PMID- 32650899
OWN - NLM
STAT- MEDLINE
DCOM- 20210730
LR  - 20210730
IS  - 1532-8201 (Electronic)
IS  - 0897-1897 (Linking)
VI  - 54
DP  - 2020 Aug
TI  - Executive dysfunction is associated with self-care confidence in patients with 
      heart failure.
PG  - 151312
LID - S0897-1897(20)30016-1 [pii]
LID - 10.1016/j.apnr.2020.151312 [doi]
AB  - AIM: To explore differences in self-care maintenance, management and confidence 
      levels between American heart failure (HF) patients with and without executive 
      dysfunction. BACKGROUND: Evidence indicates some aspect of cognitive impairment 
      is prevalent in up to 75% of the HF patient population. Moreover, cognitive 
      impairment has been identified as a barrier to adequate self-care contributing to 
      poor outcomes. There is limited understanding of the role executive function, a 
      domain of cognitive performance, has on self-care behaviors for patients with HF. 
      METHOD: This secondary analysis examined the role of executive function, measured 
      by the Clock Drawing Test (CDT), in relation to self-care measures. The Self Care 
      of Heart Failure Index v6.2 (SCHFI v6.2) was used to measure self-care 
      maintenance, management, and confidence. RESULTS: Participants had a mean age of 
      75.1 +/- 12.5 years, identified as male (59.4%), with New York Heart Association 
      (NYHA) class III (57.3%). Executive function impairment was present in 28% of the 
      sample. Comparison of self-care maintenance and management scores between the two 
      groups were not significant. However, participants with executive dysfunction 
      demonstrated an average self-care confidence score of 48.6 +/- 23.3, while 
      participants with no executive function impairment demonstrated a higher average 
      self-care confidence score of 61.5 +/- 18.4. Differences in self-care confidence 
      scores between the groups were statistically significant (p = .014). CONCLUSIONS: 
      HF self-care confidence is considered a moderator of self-care behaviors. 
      Understanding the influence executive function has on self-care confidence may 
      lead to a better understanding of those needing greater support with self-care 
      behaviors.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - Viveiros, Jennifer
AU  - Viveiros J
AD  - College of Nursing and Health Sciences, University of Massachusetts Dartmouth, 
      285 Old Westport Road, North Dartmouth, MA 02747, USA. Electronic address: 
      Jennifer.viveiros@umassd.edu.
FAU - Sethares, Kristen A
AU  - Sethares KA
AD  - College of Nursing and Health Sciences, University of Massachusetts Dartmouth, 
      285 Old Westport Road, North Dartmouth, MA 02747, USA.
FAU - Westlake, Cheryl
AU  - Westlake C
AD  - Memorial Care Shared Services, 17360 Brookhurst Street, Fountain Valley, CA 
      92708, USA. Electronic address: CWestlake@memorialcare.org.
LA  - eng
PT  - Journal Article
DEP - 20200520
PL  - United States
TA  - Appl Nurs Res
JT  - Applied nursing research : ANR
JID - 8901557
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cognitive Dysfunction
MH  - *Heart Failure/psychology/therapy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Self Care
OTO - NOTNLM
OT  - Clock drawing test
OT  - Cognitive impairment
OT  - Executive dysfunction
OT  - Heart failure
OT  - Self-care
EDAT- 2020/07/12 06:00
MHDA- 2021/07/31 06:00
CRDT- 2020/07/12 06:00
PHST- 2020/01/11 00:00 [received]
PHST- 2020/05/16 00:00 [revised]
PHST- 2020/05/16 00:00 [accepted]
PHST- 2020/07/12 06:00 [entrez]
PHST- 2020/07/12 06:00 [pubmed]
PHST- 2021/07/31 06:00 [medline]
AID - S0897-1897(20)30016-1 [pii]
AID - 10.1016/j.apnr.2020.151312 [doi]
PST - ppublish
SO  - Appl Nurs Res. 2020 Aug;54:151312. doi: 10.1016/j.apnr.2020.151312. Epub 2020 May 
      20.