Y Distinct Factors Associated With Better Self-care in Heart Failure Patients With and Without Mild Cognitive Impairment
- Authors
- Lee, KS[Lee, Kyoung Suk]; Choi, JO[Choi, Jin-Oh]; Jeon, ES[Jeon, Eun-Seok]; Park, JH[Park, Jae-Hyeong]; Jung, MS[Jung, Mi Sook]; Lee, Z[Lee, Zian]; Lee, HS[Lee, Hyeong Suk]; Yoo, HJ[Yoo, Hye Jin]
- Issue Date
- Nov-2019
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- cognitive impairment; heart failure; self-care
- Citation
- JOURNAL OF CARDIOVASCULAR NURSING, v.34, no.6, pp.440 - 447
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- JOURNAL OF CARDIOVASCULAR NURSING
- Volume
- 34
- Number
- 6
- Start Page
- 440
- End Page
- 447
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/8210
- DOI
- 10.1097/JCN.0000000000000600
- ISSN
- 0889-4655
- Abstract
- Background: A decline in cognition may limit patients' ability to effectively engage in self-care in those with heart failure (HF). However, several studies have shown no difference in self-care between HF patients with and without cognitive impairment This may indicate that there are more salient factors associated with self-care in HF patients with cognitive impairment compared with those without cognitive impairment Objective: The aim of this study was to explore which factors are related to self-care based on the presence and absence of mild cognitive impairment (MCI) among patients with HF. Methods: Patients with HF were recruited from outpatient settings. The Montreal Cognitive Assessment was used to screen for MCI. Self-care was measured with the Self-care of HF Index v.6.2. Two separate stepwise linear regressions were performed to identify which factors (HF knowledge, perceived control, functional status, multimorbidity, executive function, and social support) predicted self-care in HF patients with and without MCI. Results: Of the 132 patients in this study, 36 (273%) had MCI. Self-care maintenance and management were associated with social support (beta = 0.489) and executive function (beta = 0.484), respectively, in patients with MCI. Perceived control was associated with both self-care maintenance and management in patients without MCI (beta s = 0.404 and 0.262, respectively). Conclusion: We found that social support and executive function were associated with self-care in HF patients with MCI, whereas perceived control was associated with self-care in HF patients with intact cognition. Clinicians should develop tailored interventions to enhance self-care by considering the distinct factors associated with self-care based on the presence or absence of MCI.
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- Appears in
Collections - Medicine > Department of Medicine > 1. Journal Articles
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