The Relationship between Depression and Anxiety and Heart Failure Patients’ Adherence to Self-Care Recommendations
- Author:
JAAFAR MH
;
VILLIERS-TUTHILL A
;
MCGEE H
;
MORGAN K
- Publication Type:Journal Article
- Keywords:
adherence;
anxiety;
depression;
heart failure;
self-care
- From:Medicine and Health
2019;14(2):87-96
- CountryMalaysia
- Language:English
-
Abstract:
Heart failure is a physically debilitating and psychologically distressing chronic
condition. Although depressive disorder is a strong predictor of short-term
deterioration of heart failure symptoms and mortality, only few studies have
focused on habit and daily routines. The present study aimed to investigate the
relationship between depression and anxiety and heart failure patients’ self-care
behaviour. Interviews were completed with 161 patients at hospital outpatient
clinics in Belfast and Dublin. Depression and anxiety were assessed using the
Hospital Anxiety and Depression Scale (HADS). Self-care behaviour was assessed
using the European Heart Failure Self-Care Behaviour Scale (EHFSCBS). ‘Probable’
clinical depression was indicated in 18%, and ‘probable’ caseness of anxiety
disorder in 16% of patients. Self-care behaviour adherence varied considerably
across behaviours and was higher for taking medication as prescribed (93.1%), and
taking it easy if breathless (75.1%) and lower for daily self-weighing (13.6%), regular
exercise (33.6%) and limiting fluid intake (38.5%). No significant relationship was
found between overall reported self-care adherence and anxiety or depression.
However, significant association with depression were found for five of the 12
self-care items, and also with anxiety for two of these. Our results demonstrated
that mental well-being in patients with heart failure plays a significant role in the
patients’ ability to adhere to self-care regimens.
- Full text:22.2020my0009.pdf
