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Knowledge expectations, self-care, and health complaints of heart failure patients scheduled for cardiac resynchronization therapy implantation.

Ingadottir B, Thylén I, Jaarsma T - Patient Prefer Adherence (2015)

Bottom Line: Age was independently associated with knowledge expectations (Expβ 0.049, P=0.033).Heart failure patients waiting for a CRT device implantation have high expectations for multiple aspects of knowledge, including self-care issues, before their procedure.These expectations are similar to those of other surgical patients and they increase with age.

View Article: PubMed Central - PubMed

Affiliation: Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden ; Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.

ABSTRACT

Purpose: To describe what knowledge heart failure patients expect to acquire in relation to their upcoming cardiac resynchronization therapy (CRT) device implantation, to describe their self-care and health complaints, and to explore the relationship between knowledge expectations and self-care, health complaints, and background factors.

Patients and methods: Cross-sectional multicenter study with 104 patients scheduled for a first-time, elective CRT implantation in Swedish and Icelandic hospitals. Data were collected with the Knowledge Expectations of hospital patient Scale, European Heart Failure Self-care Behavior Scale, and Adjusted Postoperative Recovery Profile.

Results: Patients expected most knowledge related to their disease and its treatment (median 4.0, interquartile range 0.13) and least on social issues (median 3.5, interquartile range 0.83). Their self-care was average (standardized mean 51.0±19.6) before the procedure. Patients had on average 8.2 (±4.7) health complaints and rated fatigue and sexual problems as the most severe. Age was independently associated with knowledge expectations (Expβ 0.049, P=0.033).

Conclusion: Heart failure patients waiting for a CRT device implantation have high expectations for multiple aspects of knowledge, including self-care issues, before their procedure. These expectations are similar to those of other surgical patients and they increase with age.

No MeSH data available.


Related in: MedlinePlus

Health complaints (measured with the Adjusted Postoperative Recovery Profile) in CRT patients presented as a proportion (%) of the group (N=104) who had mild, moderate, or severe problems with each complaint.Abbreviation: CRT, cardiac resynchronization therapy.
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f1-ppa-9-913: Health complaints (measured with the Adjusted Postoperative Recovery Profile) in CRT patients presented as a proportion (%) of the group (N=104) who had mild, moderate, or severe problems with each complaint.Abbreviation: CRT, cardiac resynchronization therapy.

Mentions: Patients had, on average, 8.2 health complaints (±4.7) with 87% reporting fatigue, 66% anxiety and worry, 64% muscle weakness, 64% difficulties with daily activities, and 55% problems with sexual activity. The most serious health complaints were fatigue (22% responded “severe”), sexual problems (21%), muscle weakness (9%), and problems with daily activities (9%) (Figure 1).


Knowledge expectations, self-care, and health complaints of heart failure patients scheduled for cardiac resynchronization therapy implantation.

Ingadottir B, Thylén I, Jaarsma T - Patient Prefer Adherence (2015)

Health complaints (measured with the Adjusted Postoperative Recovery Profile) in CRT patients presented as a proportion (%) of the group (N=104) who had mild, moderate, or severe problems with each complaint.Abbreviation: CRT, cardiac resynchronization therapy.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4494625&req=5

f1-ppa-9-913: Health complaints (measured with the Adjusted Postoperative Recovery Profile) in CRT patients presented as a proportion (%) of the group (N=104) who had mild, moderate, or severe problems with each complaint.Abbreviation: CRT, cardiac resynchronization therapy.
Mentions: Patients had, on average, 8.2 health complaints (±4.7) with 87% reporting fatigue, 66% anxiety and worry, 64% muscle weakness, 64% difficulties with daily activities, and 55% problems with sexual activity. The most serious health complaints were fatigue (22% responded “severe”), sexual problems (21%), muscle weakness (9%), and problems with daily activities (9%) (Figure 1).

Bottom Line: Age was independently associated with knowledge expectations (Expβ 0.049, P=0.033).Heart failure patients waiting for a CRT device implantation have high expectations for multiple aspects of knowledge, including self-care issues, before their procedure.These expectations are similar to those of other surgical patients and they increase with age.

View Article: PubMed Central - PubMed

Affiliation: Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden ; Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.

ABSTRACT

Purpose: To describe what knowledge heart failure patients expect to acquire in relation to their upcoming cardiac resynchronization therapy (CRT) device implantation, to describe their self-care and health complaints, and to explore the relationship between knowledge expectations and self-care, health complaints, and background factors.

Patients and methods: Cross-sectional multicenter study with 104 patients scheduled for a first-time, elective CRT implantation in Swedish and Icelandic hospitals. Data were collected with the Knowledge Expectations of hospital patient Scale, European Heart Failure Self-care Behavior Scale, and Adjusted Postoperative Recovery Profile.

Results: Patients expected most knowledge related to their disease and its treatment (median 4.0, interquartile range 0.13) and least on social issues (median 3.5, interquartile range 0.83). Their self-care was average (standardized mean 51.0±19.6) before the procedure. Patients had on average 8.2 (±4.7) health complaints and rated fatigue and sexual problems as the most severe. Age was independently associated with knowledge expectations (Expβ 0.049, P=0.033).

Conclusion: Heart failure patients waiting for a CRT device implantation have high expectations for multiple aspects of knowledge, including self-care issues, before their procedure. These expectations are similar to those of other surgical patients and they increase with age.

No MeSH data available.


Related in: MedlinePlus