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Self care and health related quality of life in chronic heart failure: A longitudinal analysis
Kessing,D.E.F. Denollet,J. Widdershoven,J.W.M.G. Kupper,N.
Kessing,D.E.F.
Denollet,J.
Widdershoven,J.W.M.G.
Kupper,N.
Abstract
Background: Self-care is assumed to benefit health outcomes in patients with chronic heart failure (HF), but the evidence is conflicting for health-related quality of life (HRQOL). The aim of this study was to examine the association of (changes in) self-care with HRQOL while adjusting for psychological distress. Methods: In total, 459 patients (mean age = 66.1 ± 10.5 years, 73% male) with chronic HF completed questionnaires at baseline and at 6, 12 and 18 months of follow-up. Self-care and HF-specific HRQOL were quantified with the European Heart Failure Self-care Behaviour scale and the Minnesota Living with Heart Failure Questionnaire.Results:Using general linear models, multivariable between-subject (estimate = –0.14, p = 0.005) and no within-subject effects of self-care were found for better HRQOL over time. Associations between self-care and HRQOL were fully explained by depression (estimate = 1.77, p < 0.001). Anxiety (estimate = 4.49, p < 0.001) and Type D personality (estimate = 13.3, p < 0.001) were associated with poor HRQOL, but only partially accounted for the relationship between self-care and emotional HRQOL. Conclusions: Self-care was prospectively associated with better disease-specific HRQOL in patients with HF, which was fully accounted for by depression, and partially accounted for by anxiety and Type D personality. Changes in self-care within a person did not affect HRQOL. Psychological distress should be considered in future efforts to address self-care and HRQOL.
Description
Date
2017
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Volume Title
Publisher
Research Projects
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Keywords
Self Care, Health-related quality of life, depression, Type D, Anxiety, Heart Failure
Citation
Kessing, D E F, Denollet, J, Widdershoven, J W M G & Kupper, N 2017, 'Self care and health related quality of life in chronic heart failure : A longitudinal analysis', European Journal of Cardiovascular Nursing, vol. 16, no. 7, pp. 605-613. https://doi.org/10.1177/1474515117702021