| Online-Ressource |
Verfasst von: | Müller-Tasch, Thomas [VerfasserIn]  |
| Loßnitzer, Nicole [VerfasserIn]  |
| Frankenstein, Lutz [VerfasserIn]  |
| Täger, Tobias [VerfasserIn]  |
| Haass, Markus [VerfasserIn]  |
| Katus, Hugo [VerfasserIn]  |
| Schultz, Jobst-Hendrik [VerfasserIn]  |
| Herzog, Wolfgang [VerfasserIn]  |
Titel: | Anxiety and self-care behaviour in patients with chronic systolic heart failure |
Titelzusatz: | a multivariate model |
Verf.angabe: | Thomas Müller-Tasch, Bernd Löwe, Nicole Lossnitzer, Lutz Frankenstein, Tobias Täger, Markus Haass, Hugo Katus, Jobst-Hendrik Schultz and Wolfgang Herzog |
Jahr: | 2018 |
Jahr des Originals: | 2017 |
Umfang: | 8 S. |
Fussnoten: | First published July 18, 2017 ; Gesehen am 23.08.2018 |
Titel Quelle: | Enthalten in: European journal of cardiovascular nursing |
Ort Quelle: | Oxford : Oxford University Press, 2002 |
Jahr Quelle: | 2018 |
Band/Heft Quelle: | 17(2018), 2, Seite 170-177 |
ISSN Quelle: | 1873-1953 |
Abstract: | Background: While comprehensive evidence exists regarding negative effects of depression on self-care behaviours in patients with chronic heart failure (CHF), the relation between anxiety and self-care behaviours in patients with CHF is not clear. The aim of this study was to analyse the interactions between anxiety, depression and self-care behaviours in patients with CHF. Methods: The self-care behaviour of CHF outpatients was measured using the European Heart Failure Self-care Behaviour Scale (EHFScBS). The Patient Health Questionnaire (PHQ) was used to assess anxiety, the PHQ-9 was used to measure depression severity. Differences between patients with and without anxiety were assessed with the respective tests. Associations between anxiety, self-care and other predictors were analysed using linear regressions. Results: Of the 308 participating patients, 35 (11.4%) fulfilled the PHQ criteria for an anxiety disorder. These patients took antidepressants more frequently (11.8% versus 2.3%, p = .02), had had more contacts with their general practitioner within the last year (11.8 ± 16.1 versus 6.7 ± 8.6, p = .02), and had a higher PHQ-9 depression score (12.9 ± 5.7 versus 6.5 ± 4.7, p < .01) than patients without anxiety disorder. Anxiety and self-care were negatively associated (ß = ?0.144, r2 = 0.021, p = 0.015). The explanation of variance was augmented in a multivariate regression with the predictors age, sex, education, living with a partner, and New York Heart Association (NYHA) class (r2 = 0.098) when anxiety was added (r2 = 0.112). Depression further increased the explanation of variance (ß = ?0.161, r2 = 0.131, p = 0.019). Conclusions: Anxiety is negatively associated with self-care behaviour in patients with CHF. However, this effect disappears behind the stronger influence of depression on self-care. The consideration of mental comorbidities in patients with CHF is important. |
DOI: | doi:10.1177/1474515117722255 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1177/1474515117722255 |
| DOI: https://doi.org/10.1177/1474515117722255 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1580330533 |
Verknüpfungen: | → Zeitschrift |
Anxiety and self-care behaviour in patients with chronic systolic heart failure / Müller-Tasch, Thomas [VerfasserIn]; 2018 (Online-Ressource)