Relationship between perceived fear of COVID-19 and self-care management in heart failure patients
DOI:
https://doi.org/10.15584/ejcem.2024.2.10Keywords:
COVID-19 fear, heart failure, self-care managementAbstract
Introduction and aim. The fear of contracting COVID-19, which affects human health biopsychosocially, is expected to affect the self-care management of patients with heart failure (HF). This study was conducted to investigate the relationship between perceived fear of COVID-19 and self-care management in HF patients.
Material and methods. The study was conducted with 115 HF patients. “Sociodemographic characteristics form”, “Fear of COVID-19 tool” and “Nine-item European Heart Failure Self-care Behavior Scale (EHFScB Scale-9)” were used to collect data.
Results. 51.3% of the participants in the study are in the 40–60 age range, 53.7% are male, 92.2% live with their family, 64.3% have a diagnosis of HF for less than 5 years. Levels of COVID-19 fear, and self-care management were found to be high in the participants who are 40 years old or younger, has higher education level, diagnosed within 1 to 3 years, received psychological support during the pandemic process, received training from doctor or nurse about COVID-19. Fear level and self-care levels were moderately positively correlated.
Conclusion. During the COVID-19 pandemic, it is necessary to develop effective care strategies to identify individuals with diseases such as HF who should have high self-care management skills.
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References
Malik A, Brito D, Vaqar S, Chhabra L. Congestive Heart Failure. In: StatPearls. Treasure Island (FL): StatPearls Publishing; November 5, 2023.
McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368
Mohan BS, NambiarV. COVID-19: an insight into SARS-CoV-2 pandemic originated at Wuhan City in Hubei Province of China. J Infect Dis Epidemiol. 2021;6(4):146.
Shaik A. CAD Complications in Existing With COVID-19 Infections. In: Clinical Practice and Post-Infection Care for COVID-19 Patients. 1st ed. Rao GS and Dhamdhere-Rao S eds. Hershey, PA USA: IGI Global, 2023:17-41. doi: 10.4018/978-1-6684-6855-5.ch002
Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. J Anxiety Disord. 2020;74:102258. doi: 10.1016/j.janxdis.2020.102258
Passavanti M, Argentieri A, Barbieri DM, et al. The psychological impact of COVID-19 and restrictive measures in the world. J Affect Disord. 2021;283:36-51.
Zhang Y, Ma ZF. Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning Province, China: A cross-sectional study. Int J Environ Res Public Health. 2020;17(7):2381. doi: 10.3390/ijerph17072381
Mukhtar, S. Psychological health during the coronavirus disease 2019 pandemic outbreak. Int J Soc Psychiatry. 2020;66(5):512-516. doi: 10.1177/0020764020925835
van Het Bolscher-Niehuis MJ, den Ouden ME, de Vocht HM, Francke AL. Effects of self-management support programmes on activities of daily living of older adults: A systematic review. Int J Nurs Stud. 2016;61:230-247. doi: 10.1016/j.ijnurstu.2016.06.014
Riegel B, Moser DK, Anker SD, et al. State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation. 2009;120(12):1141-1163. doi: 10.1161/CIRCULATIONAHA.109.192628
Sankaranarayanan R, Hartshorne-Evans N, Redmond-Lyon S, et al. The impact of COVID-19 on the management of heart failure: a United Kingdom patient questionnaire study. ESC Heart Fail. 2021;8(2):1324-1332. doi: 10.1002/ehf2.13209
Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2022;20(3):1537-1545. doi: 10.1007/s11469-020-00270-8
Ladikli N, Bahadır E, Yumuşak FN, Akkuzu H, Karaman G, Türkkan Z. The Reliability and Validity of Turkish Version of The Fear of COVID-19 Scale. Int J of Soc Sci. 2020;3(2):71-80.
Jaarsma T, Arestedt KF, Mårtensson J, Dracup K, Strömberg A. The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. Eur J Heart Fail. 2009;11(1):99-105. doi: 10.1093/eurjhf/hfn007
Yıldız E, Erci B. The Turkish version of Reliability and Validity of Nine Item-European Heart Failure Self-Care Behaviour Scale. Kafkas J Med Sci. 2018;8(1):55-60.
Kuno T, Takahashi M, Obata R, Maeda T. Cardiovascular comorbidities, cardiac injury, and prognosis of COVID-19 in New York City. Am Heart J. 2020;226:24-25. doi: 10.1016/j.ahj.2020.05.005
Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3
Rumery K, Seo A, Jiang L, et al. Outcomes of coronavirus disease-2019 among veterans with pre-existing diagnosis of heart failure. ESC Heart Fail. 2021;8(3):2338-2344. doi: 10.1002/ehf2.13291
Sokolski M, Trenson S, Sokolska JM, et al. Heart failure in COVID-19: the multicentre, multinational PCHF-COVICAV registry. ESC Heart Fail. 2021;8(6):4955-4967.
Ruksakulpiwat S, Zhou W, Phianhasin L, et al. The experience of caregivers of chronically ill patients during the COVID-19: A Systematic Review. Chronic Illn. 2022;18(3):488-502.
Shimels T, Asrat Kassu R, Bogale G, et al. Magnitude and associated factors of poor medication adherence among diabetic and hypertensive patients visiting public health facilities in Ethiopia during the COVID-19 pandemic. PLOS ONE. 2021;16(4):0249222. doi: 10.1371/journal.pone.0249222
Pimple P, Lima BB, Hammadah M, et al. Psychological distress and subsequent cardiovascular events in individuals with coronary artery disease. J Am Heart Assoc. 2019;8(9):011866. doi: 10.1161/JAHA.118.011866
Aghajanloo A, Negarandeh R, Janani L, Tanha K, Hoseini-Esfidarjani SS. Self-care status in patients with heart failure: systematic review and meta-analysis. Nurs Open. 2021;8(5):2235-2248. doi: 10.1002/nop2.805
Lee KS, Lennie TA, Yoon JY, Wu JR, Moser DK. Living arrangements modify the relationship between depressive symptoms and self-care in patients with heart failure. J Cardiovasc Nurs. 2017;32(2):171-179. doi: 10.1097/JCN.0000000000000327
Kim K, Yu J. Fear of COVID-19 and social distancing on the health behavior of coronary heart disease patients. Appl Nurs Res. 2023;69:151664. doi: 10.1016/j.apnr.2022.151664
Bansal K, Majmundar V, Muthyala A, et al. Association between psychosocial risk factors and readmissions after acute myocardial infarction: role of COVID-19 pandemic. Curr Probl Cardiol. 2023;48(10):101881. doi: 10.1016/j.cpcardiol.2023.101881
Marotta M, Gorini F, Parlanti A, et al. Fear of COVID-19 in patients with acute myocardial infarction. Int J Environ Res Public Health. 2021;18(18):9847. doi: 10.3390/ijerph18189847
Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. J Anxiety Disord. 2020;74:102258. doi: 10.1016/j.janxdis.2020.102258
Satici S, Iyngkaran P, Andrew S, et al. Rethinking heart failure care and health technologies from early COVID-19 experiences - A narrative review. RCM. 2021;22(1):105-114. doi: 10.31083/j.rcm.2021.01.272
Tersalvi G, Winterton D, Cioffi GM, et al. Telemedicine in Heart Failure During COVID-19: A Step Into the Future. Front Cardiovasc Med. 2020;7:612818. doi: 10.3389/fcvm.2020.612818
Prasun MA, Blakeman JR, Vuckovic K, et al. Perceptions of changes in practice patterns and patient care among heart failure nurses during the COVID-19 pandemic. Heart Lung. 2022;52:152-158. doi: 101016/j.hrtlng.2022.01.004
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