) than patients with persistently good self-care (2.9%, p < 0.05). The prevalence of depression increased at 12 months in both patients having persistent poor self-care (0% to 21%) and decreasing self-care (4.4% to 22%, both p < 0.05).CONCLUSION: Perceived control is a positive factor to improve self-care, and a decrease in self-care is related to worse outcomes. Interventions to reduce psychological distress combined with self-care support could have a beneficial impact on patients decreasing or persistently poor self-care behaviour.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Perkiö Kato, NaokoLinköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten(Swepub:liu)naope77
(författare)
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van der Wal, Martje H. L.Linköpings universitet,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Univ Appl Sci Groningen, Netherlands(Swepub:liu)n/a
(författare)
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Brons, MaaikeUniv Med Ctr Utrecht, Netherlands
(författare)
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Luttik, Marie Louise
(författare)
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van Veldhuisen, Dirk JUniv Groningen, Netherlands
(författare)
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Strömberg, Anna,1967-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)annst40
(författare)
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Jaarsma, TinyLinköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten(Swepub:liu)tinja77
(författare)
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Uppsala universitetCentrum för klinisk forskning i Sörmland (CKFD)
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Cardiovascular Nursing: Sage Publications19:5, s. 421-4321474-51511873-1953
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