Debra Moser

..Objective variables proposed by WCM to drive the model were not significant predictors. Mediator effects hypothesized in the WCM were not fully demonstrated in this sample. Thus modification of the WCM is warranted...

..Promotion of effective self-care by all clinicians could substantially reduce the economic and personal burden of repeated rehospitalizations among patients with heart failure...

..The goal of this program of research is to improve patients' outcomes on a widespread basis by placing anxiety in the forefront of clinical cardiac practice...

..The purpose of this study was to describe the prevalence of multiple risk factors for rehospitalization in patients recently discharged from a hospitalization for decompensated HF...

..This article describes what is known about the use of ACE inhibitors and ARBs in the management of heart failure and presents the current controversies surrounding the use of these agents...

..e., recurrent ischemia, reinfarction, sustained ventricular tachycardia or fibrillation, and cardiac death) in patients with acute myocardial infarction (AMI)...

..Health-related quality of life (HRQOL) is a major clinical outcome for heart failure (HF) patients. We aimed to determine the frequency, durability, and prognostic significance of improved HRQOL after hospitalization for decompensated HF...

..In this article, each of these possible explanations is explored and recommendations suggested...

..Few investigators have examined normal fluctuations in these parameters and none have done so in patients with left ventricular dysfunction...

..Critical care nurses reported numerous and distinctive anxiety indicators and management strategies. Further research is needed to examine exactly how appropriate and effective these assessment indicators and management strategies are...

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..This study sought to compare the prevalence of anxiety, depression, and hostility among 3 clinically diverse elderly cardiac patient cohorts and a reference group of healthy elders...

..Inability of heart failure (HF) patients to recognize worsening symptoms that herald an exacerbation is a common reason for HF readmissions...

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..In this article, a model of factors affecting self-care decision making that include aging status, psychosocial status, health literacy, current symptom status, and prior experiences is proposed...

..08 versus 3.10 h), but there are important gender differences in the reasons patients delay and in their patterns of decision-making that may assist clinicians trying to tailor interventions...

..These symptoms are theorized to affect health-related quality of life (HRQOL), but their impact is likely mediated by variables not yet explored. Moreover, gender may affect these relationships...

..The purpose of this study was to explore factors contributing to medication adherence in patients with HF by using the World Health Organization's multidimensional adherence model...

..Even though various cultures were represented in this study, culture itself did not account for variations in anxiety after AMI. It appears that anxiety after AMI is a universal phenomenon...

..People having AMI experience a constellation of symptoms, but the common constellations or clusters of symptoms have yet to be identified...

..The psychometric properties of the LHFQ after deleting these items were improved. These results could provide researchers and clinicians a more useful measure of HRQOL...

..Clinicians often use heart rate and blood pressure as indicators of anxiety; however, little is known about whether these measures accurately reflect anxiety in acutely ill patients...

..Data remain sparse on women's prodromal symptoms before acute myocardial infarction (AMI). This study describes prodromal and AMI symptoms in women...

..Men and women differ in anxiety, which is one of the most stressful outcomes of an acute myocardial infarction (AMI). This anxiety may be moderated by coping styles of preference for information and control...

..IUGR is present in a significant number of full-term infants with birth weights greater than 2,500 g. The long-term effects of IUGR in these infants remain to be determined...

..The purpose of this study was to explore factors influencing adherence to the prescribed medical regimen in patients with heart failure (HF)...

..Effective management of anxiety positively influences patient outcome and should be a goal for all critical care patients...

..Cardiac dysfunction can prevent successful discontinuation of mechanical ventilation. Critically ill patients may have undetected cardiac disease, and cardiac dysfunction can be produced or exacerbated by underlying pathophysiology...

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..Despite the importance of medication adherence in heart failure, clinically relevant cutpoints for distinguishing the level of adherence associated with outcomes are unknown...

..To determine whether medication adherence is a mediator of the relationship between ethnicity and event-free survival in patients with HF...

..Anxiety levels and use of anxiolytic agents have not been compared between smokers and nonsmokers hospitalized because of acute myocardial infarction...

..Attitudes regarding difficulty in and perceived benefits of following the diet were not related to sodium excretion. Data on attitudes and barriers provided guidance for strategies to improve adherence...

..We examined patients' ability to self-monitor adherence to an LSD and medications by comparing self-reported adherence with objective evidence of adherence...

..Which objective indicators of medication adherence predict clinical outcomes are unknown. The study objective was to determine which indicators of medication adherence are predictors of event-free survival...

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..In fact, in some studies, women were more knowledgeable than men in the identification of risk factors and less common symptoms of AMI...

..With further systematic study, autonomic responses may be useful in the identification of patients who are likely to develop cardiac dysfunction with the resumption of spontaneous breathing...

..This study examined the effect of patients' and partners' depressive symptoms and anxiety on QoL in patient-spouse dyads using an innovative dyadic analysis technique, the Actor-Partner Interdependence Model (APIM)...

..Home health clinicians can select a variety of the instructional techniques presented to meet individual patient learning needs...

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..Given gender differences in symptom experience, examination of potential gender differences in clusters is reasonable...

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..To examine the impact of depressive symptoms on rehospitalisation for heart failure exacerbation in patients with preserved systolic function...

..Researchers have not described the experience of patients with heart failure living with depressive symptoms. Understanding this experience will help in developing interventions to decrease depressive symptoms...

..Among patients with heart failure, women have worse functional status than do men, but little research has focused on determining factors that influence functional status in either sex...

..This study offered a short version of the SAI with excellent psychometric properties that can be used in critically ill patients...

..However, in the context of depressive symptoms, the effect on survival of having a spouse is unknown...

..Further investigation of this phenomenon is warranted to determine if better adherence contributes to improved outcomes in women...

..CONCLUSION: Dietary fat intake may affect proinflammatory cytokine levels in patients with HF. Research to determine whether changing composition of dietary fat can alter proinflammatory cytokine activity of HF patients is warranted...

..Emergency department (ED) visits for asthma were assessed before and after the implementation of smoke-free legislation in Lexington-Fayette County, Ky...

..A low sodium diet is a cornerstone of nonpharmacologic therapy for heart failure patients. Although nonadherence is common, little is known about why heart failure patients fail to adhere to this diet...

..It is important to determine the unique impact of heart failure to more effectively improve HRQOL in this population...

..Clinicians must be aware of the potential for silent ischemia, monitor and evaluate their patients for such, and intervene to promote optimal cardiovascular function, particularly during the stress of ventilator weaning...

..To fill this gap, we developed the Medication Adherence Scale (MAS) and tested its reliability and validity in patients with HF...

..This article presents an integrative review of the research literature to determine the best evidence for prevention of PDNV in adults or for the rescue of patients who suffer from PDNV...

..These results suggest that completing these selected psychological instruments in thefirst 24 to 48 hoursfollowing MI was not a stressful event, at least for those who were stable post-percutaneous transluminal coronary angioplasty...

..Interventions designed to increase perceived control may be an important aspect of HF care, but require testing in randomized trials...

..CONCLUSION: Quality of life is similar in men and women with heart failure when functional status, age, ejection fraction, and marital status differences are controlled...

..A comprehensive, systematic anxiety assessment tool for valid and reproducible evaluation of patients' anxiety is needed...

..Researchers have questioned whether LHFQ is sensitive to subtle differences and sufficiently responsive to clinical interventions because the instrument has demonstrated variable performance in clinical trials...

..These findings suggest the need for multiple risk factor intervention strategies that improve physical and emotional health to decrease fatigue. Patients with depression warrant particular scrutiny...

..The aims of this study were to examine all dimensions of compliance and its related factors in one HF population...

..Thus, illness representation appears to be an important psychosocial factor in acute recovery from myocardial infarction...

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..Heart failure is an escalating health problem around the world. Despite significant scientific advances, heart failure patients experience multiple physical and psychological symptoms that can impact the quality of life...

..The quest continues to construct a simple self-report measure of anxiety that is appropriate for critically ill patients with AMI...

..Little is known about the patients with heart failure in hospice and the impact of hospice care on health-related outcomes...

..Younger spouses are particularly at risk for decreased emotional well-being and may require special intervention...

..Such information will assist clinicians to tailor health care service delivery and ensure the delivery of appropriate, quality care. This manuscript provides the background, rationale and methods for this study...

..Prehospital delay in response to acute myocardial infarction (AMI) symptoms is well documented in the US and Europe, but little is known about it in Asian countries where cardiovascular disease is increasing...

..The reliability and validity of the SCHFI are sufficient to support its use in clinical research...

..Although not routinely assessed, emotional variables had a major impact on health status. Interventions to improve health status should target both physical and emotional well-being...

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..Identification of variables predictive of physical symptom status is needed to develop effective interventions to improve health-related quality of life...

..Few such comparisons have been performed in persons with heart failure. The purpose of this study was to compare HRQL in non-Hispanic white, black, and Hispanic adults with heart failure...

..39-10.25), but not severity of chest pain. As opposed to men, severe chest pain may not be a cue for women to interpret their symptom as cardiac in origin. Education and counseling must take sex differences into account to be effective...

..Given the association between physical activity and overall QOL and relevant health indicators, measures to enhance physical activity need to be developed and tested; these strategies may be beneficial in improving overall outcomes...

..To compare delay and circumstances of decisions to seek care in patients with acute myocardial infarction (AMI) in the United States (US), England, Australia, South Korea, and Japan...

..Finally, we offer suggestions for clinical practice and future research...

..Patients are being followed for 2 years from the time of enrollment. The purpose of this article is to describe the intervention and its theoretical framework, and to outline the design of this randomized controlled trial...

..CONCLUSION: Research on which to base advice for HF patients is greatly needed...

..63 +/- 0.94 vs 1.07 +/- 0.95, p <0.05). In conclusion, the findings demonstrate the beneficial effects of a low-level, home-based walking program on weight loss in overweight and obese patients with advanced HF...

..CONCLUSIONS: Incorporating interventions that support active behavioral coping in lieu of avoidance coping may improve the emotional well-being of patients with heart failure...

..The proposed Center will provide the UKCON with the support needed to sustain a center of excellence to promote research programs that focus on self-management of cardiovascular and pulmonary disease. ..

..Effective management of cardiovascular risk factors could improve the health of inmates both while incarcerated and once released, and reduce the substantial personal and societal burden of cardiovascular disease. ..

..center as a whole, including administrative core and evaluation plan ..

..center as a whole, including administrative core and evaluation plan ..

..Biofeedback-relaxation training for patients with heart failure may have potential long-term clinical benefits and may serve as an important adjunct to pharmacologic therapy. ..

..Effective management of cardiovascular risk factors could improve the health of inmates both while incarcerated and once released, and reduce the substantial personal and societal burden of cardiovascular disease. ..