Abstract
Objectives: To examine the various types of social support associated with physical and depressive symptoms and health-related quality of life (HRQOL) in patients with heart failure (HF) and the mediating effects of symptoms on the relationship between social support and HRQOL. Background: Patients with HF have a high burden of physical and depressive symptoms, along with poor HRQOL. Social support may improve symptoms and HRQOL. Methods: Data on social support (marital status, family relationships, relationships with health care providers, social networks, emotional support, and instrumental support), symptoms, and HRQOL were collected from 71 patients. Hierarchical regression was used to analyze the data. Results: Emotional support was related to all physical and depressive symptoms and HRQOL. Physical and depressive symptoms mediated the relationship between emotional support and HRQOL. Conclusions: Further studies are needed to identify ways to improve emotional support and determine whether the improvement leads to improvements in symptoms and HRQOL.
Original language | English |
---|---|
Pages (from-to) | 299-305 |
Number of pages | 7 |
Journal | Heart and Lung: Journal of Acute and Critical Care |
Volume | 43 |
Issue number | 4 |
DOIs | |
State | Published - Jul 2014 |
Bibliographical note
Funding Information:Instrumental support was defined as tangible support from others and was measured by the Social Support Scale-Instrumental (Heart Failure) developed by the first author. Content validity was supported by two experts in HF research. The measure consists of 5 items on a 5-point Likert Scale ranging from 0 (never) to 4 (always). The 5-items represent 5 types of instrumental support: shopping, preparation of low sodium foods and encouragement to eat low sodium foods, symptom management, monetary support, and readiness to help when instrumental support is needed. Possible total scores range from 0 to 20, with higher scores indicating greater instrumental support. Cronbach's alpha was .88 in the current study.
Keywords
- Emotional support
- HF
- HRQOL
- Heart failure
- NYHA
- Quality of life
- Social support
- Symptoms
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine