Cognitive Function and Self-Care in Patients with Chronic Heart Failure
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Jin Shil | - |
dc.contributor.author | Hwang, Seon Young | - |
dc.contributor.author | Shim, Jae Lan | - |
dc.contributor.author | Jeong, Myung Ho | - |
dc.date.accessioned | 2022-07-15T22:01:53Z | - |
dc.date.available | 2022-07-15T22:01:53Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2015-07 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/156837 | - |
dc.description.abstract | Background and Objectives: This study examined the association of cognitive function with self-care and major adverse cardiac events (MACE) among heart failure (HF) patients. Subjects and Methods: In this prospective study, 86 outpatients with HF completed face-to-face interviews including neuropsychological testing to evaluate cognitive function and the use of the Self-Care of Heart Failure Index to measure self-care. Functional status was assessed with the New York Heart Association (NYHA) classification. Follow-up data on MACE were obtained at 24 months after enrollment. Results: Compared with the Korean norm values, more than half of the HF patients had cognitive deficits in global function (33.0%), immediate recall (65.1%), delayed recall memory (65.1%), and executive function (60.5%). Patients with symptomatic HF (>= NYHA class II) had the higher risk for substantially poor cognitive function in all areas of cognitive function than asymptomatic HF patients (NYHA class I, p<0.05). Most patients demonstrated poor self-care adequacy in maintenance (84.9%), management of symptoms (100%), and confidence (86.0%). After adjustment for age and gender, memory function was significantly associated with self-care confidence (odds ratio 1.41, 95% confidence interval 1.03-1.92, p=0.033). No relationship was found between cognition and self-care maintenance. There were 19 MACE's during the 24-month follow-up. Patients without MACE had a significantly higher global cognitive function (p=0.024), while no cognitive domains were significant predictors of MACE when adjusted for age and gender. Conclusion: HF patients with memory loss have poorer self-care confidence. Studies are warranted to examine the functional implication of cognitive deficits and adverse outcomes in a larger sample. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | KOREAN SOC CARDIOLOGY | - |
dc.title | Cognitive Function and Self-Care in Patients with Chronic Heart Failure | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Hwang, Seon Young | - |
dc.identifier.doi | 10.4070/kcj.2015.45.4.310 | - |
dc.identifier.scopusid | 2-s2.0-84938372943 | - |
dc.identifier.wosid | 000358822500008 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, v.45, no.4, pp.310 - 316 | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.citation.title | KOREAN CIRCULATION JOURNAL | - |
dc.citation.volume | 45 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 310 | - |
dc.citation.endPage | 316 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002013773 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | UPDATE | - |
dc.subject.keywordPlus | IMPAIRMENT | - |
dc.subject.keywordPlus | DEFICITS | - |
dc.subject.keywordAuthor | Heart failure | - |
dc.subject.keywordAuthor | Cognition | - |
dc.subject.keywordAuthor | Self care | - |
dc.subject.keywordAuthor | Outpatients | - |
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