PMID- 26240585
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150804
LR  - 20200929
IS  - 1738-5520 (Print)
IS  - 1738-5555 (Electronic)
IS  - 1738-5520 (Linking)
VI  - 45
IP  - 4
DP  - 2015 Jul
TI  - Cognitive Function and Self-Care in Patients with Chronic Heart Failure.
PG  - 310-6
LID - 10.4070/kcj.2015.45.4.310 [doi]
AB  - BACKGROUND AND OBJECTIVES: This study examined the association of cognitive 
      function with self-care and major adverse cardiac events (MACE) among heart 
      failure (HF) patients. SUBJECTS AND METHODS: In this prospective study, 86 
      outpatients with HF completed face-to-face interviews including 
      neuropsychological testing to evaluate cognitive function and the use of the 
      Self-Care of Heart Failure Index to measure self-care. Functional status was 
      assessed with the New York Heart Association (NYHA) classification. Follow-up 
      data on MACE were obtained at 24 months after enrollment. RESULTS: Compared with 
      the Korean norm values, more than half of the HF patients had cognitive deficits 
      in global function (33.0%), immediate recall (65.1%), delayed recall memory 
      (65.1%), and executive function (60.5%). Patients with symptomatic HF (>/=NYHA 
      class II) had the higher risk for substantially poor cognitive function in all 
      areas of cognitive function than asymptomatic HF patients (NYHA class I, p<0.05). 
      Most patients demonstrated poor self-care adequacy in maintenance (84.9%), 
      management of symptoms (100%), and confidence (86.0%). After adjustment for age 
      and gender, memory function was significantly associated with self-care 
      confidence (odds ratio 1.41, 95% confidence interval 1.03-1.92, p=0.033). No 
      relationship was found between cognition and self-care maintenance. There were 19 
      MACE's during the 24-month follow-up. Patients without MACE had a significantly 
      higher global cognitive function (p=0.024), while no cognitive domains were 
      significant predictors of MACE when adjusted for age and gender. CONCLUSION: HF 
      patients with memory loss have poorer self-care confidence. Studies are warranted 
      to examine the functional implication of cognitive deficits and adverse outcomes 
      in a larger sample.
FAU - Kim, Jin Shil
AU  - Kim JS
AD  - College of Nursing, Gachon University, Incheon, Korea.
FAU - Hwang, Seon Young
AU  - Hwang SY
AD  - College of Nursing, Hanyang University, Seoul, Korea.
FAU - Shim, Jae Lan
AU  - Shim JL
AD  - College of Nursing, Hanyang University, Seoul, Korea.
FAU - Jeong, Myung Ho
AU  - Jeong MH
AD  - Department of Cardiology, Chonnam National University, Gwangju, Korea.
LA  - eng
PT  - Journal Article
DEP - 20150714
PL  - Korea (South)
TA  - Korean Circ J
JT  - Korean circulation journal
JID - 101247141
PMC - PMC4521109
OTO - NOTNLM
OT  - Cognition
OT  - Heart failure
OT  - Outpatients
OT  - Self care
COIS- The authors have no financial conflicts of interest.
EDAT- 2015/08/05 06:00
MHDA- 2015/08/05 06:01
PMCR- 2015/07/01
CRDT- 2015/08/05 06:00
PHST- 2014/10/01 00:00 [received]
PHST- 2015/01/12 00:00 [revised]
PHST- 2015/03/24 00:00 [accepted]
PHST- 2015/08/05 06:00 [entrez]
PHST- 2015/08/05 06:00 [pubmed]
PHST- 2015/08/05 06:01 [medline]
PHST- 2015/07/01 00:00 [pmc-release]
AID - 10.4070/kcj.2015.45.4.310 [doi]
PST - ppublish
SO  - Korean Circ J. 2015 Jul;45(4):310-6. doi: 10.4070/kcj.2015.45.4.310. Epub 2015 
      Jul 14.