Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Social Support and Negative Emotional Status on Self-care Adherence in Symptomatic Patients with Heart Failure

심부전 환자의 사회적 지지와 부정적 정서상태가 자가간호 이행에 미치는 영향

  • Received : 2016.04.05
  • Accepted : 2016.06.20
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The objective of this study was to identify factors related to self-care adherence in symptomatic patients with heart failure (HF). Methods: Using a cross-sectional design, a convenience sample 209 outpatient clinic patients were recruited at two medical centers. Between October 2011 and August 2012, data were collected using the structured questionnaire. Factors related to self-care adherence were examined using hierarchical multiple regression. Results: Mean age of participants was 67.71 years and a half of them (53.6%) were female. They showed relatively low self-care adherence with mean scores of $61.88{\pm}12.92$. Lower self-care adherence was reported in asking for low sodium items, weighing oneself, checking for ankle edema, and exercising for 30 minutes. The overall model significantly explained 23.9% of variance in self-care adherence. Among the predictors, education, New York Heart Association functional classification, and social support were statistically significant in influencing self-care adherence. The variable of negative emotional status such as anxiety and depression were not found to be significant. Conclusion: These findings demonstrate that social support could help self-care adherence among symptomatic patients with HF. Thus, programs targeting self-care adherence in this population should consider the strategies improving social support.

Keywords

References

  1. The Korean of Heart Failure. The manual of heart failure. Seoul: MMK comunications; 2007. p. 11-36.
  2. National Health Insurance Service. "Heart Failure" Over 80 years have 14 times higher HF patient rate than average [Internet]. Seoul: National Health Insurance Service; 2014 [cited 2015 July 1]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/3171
  3. Mavrea AM, Dragomir T, Bordejevic DA, Tomescu MC, Ancusa O, Marincu I. Causes and predictors of hospital readmissions in patients older than 65 years hospitalized for heart failure with preserved left ventricular ejection fraction in western Romania. Clinical Interventions in Aging. 2015;17:979-90. http://dx.doi.org/10.2147/CIA.S83750
  4. Rodriguez Artalejo F, Guallar-Castilloon P, Montoto Otero C, Conde Herrera M, Carreno Ochoa C, Tabuenca Martin AI, et al. Self-care behavior and patients' knowledge about self-care predict rehospitalization among older adults with heart failure. Revista Clínica Espanola. 2008;208(6):269-75. https://doi.org/10.1157/13123185
  5. Tsuchihashi-Makaya M, Kato N, Chishaki A, Takeshita A, Tsutsui H. Anxiety and poor social support are independently associated with adverse outcomes in patients with mild heart failure. Circulation Journal. 2009;73(2):280-7. http://dx.doi.org/10.1253/circj.cj-08-0625
  6. Heo S, Moser DK, Lennie TA, Riegel B, Chung ML. Gender differences in and factors related to self-care behaviors: a cross-sectional, correlational study of patients with heart failure. International Journal of Nursing Studies. 2008;45(12):1807-15. http://dx.doi.org/10.1016/j.ijnurstu.2008.05.008
  7. Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL, et al. State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation. 2009;120(12):1141-63. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192628
  8. Schnell-Hoehn KN, Naimark BJ, Tate RB. Determinants of self-care behaviors in community-dwelling patients with heart failure. Journal of Cardiovascular Nursing. 2009;24(1):40-7. http://dx.doi.org/10.1097/01.JCN.0000317470.58048.7b
  9. Son YJ, Kim SH, Kim GY. Factors influencing adherence to self-care in patients with chronic heart failure. Korean Journal of Adult Nursing. 2011;23(3):244-54.
  10. Hu X, Hu X, Su Y, Qu M, Dolansky MA. The changes and factors associated with post-discharge self-care behaviors among Chinese patients with heart failure. Patient Preference and Adherence. 2015;9:1593-601. http://dx.doi.org/10.2147/PPA.S88431
  11. Maeda U, Shen BJ, Schwarz ER, Farrell KA, Mallon S. Self-efficacy mediates the associations of social support and depression with treatment adherence in heart failure patients. International Journal of Behavioral Medicine. 2013;20(1):88-96. http://dx.doi.org/10.1007/s12529-011-9215-0
  12. Oxman TE, Hull JG. Social support, depression, and activities of daily living in older heart surgery patients. The Journal of Gerontology. Series B, Psychological Sciences and Social Sciences. 1997;52B(1):P1-14. https://doi.org/10.1093/geronb/52B.1.P1
  13. Fortmann AL, Gallo LC, Philis-Tsimikas A. Glycemic control among Latinos with type 2 diabetes: the role of social-environmental support resources. Health Psychology. 2011;30(3):251-8. http://dx.doi.org/10.1037/a0022850
  14. Heo S, Moser DK, Chung ML, Lennie TA. Social status, health-related quality of life, and event-free survival in patients with heart failure. European Journal of Cardiovascular Nursing. 2012;11(2):141-9. http://dx.doi.org/10.1016/j.ejcnurse.2010.10.003
  15. Gallagher R, Luttik ML, Jaarsma T. Social support and self-care in heart failure. Journal of Cardiovascular Nursing. 2011;26(6):439-45. http://dx.doi.org/10.1097/JCN.0b013e31820984e1
  16. Lee ES, Shin ES, Hwang SY, Chae MJ, Jeong MH. Effects of tailored supportive education on physical, emotional status and quality of life in patients with congestive heart failure. Korean Journal of Adult Nursing. 2013;25(1):62-73. http://dx.doi.org/10.7475/kjan.2013.25.1.62
  17. Khaledi GH, Mostafavi F, Eslami AA, Rooh Afza H, Mostafavi F, Akbar H. Evaluation of the effect of perceived social support on promoting self-care behaviors of heart failure patients referred to the Cardiovascular Research Center of Isfahan. Iranian Red Crescent Medical Journal. 2015;17(6):e22525-31. http://dx.doi.org/10.5812/ircmj.22525v2
  18. Goodman H, Firouzi A, Banya W, Lau-Walker M, Cowie MR. Illness perception, self-care behaviour and quality of life of heart failure patients: a longitudinal questionnaire survey. International Journal of Nursing Studies. 2013;50(7):945-53. http://dx.doi.org/10.1016/j.ijnurstu.2012.11.007
  19. Morgan K, Villiers-Tuthill A, Barker M, McGee H. The contribution of illness perception to psychological distress in heart failure patients. BMC Psychology. 2014;2(1):50-8. http://dx.doi.org/10.1186/s40359-014-0050-3
  20. Barrera M Jr., Sandler IN, Ramsay TB. Preliminary development of a scale of social support: studies on college students. American Journal of Community Psychology. 1981;9(4):435-47. http://dx.doi.org/10.1007/BF00918174
  21. Finch JF, Barrera M Jr, Okun MA, Bryant WHM, Pool GJ. Snow-Turek AL. Factor structure of received social support: dimensionality and the prediction of depression and life satisfaction. Journal of Social and Clinical Psychology. 1997;16(3):323-42. https://doi.org/10.1521/jscp.1997.16.3.323
  22. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  23. Oh SM, Min KJ, Park DB. A study on the standardization of the Hospital Anxiety and Depressed Scale for Koreans-a comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association. 1999;38(2):289-96.
  24. Riegel B, Carlson B, Moser DK, Sebern M, Hicks FD, Roland V. Psychometric testing of the self-care of heart failure index. Journal of Cardiac Failure. 2004;10(4):350-60. http://dx.doi.org/10.1016/j.cardfail.2003.12.001
  25. Riegel B, Lee CS, Dickson VV, Carlson B. An update on the self-care of heart failure index. Journal of Cardiovascular Nursing. 2009;24(6):485-97. http://dx.doi.org/10.1097/JCN.0b013e3181b4baa0
  26. Levy BR, Hausdorff JM, Hencke R, Wei JY. Reducing cardiovascular stress with positive self-stereotypes of aging. The Journal of Gerontology. Series B, Psychological Sciences and Social Sciences. 2000;55(4):P205-13 https://doi.org/10.1093/geronb/55.4.P205
  27. Damen NL, Pelle AJ, Szabo BM, Pedersen SS. Symptoms of anxiety and cardiac hospitalizations at 12 months in patients with heart failure. Journal of General Internal Medicine. 2012;27(3):345-50. http://dx.doi.org/10.1007/s11606-011-1843-1
  28. Shimizu Y, Suzuki M, Okumura H, Yamada S. Risk factors for onset of depression after heart failure hospitalization. Journal of Cardiology. 2014;64(1):37-42. http://dx.doi.org/10.1016/j.jjcc.2013.11.003
  29. Cocchieri A, Riegel B, D'Agostino F, Rocco G, Fida R, Alvaro R, et al. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. European Journal of Cardiovascular Nursing. 2015;14(2):126-36. http://dx.doi.org/10.1177/1474515113518443
  30. Graven LJ, Grant JS. Social support and self-care behaviors in individuals with heart failure: an integrative review. International Journal of Nursing Studies. 2014;51(2):320-33. http://dx.doi.org/10.1016/j.ijnurstu.2013.06.013

Cited by

  1. 만성 심부전 환자의 스마트폰을 활용한 자가관리에 대한 인식 : 포커스 그룹 인터뷰 적용 vol.16, pp.9, 2018, https://doi.org/10.14400/jdc.2018.16.9.319
  2. 고혈압 환자의 사회적 지지와 자가간호행위와의 관계 vol.15, pp.2, 2020, https://doi.org/10.22715/jkarhn.2020.15.2.49
  3. 중노년기 성인의 뇌졸중 문해력, 건강정보 문해력, 뇌졸중 지식과 자기관리간의 관계 vol.21, pp.12, 2016, https://doi.org/10.5762/kais.2020.21.12.719