PMID- 27685859
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20220311
IS  - 1550-5049 (Electronic)
IS  - 0889-4655 (Linking)
VI  - 32
IP  - 4
DP  - 2017 Jul/Aug
TI  - Direction of the Relationship Between Acceptance of Illness and Health-Related 
      Quality of Life in Chronic Heart Failure Patients.
PG  - 348-356
LID - 10.1097/JCN.0000000000000365 [doi]
AB  - BACKGROUND: This study provides an in-depth insight into the relationships 
      between illness acceptance and health-related quality of life (HRQoL) of chronic 
      heart failure (CHF) patients. Although HRQoL is a well-established endpoint in 
      CHF, little is known on illness acceptance in this group. AIMS: The aim of this 
      study is to critically reconsider the direction of a relationship between HRQoL 
      and illness acceptance in CHF patients. METHODS: The study included 204 patients 
      (160 men and 44 women; mean age, 63 +/- 11 years) with at least 6-month clinical 
      evidence of CHF corresponding to New York heart Association (NYHA) classes I to 
      IV. All the patients were examined with the Minnesota Living With Heart Failure 
      Questionnaire (MLHFQ) and Acceptance of Illness Scale (AIS). RESULTS: Univariate 
      analysis showed that the level of illness acceptance correlated inversely with 
      patient age, and the level of HRQoL decreased with the severity of CHF (NYHA 
      class). A relationship between illness acceptance and HRQoL was analyzed by 
      structural equation modeling. Model 1 was based on the assumption that HRQoL is 
      modulated by illness acceptance, and model 2 tested the opposite relationship. 
      Both models included patient age and NYHA class as extrinsic determinants of AIS 
      and MLHFQ scores, respectively. Model 2 proved to be well fitted (chi [df = 2] = 
      3.22, P = .20, root-mean-square error of approximation = 0.055). Scores on the 
      AIS correlated inversely with age (bage->AIS = -0.15, SE = 0.05, P = .002) and 
      HRQoL (bQoL->AIS = -0.15, SE = 0.02, P < .001), and an increase in NYHA class was 
      reflected by an increase in HRQoL scores (bNYHA->QoL = 5.75, SE = 1.97, P = 
      .004). CONCLUSION: Patients with CHF may not accept their disease due to 
      deteriorated HRQoL. As a result, they may be uninvolved in the therapeutic 
      process, which leads to exacerbation of CHF, further deterioration of HRQoL, and 
      inability to accept the illness.
FAU - Obieglo, Monika
AU  - Obieglo M
AD  - Monika Obieglo, PhD Registred Nurse, Department of Clinical Nursing, Wroclaw 
      Medical University, and Department of Cardiac Surgery, Centre for Heart Disease, 
      Military Hospital, Wroclaw, Poland. Agnieszka Siennicka, PhD Senior Researcher, 
      Department of Cardiology, Centre for Heart Disease, Military Hospital, Wroclaw, 
      and Department of Physiology and Department of Heart Diseases, Wroclaw Medical 
      University, Poland. Ewa A. Jankowska, MD Professor, Department of Cardiology, 
      Centre for Heart Disease, Military Hospital, Wroclaw; Laboratory of the Applied 
      Research on Cardiovascular System, Department of Heart Diseases, Wroclaw Medical 
      University; and Polish Academy of Sciences, Anthropology Unit in Wroclaw, Poland. 
      Dariusz P. Danel, PhD Senior Researcher, Polish Academy of Sciences, Anthropology 
      Unit in Wroclaw, Poland.
FAU - Siennicka, Agnieszka
AU  - Siennicka A
FAU - Jankowska, Ewa A
AU  - Jankowska EA
FAU - Danel, Dariusz P
AU  - Danel DP
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Cardiovasc Nurs
JT  - The Journal of cardiovascular nursing
JID - 8703516
SB  - IM
MH  - Aged
MH  - Depressive Disorder
MH  - Female
MH  - *Health Behavior
MH  - Heart Failure/*psychology/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Quality of Life/*psychology
MH  - *Severity of Illness Index
EDAT- 2016/09/30 06:00
MHDA- 2018/04/12 06:00
CRDT- 2016/09/30 06:00
PHST- 2016/09/30 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
PHST- 2016/09/30 06:00 [entrez]
AID - 10.1097/JCN.0000000000000365 [doi]
PST - ppublish
SO  - J Cardiovasc Nurs. 2017 Jul/Aug;32(4):348-356. doi: 10.1097/JCN.0000000000000365.