PMID- 29042757
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20220408
IS  - 1178-1998 (Electronic)
IS  - 1176-9092 (Print)
IS  - 1176-9092 (Linking)
VI  - 12
DP  - 2017
TI  - Cognitive deficits and self-care behaviors in elderly adults with heart failure.
PG  - 1565-1572
LID - 10.2147/CIA.S140309 [doi]
AB  - INTRODUCTION: Elderly adults with heart failure (HF) may have problems with 
      self-care behaviors because of cognitive deficits. Self-care deficits have been 
      found to be significantly associated with negative health care outcomes among HF 
      patients. The aim of this paper was to assess cognitive deficits and the level of 
      self-care ability in elderly patients with HF, and to determine if a relationship 
      exists between cognitive deficits and self-care. MATERIALS AND METHODS: The study 
      included 270 elderly patients (mean age: 72.5 years) with HF. We used the Mini 
      Mental State Examination Scale (MMSE) to evaluate cognitive functioning, and the 
      European Heart Failure Self-care Behavior Scale, revised into a nine-item scale 
      (EHFScBS-9), to evaluate self-care behaviors. Associations between the variables 
      were examined using multiple regression analysis. RESULTS: Lower scores in both 
      MMSE and EHFScBS-9 questionnaires were correlated with older age, living alone, 
      lower education, longer duration of illness, higher number of rehospitalizations, 
      as well as lower left ventricular ejection fraction and higher New York Heart 
      Association (NYHA) class. The multiple regression analysis was used for 
      evaluation of the impact of the following predictors: MMSE score, age, duration 
      of illness, ejection fraction, number of hospitalizations, sex, residence, 
      education, relationship status, and NYHA class on EHFScBS-9 score. CONCLUSIONS: 
      Elderly patients with HF may have worse self-care behaviors because of their 
      cognitive deficits. Age was the strongest predictor of worse MMSE scores. 
      Multidisciplinary health teams should pay attention to the special needs of 
      elderly patients who live with their illness for many years and have no social 
      support because of living alone.
FAU - Uchmanowicz, Izabella
AU  - Uchmanowicz I
AD  - Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical 
      University, Wroclaw, Poland.
FAU - Jankowska-Polanska, Beata
AU  - Jankowska-Polanska B
AD  - Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical 
      University, Wroclaw, Poland.
FAU - Mazur, Grzegorz
AU  - Mazur G
AD  - Department and Clinic of Internal and Occupational Diseases and Hypertension, 
      Wroclaw Medical University, Wroclaw, Poland.
FAU - Sivarajan Froelicher, Erika
AU  - Sivarajan Froelicher E
AD  - Department of Physiological Nursing, School of Nursing.
AD  - Department of Epidemiology & Biostatistics, School of Medicine, University of 
      California San Francisco, San Francisco, CA, USA.
LA  - eng
PT  - Journal Article
DEP - 20171003
PL  - New Zealand
TA  - Clin Interv Aging
JT  - Clinical interventions in aging
JID - 101273480
RN  - 0J48LPH2TH (Hydrochlorothiazide)
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Cognition Disorders/*epidemiology
MH  - Cross-Sectional Studies
MH  - Disability Evaluation
MH  - Female
MH  - Heart Failure/*epidemiology
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Hydrochlorothiazide
MH  - Male
MH  - Mental Status and Dementia Tests
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Self Care/*statistics & numerical data
MH  - Sex Factors
MH  - Socioeconomic Factors
MH  - Time Factors
MH  - Ventricular Function, Left
PMC - PMC5633303
OTO - NOTNLM
OT  - aging care
OT  - self-care behaviors
COIS- Disclosure The authors report no conflicts of interest in this work.
EDAT- 2017/10/19 06:00
MHDA- 2018/04/12 06:00
PMCR- 2017/10/03
CRDT- 2017/10/19 06:00
PHST- 2017/10/19 06:00 [entrez]
PHST- 2017/10/19 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
PHST- 2017/10/03 00:00 [pmc-release]
AID - cia-12-1565 [pii]
AID - 10.2147/CIA.S140309 [doi]
PST - epublish
SO  - Clin Interv Aging. 2017 Oct 3;12:1565-1572. doi: 10.2147/CIA.S140309. eCollection 
      2017.