Factors associated with the development of expertise in heart failure self-care

Details

• Personal Author:
  Deatrick JA ; Dickson V ; Goldberg LR ; Riegel B ; Deatrick JA ; Dickson V ; Goldberg LR ; Riegel B
• Description:
  Background: Self-care is vital for successful heart failure (HF) management. Mastering self-care is challenging; few patients develop sufficient expertise to avoid repeated hospitalization. Objective: To describe and understand how expertise in HF self-care develops. Methods: Extreme case sampling was used to identify 29 chronic HF patients predominately poor or particularly good in self-care. Using a mixed-methods (qualitative and quantitative) design, participants were interviewed about HF self-care, surveyed to measure factors anticipated to influence self-care, and tested for cognitive functioning. Audiotaped interviews were analyzed using content analysis. Qualitative and quantitative data were combined to produce a multidimensional typology of patients poor, good, or expert in HF self-care. Results: Only 10.3% of the sample was expert in HF selfcare. Patients poor in HF self-care had worse cognition, more sleepiness, higher depression, and poorer family functioning. The primary factors distinguishing those good versus expert in self-care were sleepiness and family engagement. Experts had less daytime sleepiness and more support from engaged loved ones who fostered selfcare skill development. b Conclusion: Engaged supporters can help persons with chronic HF to overcome seemingly insurmountable barriers to self-care. Research is needed to understand the effects of excessive daytime sleepiness on HF self-care. [Description provided by NIOSH]
• Subjects:
  Behavior Cardiovascular Diseases Cardiovascular System Men Mental Health Occupational Health Respiratory System Respiratory Tract Diseases Safety Sleep Initiation And Maintenance Disorders Women

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• Keywords:
  Attitude Author Keywords: Cognition Cardiac-function Cardiopulmonary-function Cardiopulmonary-system Cardiopulmonary-system-disorders Cardiovascular-disease Cardiovascular-function Cardiovascular-system Cardiovascular-system-disease Cardiovascular-system-disorders Family Heart Humans Mixed Methods Naturalistic Decission Making Psychological-effects Psychological-responses Psychology Sampling Sleep Sleep-disorders

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• ISSN:
  0029-6562
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  235-243
• Volume:
  56
• Issue:
  4
• NIOSHTIC Number:
  nn:20044960
• Citation:
  Nurs Res 2007 Jul-Aug; 56(4):235-243
• Contact Point Address:
  Barbara Riegel, DNSc, RN, CS, FAAN, School of Nursing, University of Pennsylvania, 420 Guardian Drive, Philadelphia, PA 19104-6096
• Email:
  briegel@nursing.upenn.edu
• Federal Fiscal Year:
  2007
• Performing Organization:
  University of Pennsylvania
• Peer Reviewed:
  True
• Start Date:
  20020701
• Source Full Name:
  Nursing Research
• End Date:
  20120630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bb2889517ab3abfcea5b9e699603a653f437c9e5f0fd4992c0864b523daf0b7fa1da4288c58078beeaf0212cd8c347552d8f2dc0f7aab73864478eefd2a05515
• Download URL:
  https://stacks.cdc.gov/view/cdc/200537/cdc_200537_DS1.pdf
• File Type:
  [PDF - 158.17 KB ]