Self care and health related quality of life in chronic heart failure

A longitudinal analysis

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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.
Original languageEnglish
Pages (from-to)605-613
JournalEuropean Journal of Cardiovascular Nursing
Volume16
Issue number7
DOIs
Publication statusPublished - 2017

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Depression
Insurance Benefits
Linear Models
Surveys and Questionnaires

Keywords

  • Self Care
  • Health-related quality of life
  • depression
  • Type D
  • Anxiety
  • Heart Failure

Cite this

@article{bf76c22a618743c0a05c1f97fc63c4e8,
title = "Self care and health related quality of life in chronic heart failure: A longitudinal analysis",
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.",
keywords = "Self Care, Health-related quality of life, depression, Type D, Anxiety, Heart Failure",
author = "D.E.F. Kessing and J. Denollet and J.W.M.G. Widdershoven and N. Kupper",
year = "2017",
doi = "10.1177/1474515117702021",
language = "English",
volume = "16",
pages = "605--613",
journal = "European Journal of Cardiovascular Nursing",
issn = "1474-5151",
publisher = "Elsevier",
number = "7",

}

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.

In: European Journal of Cardiovascular Nursing, Vol. 16, No. 7, 2017, p. 605-613.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Self care and health related quality of life in chronic heart failure

T2 - A longitudinal analysis

AU - Kessing, D.E.F.

AU - Denollet, J.

AU - Widdershoven, J.W.M.G.

AU - Kupper, N.

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - Self Care

KW - Health-related quality of life

KW - depression

KW - Type D

KW - Anxiety

KW - Heart Failure

U2 - 10.1177/1474515117702021

DO - 10.1177/1474515117702021

M3 - Article

VL - 16

SP - 605

EP - 613

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 7

ER -