Stress, cognitive appraisal, coping, and event free survival in patients with heart failure.

Stress, cognitive appraisal, coping, and event free survival in patients with heart failure.
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DOI:
10.1016/j.hrtlng.2018.03.008
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发表时间:
2018-05
期刊:
Heart & lung : the journal of critical care
影响因子:
--
通讯作者:
Moser DK
Moser DK
中科院分区:
其他
文献类型:
--
作者:
Alhurani AS;Dekker R;Ahmad M;Miller J;Yousef KM;Abdulqader B;Salami I;Lennie TA;Randall DC;Moser DK

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目的描述心力衰竭(HF)患者自我报告的压力水平、认知评价和应对策略,并探讨认知评价和应对策略与无事件生存的关系。这是一项针对慢性心衰患者的前瞻性、纵向、描述性研究。分别采用感知压力量表、认知评估健康量表和简易COPE量表对应激、认知评估和应对进行评估。无事件生存期定义为心脏再住院和全因死亡。共有88例HF患者参与,平均年龄58±13岁,男性53.4%。线性和cox回归显示,伤害/损失认知评价与回避性情绪应对(β= - 0.28; 95% CI: - 0.21 - 0.02; p= 0.02)和无事件生存(HR= 0.53; 95% CI: 0.28 - 1.02; p= 0.05)相关。对心衰相关应激源的认知评价可能导致消极的应对策略,这与较差的无事件生存率相关。
To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with event-free survival. This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively. The event-free survival was defined as cardiac rehospitalization and all-cause death. A total of 88 HF patients (mean age 58 ± 13 years and 53.4% male) participated. Linear and cox regression showed that harm/loss cognitive appraisal was associated with avoidant emotional coping (β= −0.28; 95% CI: −0.21 – 0.02; p= 0.02) and event free survival (HR= 0.53; 95% CI: 0.28 – 1.02; p= 0.05). The cognitive appraisal of the stressors related to HF may lead to negative coping strategies that are associated with worse event-free survival.
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