Illness Representation of Acute Heart Failure by Chronic Heart Failure Patients and Their Significant Others

2.50
Hdl Handle:
http://hdl.handle.net/10755/163164
Category:
Abstract
Type:
Presentation
Title:
Illness Representation of Acute Heart Failure by Chronic Heart Failure Patients and Their Significant Others
Author(s):
Quinn, Jill R.
Author Details:
Jill R. Quinn, PhD, RN, CS-ANP, University of Rochester, Rochester, New York, USA, email: jill_quinn@urmc.rochester.edu
Abstract:
Purpose: The decision to seek care for worsening symptoms of heart failure (HF) can be a difficult assessment to make by patients and significant others (SO). The purpose of this pilot study is to learn the role SOs play in the decision to seek care and how their perceptions match those of the patient. Theoretical Framework: According to the Common Sense Model of Illness Representation, individuals' actions are based on how they identify symptoms, determine a cause, decide if symptoms are acute or chronic, consider the consequences, and decide if there is a cure. Methods (Design, Sample, Setting, Measures, Analysis): A sample of 22 participants (11 hospitalized HF patients and 11 SOs) was recruited from an inpatient cardiovascular unit. Patient participants were primarily white males, mean age 61.1 (SD=17.6). Mean time from onset of symptoms until hospitalization was 53.6 days (SD=83.2). Average number of months since last HF hospitalization was 3.9 (SD=6.7) and average times hospitalized in the past 6 months was 1.8 (SD=2.9). Mean left ventricular function was 17.8 % (SD=9.4). The SO participants were primarily white females, mean age 59.9 (SD=11.3). Most (91%) were family members and 82% were the patient's caregiver. Results: There were significant correlations between patients and SOs on their beliefs that patient's symptoms were caused by the heart (r=.60) and the duration of symptoms made a difference in seeking care (r=.66). Although not significant, patients and SO scores were correlated on labeling the symptoms (r=.28), believing there would be consequences if they did not seek care (r=.56), and that the symptoms could be controlled (cured; r=.37) if they did seek care. Conclusions and Implications: Illness representation of acute HF can be measured in chronic HF patients and SOs. Further study is needed to determine the matching and accuracy of patient and SO illness representations on time to hospitalization. The results can improve HF education and reduce delay.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIllness Representation of Acute Heart Failure by Chronic Heart Failure Patients and Their Significant Othersen_GB
dc.contributor.authorQuinn, Jill R.en_US
dc.author.detailsJill R. Quinn, PhD, RN, CS-ANP, University of Rochester, Rochester, New York, USA, email: jill_quinn@urmc.rochester.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163164-
dc.description.abstractPurpose: The decision to seek care for worsening symptoms of heart failure (HF) can be a difficult assessment to make by patients and significant others (SO). The purpose of this pilot study is to learn the role SOs play in the decision to seek care and how their perceptions match those of the patient. Theoretical Framework: According to the Common Sense Model of Illness Representation, individuals' actions are based on how they identify symptoms, determine a cause, decide if symptoms are acute or chronic, consider the consequences, and decide if there is a cure. Methods (Design, Sample, Setting, Measures, Analysis): A sample of 22 participants (11 hospitalized HF patients and 11 SOs) was recruited from an inpatient cardiovascular unit. Patient participants were primarily white males, mean age 61.1 (SD=17.6). Mean time from onset of symptoms until hospitalization was 53.6 days (SD=83.2). Average number of months since last HF hospitalization was 3.9 (SD=6.7) and average times hospitalized in the past 6 months was 1.8 (SD=2.9). Mean left ventricular function was 17.8 % (SD=9.4). The SO participants were primarily white females, mean age 59.9 (SD=11.3). Most (91%) were family members and 82% were the patient's caregiver. Results: There were significant correlations between patients and SOs on their beliefs that patient's symptoms were caused by the heart (r=.60) and the duration of symptoms made a difference in seeking care (r=.66). Although not significant, patients and SO scores were correlated on labeling the symptoms (r=.28), believing there would be consequences if they did not seek care (r=.56), and that the symptoms could be controlled (cured; r=.37) if they did seek care. Conclusions and Implications: Illness representation of acute HF can be measured in chronic HF patients and SOs. Further study is needed to determine the matching and accuracy of patient and SO illness representations on time to hospitalization. The results can improve HF education and reduce delay.en_GB
dc.date.available2011-10-27T11:02:31Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:31Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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