PMID- 35577488
OWN - NLM
STAT- MEDLINE
DCOM- 20220519
LR  - 20220608
IS  - 1532-8201 (Electronic)
IS  - 0897-1897 (Linking)
VI  - 65
DP  - 2022 Jun
TI  - Illness acceptance, medication adherence and the quality of life in patients with 
      heart failure: A path analysis of a conceptual model.
PG  - 151583
LID - S0897-1897(22)00025-8 [pii]
LID - 10.1016/j.apnr.2022.151583 [doi]
AB  - Heart failure (HF) is a chronic disease that negatively affects different aspects 
      of the patients' lives, diminishing their quality of life. This research studied 
      factors that impact the health-related quality of life (HRQoL) of patients with 
      HF, particularly medication adherence and acceptance of illness. In this 
      cross-sectional study, data were collected from 273 patients admitted to a 
      tertiary hospital with the diagnosis of HF. Participants' level of illness 
      acceptance, medication adherence, and HRQoL were assessed using validated 
      questionnaires, and data were analyzed using the regression path analysis. There 
      was found a moderate level of acceptance of illness (24.9 +/- 6.79) and low levels 
      of medication adherence (3.44 +/- 3.15) and HRQoL (53.81 +/- 17.99) among 
      participants. Gender, education, income, history of coronary artery bypass 
      (CABG), the New York Heart Association (NYHA) class, acceptance of illness, and 
      medication adherence were statistically significantly associated with HRQoL. 
      Patients with diminished HRQoL were more likely to be female, less educated, have 
      lower income, higher NYHA class, no prior CABG, low medication adherence, and low 
      level of acceptance of illness. The final path model demonstrated a good fit with 
      the data (chi;2/df = 1.70, CFI = 0.92, RMSEA = 0.05, and p = 0.01). Health care 
      providers should target and promote medication adherence and the acceptance of 
      illness as modifiable factors to help improve the HRQoL of patients with HF.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Sadeghiazar, Saman
AU  - Sadeghiazar S
AD  - Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, 
      East Azerbaijan, Iran.
FAU - Mobasseri, Khorshid
AU  - Mobasseri K
AD  - School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran.
FAU - Gholizadeh, Leila
AU  - Gholizadeh L
AD  - IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, Australia.
FAU - Sarbakhsh, Parvin
AU  - Sarbakhsh P
AD  - Department of Statistics and Epidemiology, School of Public Health, Tabriz 
      University of Medical Sciences, Tabriz, Iran.
FAU - Allahbakhshian, Atefeh
AU  - Allahbakhshian A
AD  - Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, 
      East Azerbaijan, Iran. Electronic address: atefehbakhshian@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20220406
PL  - United States
TA  - Appl Nurs Res
JT  - Applied nursing research : ANR
JID - 8901557
SB  - IM
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Heart Failure/drug therapy
MH  - Humans
MH  - Male
MH  - Medication Adherence
MH  - *Quality of Life
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Acceptance of illness
OT  - Health-related quality of life
OT  - Heart failure
OT  - Medication adherence
EDAT- 2022/05/17 06:00
MHDA- 2022/05/20 06:00
CRDT- 2022/05/16 21:06
PHST- 2021/10/06 00:00 [received]
PHST- 2022/02/18 00:00 [revised]
PHST- 2022/04/03 00:00 [accepted]
PHST- 2022/05/16 21:06 [entrez]
PHST- 2022/05/17 06:00 [pubmed]
PHST- 2022/05/20 06:00 [medline]
AID - S0897-1897(22)00025-8 [pii]
AID - 10.1016/j.apnr.2022.151583 [doi]
PST - ppublish
SO  - Appl Nurs Res. 2022 Jun;65:151583. doi: 10.1016/j.apnr.2022.151583. Epub 2022 Apr 
      6.