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• W2169662830 abstract "Objectives. Congestive heart failure (CHF) is a pervasive cardiac syndrome with an elevated prevalence in the older population. High level of psychological distress has been reported in this patient group, resulting in more hospital readmissions, poorer quality of life, and increased mortality. Yet, little is known about its relating factors. This study identified the significant demographic, clinical, and psychosocial factors relating to psychological distress in CHF patients. Methods. Cross-sectional data were obtained from a consecutive sample of CHF patients (n=227) in an acute hospital setting. Psychological distress was measured by the Hospital Anxiety and Depression Scale (HADS). Functional status, symptom status, social support, and health perception respectively were assessed using the New York Heart Association Classification, Chronic Heart Failure Questionnaire, Medical Outcome Study Social Support Survey, and a 100-mm horizontal visual analogue scale. Other clinical variables were obtained from the hospital record. Results. The results indicated high level of psychological distress among CHF patients; the negative emotion of depression being the most dominant. In hierarchical regression analysis, poorer perceived emotional-informational support, higher levels of fatigue, poorer health perception, and not living with family were identified as the significant factors in association with psychological distress. In total, they explained for 49% of the variance for the HADS score. Among these factors, emotional-informational support and fatigue demonstrated the greatest explanatory power with the standardised coefficient (b) being -0.40 and -0.34 respectively. Conclusion. These findings highlight the importance of addressing the social support needs of the CHF patients. Assisting this vulnerable patient group to control the symptom of fatigue and cultivate a positive health perception should also be high priority treatment goals." @default.
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• W2169662830 date "2007-01-01" @default.
• W2169662830 modified "2023-09-23" @default.
• W2169662830 title "Psychological distress in elderly patients with congestive heart failure" @default.
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