Premium
Quality of life, social support and cognitive impairment in heart failure patients without diagnosed dementia
Author(s) -
Gallagher Robyn,
Sullivan Anne,
Burke Rhonda,
Hales Susan,
Sharpe Precilla,
Tofler Geoffrey
Publication year - 2016
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12402
Subject(s) - quality of life (healthcare) , dementia , medicine , cognition , social support , heart failure , psychological intervention , gerontology , health related quality of life , cognitive impairment , clinical psychology , physical therapy , psychology , psychiatry , disease , psychotherapist , nursing
Improving health‐related quality of life ( HRQL ) is an important goal for heart failure ( HF ) patients, and understanding the factors that influence HRQL is essential to this process. We investigated the influence of social support and cognitive impairment on HRQL in community dwelling HF patients ( n = 104) without diagnosed dementia. Patients were aged mean 80.93 years ( SD 11.01) and were classified as N ew Y ork H eart A ssociation C lass 1/ II (45%) or III / IV (53%). Age, social support and cognition had important independent effects. Younger people had the most negative effects of HF in all areas of HRQL : emotional ( B = −0.32), physical ( B = −0.44) and overall ( B = −1). Well‐supported patients (general social support) had the least negative effect from HF on HRQL : emotional domain ( B = −4.62) and overall ( B = −11.72). Patients with normal cognition had more negative impact of HF on HRQL : physical domain ( B = 5.51) and overall HRQL ( B = 10.42). A clearer understanding of the relationships between age, social support and cognition and the effect on the impact of HF on HRQL is needed before interventions can be appropriately developed.