Self-Care Resources Needed by Women With Diastolic Heart Failure Predict Quality of Life

2.50
Hdl Handle:
http://hdl.handle.net/10755/156532
Type:
Presentation
Title:
Self-Care Resources Needed by Women With Diastolic Heart Failure Predict Quality of Life
Abstract:
Self-Care Resources Needed by Women With Diastolic Heart Failure Predict Quality of Life
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Baas, Linda, PhD, CS-ACNP
P.I. Institution Name:University of Cincinnati
Title:Professor
Co-Authors:Susan Roll, BSN; Ginger Conway, MSN, CNP; Lynne Wagoner, MD
Background: Diastolic dysfunction (DD) with preserved left ventricular ejection fraction is a problem that is increasingly recognized in older women as the cause of dyspnea and fatigue. Many also suffer from co-morbidities that decrease physical function. Also, older women are often widowed, unable to drive, and may have greater difficulty in maintaining social connections. These physical and social factors have the potential for threatening quality of life (QOL) and self care. Erickson et al. (1983) proposed a model of Self Care in which actions taken by an individual to maintain or regain health are based on internal and external resources perceived to be available and needed. What is not known is whether these self care factors affect QOL in older women with DD. Purpose: This study examines the relationship among internal (i.e. hope) and external (i.e. support) resources perceived to be available and needed and QOL. Methods: The SF-36 physical composite score (PCS) and mental composite score (MCS) were used to assess QOL. The Self Care Resource Inventory was used to measure: internal resources (IR) external resources (ER), internal needs (IN) and external needs (EN). Twenty three women, with DD were surveyed. Mean age was 63.5 years (sd=7.3, range 55-81). Results: Stepwise regressions were performed using all four predictors to first assess PCS then MCS. Only EN was significant in predicting QOL. EN predicted 34% of the variance in PCS and 28% of the variance in MCS. The relationships were negative so that the greater the needs, the lower the QOL. Results differed from previous work with persons with other forms of cardiac disease in which IR was the strongest predictor of all measures of physical and emotional QOL. Conclusions: It is important to include an assessment of external resources needed by older women with diastolic dysfunction when examining QOL.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSelf-Care Resources Needed by Women With Diastolic Heart Failure Predict Quality of Lifeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156532-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Self-Care Resources Needed by Women With Diastolic Heart Failure Predict Quality of Life</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Baas, Linda, PhD, CS-ACNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Cincinnati</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">linda.baas@uc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Roll, BSN; Ginger Conway, MSN, CNP; Lynne Wagoner, MD</td></tr><tr><td colspan="2" class="item-abstract">Background: Diastolic dysfunction (DD) with preserved left ventricular ejection fraction is a problem that is increasingly recognized in older women as the cause of dyspnea and fatigue. Many also suffer from co-morbidities that decrease physical function. Also, older women are often widowed, unable to drive, and may have greater difficulty in maintaining social connections. These physical and social factors have the potential for threatening quality of life (QOL) and self care. Erickson et al. (1983) proposed a model of Self Care in which actions taken by an individual to maintain or regain health are based on internal and external resources perceived to be available and needed. What is not known is whether these self care factors affect QOL in older women with DD. Purpose: This study examines the relationship among internal (i.e. hope) and external (i.e. support) resources perceived to be available and needed and QOL. Methods: The SF-36 physical composite score (PCS) and mental composite score (MCS) were used to assess QOL. The Self Care Resource Inventory was used to measure: internal resources (IR) external resources (ER), internal needs (IN) and external needs (EN). Twenty three women, with DD were surveyed. Mean age was 63.5 years (sd=7.3, range 55-81). Results: Stepwise regressions were performed using all four predictors to first assess PCS then MCS. Only EN was significant in predicting QOL. EN predicted 34% of the variance in PCS and 28% of the variance in MCS. The relationships were negative so that the greater the needs, the lower the QOL. Results differed from previous work with persons with other forms of cardiac disease in which IR was the strongest predictor of all measures of physical and emotional QOL. Conclusions: It is important to include an assessment of external resources needed by older women with diastolic dysfunction when examining QOL.</td></tr></table>en_GB
dc.date.available2011-10-26T14:52:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:52:30Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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