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Self-care confidence may be the key: A cross-sectional study on the association between cognition and self-care behaviors in adults with heart failure.
- Source :
-
International Journal of Nursing Studies . Nov2015, Vol. 52 Issue 11, p1705-1713. 9p. - Publication Year :
- 2015
-
Abstract
- Background Self-care, a key element of heart failure care, is challenging for patients with impaired cognition. Mechanisms through which cognitive impairment affects self-care are not currently well defined but evidence from other patient populations suggests that self-efficacy, or task-specific confidence, mediates the relationship between cognitive functioning and patient behaviors such as self-care. Objective The aim of this study was to test the mediating role of self-care confidence in the relationship between cognition and self-care behaviors. Design A secondary analysis of data from a cross-sectional study. Setting Outpatient heart failure clinics in 28 Italian provinces. Participants 628 Italian heart failure patients. Methods We used the Self-Care of Heart Failure Index v.6.2 to measure self-care maintenance, self-care management, and self-care confidence. Cognition was assessed with the Mini Mental State Examination. Structural equation modeling was used to analyze the data. Results Participants were 73 years old on average (SD = 11), mostly (58%) male and mostly (77%) in New York Heart Association functional classes II and III. The mediation model showed excellent fit (comparative fit index = 1.0; root mean square error of approximation = 0.02): Self-care confidence totally mediated the relationship between cognition and self-care maintenance and management. Conclusion Cognition affects self-care behaviors indirectly, through self-care confidence. Interventions aimed at improving self-care confidence may improve self-care, even in heart failure patients with impaired cognition. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00207489
- Volume :
- 52
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- International Journal of Nursing Studies
- Publication Type :
- Academic Journal
- Accession number :
- 109955886
- Full Text :
- https://doi.org/10.1016/j.ijnurstu.2015.06.013