The association between cognitive function and self-care in patients with chronic heart failure

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The association between cognitive function and self-care in patients with chronic heart failure

Hjelm, Carina (author): Linköpings 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

Broström, Anders (author): Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Department of Clinical Neurophysiology, County Council of Östergötland, Sweden,Region Östergötland, Neurofysiologiska kliniken US,Jonköping University, Sweden

Riegel, Barbara (author): Linköpings 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

Årestedt, Kristofer (author): Linnéuniversitetet,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

Strömberg, Anna (author): Östergötlands 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

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New York : Elsevier, 2015
2015
English.
In: Heart & Lung. - New York : Elsevier. - 0147-9563 .- 1527-3288. ; 44:4, s. 113-119

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

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

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)

Keyword

Aging
Brain natriuretic peptides
Cognitive function
Depression
Heart failure
Nursing
Psychomotor speed
Patient education
Self-care
Sleep disordered breathing
Trail-making test
Hälsovetenskap

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Hjelm, Carina; Broström, Anders; Riegel, Barbara; Årestedt, Kristo ...; Strömberg, Anna

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

Articles in the publication: Heart & Lung

By the university: Linköping University; Linnaeus University; Jönköping University

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