en POLSKI
eISSN: 2544-2538
ISSN: 2450-8624
Pielęgniarstwo w Opiece Długoterminowej / Long-Term Care Nursing
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3/2023
vol. 8
 
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abstract:
Original paper

Identification of heart failure patients with highest anxiety level – simple self-invented one-question scale.

Joanna Banach
1
,
Łukasz Wołowiec
1
,
Daniel Rogowicz
1
,
Joanna Osiak
1
,
Ewa Gruszczyńska
1
,
Katarzyna Jankowska
2
,
Katarzyna Buszko
3
,
Grze­gorz Gilewski
1
,
Władysław Sinkiewicz
1
,
Grzegorz Grześk
1

  1. Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences,, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland, Polska
  2. Department of Pediatric Hematology and Oncology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland, Polska
  3. Department of Biostatistics and Biomedical Systems Theory,, Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland, Polska
Long-Term Care Nursing 2023; 8 (3): 57-68
Online publish date: 2023/11/02
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Aim
The aim of this work is to assess the influence of anxiety level, self-perceived disease severity, primary source of knowledge and selected socioeconomic factors on the degree of adherence to guidelines-based self-maintenance recommendations in patients with chronic heart failure.

Material and methods
202 patients from CHF outpatient clinic and hospitalized with CHF were assessed with 5-part questionnaire, self-invented scale assessing self-perceived disease severity and with Spielberger State Trait Anxiety Inventory (STAI).

Results
Patients with highest anxiety levels (>40pts) were in more advanced stages of the disease, had lower level of education and perceived their disease as more severe than individuals with lower anxiety levels (<40pts). Primary source of knowledge was physician for majority of patients. Only 23% know and obeyed all self-maintenance recommendations. Self-perceived disease severity was the strongest determinant of anxiety level (p= 0,013; 1,041-1,418; HR=1,215). Anxiety level did not influence adherence to guidelines-based recommendations.

Conclusions
Perceived disease severity is strongly associated with anxiety level. Simple self-perceived disease severity scale can substitute for more complicated psychological tools. Physician, as the most important source of knowledge, has an immense role in educating patients on self-maintenance behaviour. Practice Implications: The use of simple, reproducible scale can significantly facilitate identification of patients with high anxiety level requiring therapeutic intervention.

keywords:

anxiety, self-perceived disease severity scale, adherence, heart failure

 
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