Evidence map›Paper›PMID 28895482›Full record

ArticleEuropean journal of cardiovascular nursing2017

Self-care and health-related quality of life in chronic heart failure: A longitudinal analysis.

Dionne Kessing, Johan Denollet, Jos Widdershoven, Nina Kupper

Abstract read
In one paragraph

Article in European journal of cardiovascular nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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  17. Improving Quality of Life in Heart Failure.Current cardiology reports · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dionne Kessing1 Center of Research on Psychology in Somatic diseases (C oRPS), Tilburg University, Tilburg, The Netherlands.
Johan Denollet1 Center of Research on Psychology in Somatic diseases (C oRPS), Tilburg University, Tilburg, The Netherlands.
Jos Widdershoven1 Center of Research on Psychology in Somatic diseases (C oRPS), Tilburg University, Tilburg, The Netherlands.
Nina Kupper1 Center of Research on Psychology in Somatic diseases (C oRPS), Tilburg University, Tilburg, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-care is assumed to benefit health outcomes in patients with chronic heart failure (HF), but the evidence is conflicting for health-related quality of life (HRQOL). The aim of this study was to examine the association of (changes in) self-care with HRQOL while adjusting for psychological distress.

methodsIn total, 459 patients (mean age = 66.1 ± 10.5 years, 73% male) with chronic HF completed questionnaires at baseline and at 6, 12 and 18 months of follow-up. Self-care and HF-specific HRQOL were quantified with the European Heart Failure Self-care Behaviour scale and the Minnesota Living with Heart Failure Questionnaire.

resultsUsing general linear models, multivariable between-subject (estimate = -0.14, p = 0.005) and no within-subject effects of self-care were found for better HRQOL over time. Associations between self-care and HRQOL were fully explained by depression (estimate = 1.77, p < 0.001). Anxiety (estimate = 4.49, p < 0.001) and Type D personality (estimate = 13.3, p < 0.001) were associated with poor HRQOL, but only partially accounted for the relationship between self-care and emotional HRQOL.

conclusionsSelf-care was prospectively associated with better disease-specific HRQOL in patients with HF, which was fully accounted for by depression, and partially accounted for by anxiety and Type D personality. Changes in self-care within a person did not affect HRQOL. Psychological distress should be considered in future efforts to address self-care and HRQOL.

Indexed as

Stress, PsychologicalType D PersonalityAdultAgedAged, 80 and overAttitude to HealthChronic DiseaseFemaleHeart FailureHumansLongitudinal StudiesMaleMiddle AgedQuality of LifeSelf CareSurveys and QuestionnairesAnxietydepressionheart failurepsychologicalquality of lifeself-carestressType D personality

Identifiers

PMID28895482
PMCPMC5624300

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.