Barbara J Riegel

..These propositions were tested and supported using data obtained in previous research. Support of these propositions provides early evidence for this situation-specific theory of heart failure self-care...

..We hypothesized that a multimodal training method comprising audiovisual feedback and immediate debriefing would improve cardiopulmonary resuscitation performance among care providers...

..Self-care of heart failure has been described as a naturalistic decision-making process, but the data available to defend this description are anecdotal...

..Sleep dysfunction contributes to poor quality of life in adults with heart failure (HF). The purpose of this study was to identify factors associated with sleep dysfunction that may be modifiable...

..Assumptions and propositions of the theory are specified. Factors influencing self-care including experience, skill, motivation, culture, confidence, habits, function, cognition, support from others, and access to care are described...

..04). Only sleep quality was associated with fatigue (p < .001). Sleep-disordered breathing was not significantly associated with EDS or with fatigue. These factors may be amenable to intervention...

..Medication nonadherence rates are high. The factors predicting nonadherence in heart failure remain unclear...

..To determine how excessive daytime sleepiness (EDS) and impaired cognition contribute to health-related quality of life (HRQL) in heart failure (HF)...

..Further exploration of this naturally occurring phenomenon may provide insight into how HRQL can be improved in the general heart failure population...

..The purpose of this article is to propose a conceptual model describing how poor sleep may contribute to inadequate self-care and untoward outcomes in persons with HF...

..In the 5 years since the SCHFI was published, we have added items, refined the response format of the maintenance scale and the SCHFI scoring procedure, and modified our advice about how to use the scores...

..Although approximately half of adults with heart failure (HF) are women, relatively little is known about gender differences and similarities in HF self-care...

..Heart failure (HF) self-care is poor in developed countries like the United States, but little is known about self-care in developing countries...

..We sought to identify which ACS symptoms are related-symptom clusters-and to determine if sample characteristics, response times, and outcomes differ among symptom cluster groups...

..The purpose of this effort was to develop an instrument that can be used to describe the intensity and complexity of heart failure (HF) disease management programs...

..Aging is associated with losses in hearing and vision. The objective of this study was to assess whether aging also is associated with less ability to detect and interpret afferent physiological information...

..Understanding which patients respond best to particular interventions designed to decrease delay time would provide mechanistic insights into the process by which interventions work...

..In a previous, small, mixed-methods study, heart failure patients were described as novice, expert, or inconsistent in self-care. In that study, self-care types differed in experience, confidence, attitudes, and skill...

..We hypothesized that medication adherence would be poorer in adults with heart failure (HF) and EDS and that cognitive status would be the mechanism of effect...

..Self-care is vital for successful heart failure (HF) management. Mastering self-care is challenging; few patients develop sufficient expertise to avoid repeated hospitalization...

..Bystander CPR rates remain low. One reason may be that the thought of responding to an emergency is so stressful that it decreases the willingness of laypersons to respond...

..Self-care is an integral component of successful heart failure (HF) management. Engaging patients in self-care can be challenging...

..Others have documented substantial skill deterioration during this time period...

..The purpose of this study was to describe the characteristics associated with adequate CPR and AED skill retention...

..Small group meetings may be less intrusive and more desirable for this patient population...

..Modifiable factors, including psychosocial status, knowledge, and physical factors, are thought to influence heart failure self-care, but little is known about their combined impact on self-care...

..9, df = 9.56, P < .0001). CONCLUSIONS: Elderly men and those with fewer comorbid illnesses were most successful at HF self-care...

..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...

..Our study offers policymakers and health plan administrators important guideposts for developing an evidence base on which to build effective policy and programmatic initiatives for chronic care management...

..Although disease management is effective in the mainstream HF patient population, in Hispanics this ill, elderly, and poorly educated, a different approach may be needed...

..03). Those who successfully managed heart failure and work described strategies to incorporate self-care into their workdays, self-efficacy in managing symptoms while at work, and favorable attitudes toward employment...

..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...

..Self-care was defined as an active, cognitive process in which persons engage for the purpose of maintaining their health (maintenance) and managing symptoms (management)...

..Because self-care requires the cognitive ability to learn, perceive, interpret, and respond, research is needed to discern how neural deficits affects these abilities, decision-making, and self-care behaviors...

..Because these mechanisms are hypothetical, research findings are required to establish their validity. Several strategic research questions are proposed...

..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...

..Case management is believed to promote continuity of care and decrease hospitalization rates, although few controlled trials have tested this approach...

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

..The 12-item self-report Heart Failure Somatic Awareness Scale (HFSAS) was developed to measure awareness of and distress secondary to heart failure symptoms. The purpose of this study was to test the psychometric properties of the HFSAS...

..The Self-Regulation Model of Illness guided this study as it acknowledges the dynamic nature of illness and influence of contextual factors and social environment on the interpretation and response to symptoms...

..Little is known about the relationship between self-care in heart failure (HF) and outcomes like health status. The purpose of this study was to describe the relationship between HF self-care and Short Form-36 (SF-36) health status domains...

..Social support can influence treatment adherence of patients with chronic illnesses, which may explain the positive effects of social support on heart failure (HF) outcomes...

..Clusters occurred more frequently in older patients, but caused less impact...

..Scale scores were significantly correlated but without evidence of multicolinearity. Initial tests of reliability and validity support further testing of this new instrument...

..The authors conclude that this intervention may be most useful to clinical nurse specialists who have additional education, training in communication, and teaching and consulting skills...

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

..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...

..To describe perceived health and assess the factors that contribute to perceived health in community-dwelling older adults diagnosed with hypertension...

..To explore associations between psychiatric comorbidity and rehospitalization risk, length of hospitalization, and costs...

..Correlates of cognitive impairment require further study...

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..We examined the utility of an index of clinical exacerbations of heart failure (HF) as a surrogate measure of outcome for use in modestly sized clinical trials and observational studies...

..Despite a common view that women are better at self-care, there is very little evidence to support or challenge this perspective in the heart failure (HF) population...

..Thus, it is difficult to determine whether measured health disparities are the result of actual differences or due to measurement error resulting from translation or conceptual differences...

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..This study is expected to expand existing knowledge and clarify our understanding of the mechanisms linking EDS, failed self-care, poor HRQL, and unplanned hospitalizations in persons with heart failure. ..

..This study is expected to expand existing knowledge and clarify our understanding of the mechanisms linking EDS, failed self-care, poor HRQL, and unplanned hospitalizations in persons with heart failure. ..