Evidence map›Paper›PMID 29683872›Full record

ArticleThe Journal of cardiovascular nursing

Social Support Moderates the Relationship Between Perceived Stress and Quality of Life in Patients With a Left Ventricular Assist Device.

Martha Abshire, Stuart D Russell, Patricia M Davidson, Chakra Budhathoki, Hae-Ra Han, Kathleen L Grady, Shashank Desai, Cheryl Dennison Himmelfarb

Abstract read
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Physiological and Psychological Stress in Patients Living With a Left Ventricular Assist Device.ASAIO journal (American Society for Artificial Internal Organs : 1992)
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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

8 authors.

Martha AbshireMartha Abshire, PhD, RN Assistant Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland. Stuart D. Russell, MD Instructor, School of Medicine, Duke University, Durham, North Carolina. Patricia M. Davidson, PhD, RN, FAAN Dean and Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland. Chakra Budhathoki, PhD Assistant Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland. Hae-Ra Han, PhD, RN, FAAN Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland. Kathleen L. Grady, PhD, RN, FAAN Professor, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Shashank Desai, MD Medical Director, Heart Failure and Transplant Program, Inova Heart and Vascular Institute, Falls Church, Virginia. Cheryl Dennison Himmelfarb, PhD, ANP, RN, FAAN Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland.
Stuart D Russell
Patricia M Davidson
Chakra Budhathoki
Hae-Ra Han
Kathleen L Grady
Shashank Desai
Cheryl Dennison Himmelfarb

Funding

Institute for Clinical and Translational ResearchTL1TR001078 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$1.9M
Interdisciplinary Training in Cardiovascular Health ResearchT32NR012704 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2011 to 2020
$1.8M
Physiological and Psychological Stress in Left Ventricular Assist Device PatientsF31NR015179 · NINR · JOHNS HOPKINS UNIVERSITY · PI ABSHIRE, MARTHA ALLISON · 2015 to 2016
$81k
NCATS NIH HHS TL1 TR001078NINR NIH HHS F31 NR015179NINR NIH HHS T32 NR012704
6 · The paper itself

Abstract

backgroundLiving with a left ventricular assist device has significant psychosocial sequelae that affect health-related quality of life (HRQOL).

objectiveThe purpose of this study was to (1) describe psychosocial indicators of stress including perceived stress, depression, fatigue, and coping; (2) examine relationships among stress indicators by level of perceived stress; (3) examine relationships among indicators of stress and clinical outcomes; and (4) test the moderation of social support on the relationship between stress and clinical outcomes.

methodsParticipants were recruited from 2 outpatient clinics in a cross-sectional study design. Standardized measures were self-administered via survey. Descriptive statistics, correlation, and multiple linear regression analysis were conducted.

resultsThe sample (N = 62) was mostly male (78%), black (47%), and married (66%), with a mean age of 56.5 ± 13 years. The overall sample had a moderate stress profile: moderate perceived stress (mean, 11.7 ± 7), few depressive symptoms (mean, 3.2 ± 3.9), and moderate fatigue (mean, 14.3 ± 9.1). Increased perceived stress was associated with fatigue, depressive symptoms, and maladaptive coping (P < .001). Regression analysis demonstrated that perceived stress and fatigue were significant correlates of overall HRQOL (adj. R = 0.41, P < .0001). Social support moderated the relationship between perceived stress and HRQOL, controlling for fatigue (R = 0.49, P < .001).

conclusionsIndividuals living with left ventricular assist device with high perceived stress have worse depressive symptoms, fatigue, and coping. The influence of high social support to improve the relationship between stress and HRQOL underscores the importance of a comprehensive plan to address psychosocial factors.

Indexed as

Quality of LifeSocial SupportAdaptation, PsychologicalCross-Sectional StudiesFatigueFemaleHeart-Assist DevicesHumansMaleMiddle AgedStress, Psychological

Identifiers

PMID29683872
PMCPMC6086746

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.