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- Hjelm, CarinaLinköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden, Department of Cardiothoracic Surgery, County Council of Östergötland, Sweden (author)
The association between cognitive function and self-care in patients with chronic heart failure
- Article/chapterEnglish2015
Publisher, publication year, extent ...
- New York :Elsevier,2015
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:liu-96805
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-96805URI
- https://doi.org/10.1016/j.hrtlng.2014.12.003DOI
- https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-42683URI
- https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-25543URI
Supplementary language notes
- Language:English
- Summary in:English
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- SwePubSwePub
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Notes
- Aim: To test the relationship between cognitive function and self-care in patients with heart failure after adjusting for the contribution of age, education, functional status, myocardial stress, sleep and depression. Further, the relationship between cognitive function and self-care was explored with depression and sleep as moderators.Background: Self-care can significantly impact functional capacity, well-being, morbidity, and prognosis in patients with heart failure (HF). However, self-care requires the cognitive ability to learn, perceive, interpret and respond. The influence of demographics and clinical symptoms on the relationship between cognition and self-care needs to be further understood.Design: Descriptive, cross-sectional study.Methods: The study included 142 patients with chronic HF (68% male, median age 72 years, 61% in NYHA II). Self-care was measured with the European Heart Failure Self-Care Behavior Scale. Cognitive function was evaluated with neuropsychological tests measuring global cognitive dysfunction, psychomotor speed, executive function, visual-spatial perception/construct, spatial performance, semantic and episodic memory.Findings: Psychomotor function (speed and attention) measured with the Trail Making A was the only dimension of cognitive function significantly associated with self-care. Neither depressive symptoms, nor sleep disturbances moderated the relation between cognitive function and selfcare.Conclusion: Deficits in psychomotor speed have implications for how patients should be educated and supported to perform self-care. A decrease in sustained attention and ability to carry out more than one task at a same time could lead to difficulties in self-care. Screening for psychomotor speed is therefore advocated for patients with HF.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
- Aging
- Brain natriuretic peptides
- Cognitive function
- Depression
- Heart failure
- Nursing
- Psychomotor speed
- Patient education
- Self-care
- Sleep disordered breathing
- Trail-making test
- Hälsovetenskap
Added entries (persons, corporate bodies, meetings, titles ...)
- Broström, AndersJönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Department of Clinical Neurophysiology, County Council of Östergötland, Sweden,Region Östergötland, Neurofysiologiska kliniken US,Jonköping University, Sweden(Swepub:hj)band (author)
- Riegel, BarbaraLinköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden, University of Pennsylvania School of Nursing, Philadelphia, USA(Swepub:liu)barri81 (author)
- Årestedt, KristoferLinnéuniversitetet,Linköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden, School of Health and Caring Sciences, Linnaeus University Kalmar, Sweden(Swepub:lnu)vfrkr (author)
- Strömberg, AnnaÖstergötlands Läns Landsting,Linköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Kardiologiska kliniken US,Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Sweden, Department of Cardiology, County Council of Östergötland, Sweden(Swepub:liu)annst40 (author)
- Linköpings universitetAvdelningen för omvårdnad (creator_code:org_t)
Related titles
- In:Heart & LungNew York : Elsevier44:4, s. 113-1190147-95631527-3288
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