How Does Spiritual Well-Being Change Over Time Among US Patients with Heart Failure and What Predicts Change?
How Does Spiritual Well-Being Change Over Time Among US Patients with Heart Failure and What Predicts Change?
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DOI：
10.1007/s10943-022-01712-4
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发表时间：
2022-12-07
影响因子：
2.8
通讯作者：
Bekelman，David B.
中科院分区：
文献类型：
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作者：
Deng，Lubin R.;Doyon，Katherine J.;Bekelman，David B.
很少有研究探讨心力衰竭患者的精神健康如何随着时间的推移而变化。我们对缓解症状和适应疾病的协作护理 (CASA) 试验 (N= 314) 的数据进行了二次分析。在基线和 12 个月的随访中，使用慢性病治疗功能评估-精神健康量表 (FACIT-Sp) 来测量精神健康。在随访时有精神健康数据的 165 名患者中，65 名 (39%) 的精神健康经历了可能具有临床意义的变化 (>0.5 SD)（35 名改善，30 名下降）。疼痛增加（p= 0.04）、呼吸困难减少（p< 0.01）和生命完成度增加（p= 0.02）与整体精神健康的改善相关。探索性分析发现了 FACIT-Sp 子量表的不同预测因子。
Few studies have examined how spiritual well-being changes over time in patients with heart failure. We conducted a secondary analysis of data from the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) trial (N= 314). Spiritual well-being was measured using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp) at baseline and 12-month follow-up. Of the 165 patients with spiritual well-being data at follow-up, 65 (39%) experienced probable clinically meaningful changes (> 0.5 SD) in spiritual well-being (35 improved, 30 declined). Increased pain (p= 0.04), decreased dyspnea (p< 0.01), and increased life completion (p= 0.02) were associated with improvement in overall spiritual well-being. Exploratory analyses found different predictors for FACIT-Sp subscales.