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Verfasst von:Müller-Tasch, Thomas [VerfasserIn]   i
 Loßnitzer, Nicole [VerfasserIn]   i
 Frankenstein, Lutz [VerfasserIn]   i
 Täger, Tobias [VerfasserIn]   i
 Haass, Markus [VerfasserIn]   i
 Katus, Hugo [VerfasserIn]   i
 Schultz, Jobst-Hendrik [VerfasserIn]   i
 Herzog, Wolfgang [VerfasserIn]   i
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

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