The effect of nurse-led group discussions by race on depressive symptoms in patients with heart failure.
The effect of nurse-led group discussions by race on depressive symptoms in patients with heart failure.
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DOI：
10.1016/j.hrtlng.2018.02.005
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发表时间：
2018-05
期刊：
影响因子：
--
通讯作者：
Smith CE
中科院分区：
文献类型：
--
作者：
Piamjariyakul U;Thompson NC;Russell C;Smith CE
在美国所有种族中，患有心力衰竭(HF)的非裔美国人患抑郁症的比例最高。比较不同种族对心力衰竭住院后首次就诊时讨论的抑郁症状和话题的影响。这项研究是对从一项随机临床试验中获得的数据的二次分析，该试验测试了93名高加索人和77名非裔美国人对心力衰竭自我管理干预的患者小组讨论。在干预组中，非裔美国人患者抑郁症状的减轻程度显著高于对照组(F=3.99，p=0.047)。在涉及医患讨论的四个主题(营养师推荐、预约日期、帮助准备讨论问题以及如何应对恶化的心衰症状)上，不同种族存在显著差异。与高加索人相比，干预组在减轻非裔美国人抑郁症状方面效果更好。建议患者做好在医生预约时讨论饮食、抑郁症状和心力衰竭症状的准备。
African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the United States. To compare the effects by race on depressive symptoms and topics discussed in the first clinic appointment after HF hospitalization. This study is a secondary analysis of data obtained from a randomized clinical trial that tested a patient group discussion of HF self-management intervention with 93 Caucasians and 77 African Americans. The reduction in depressive symptoms was significantly greater among African American patients within the intervention group (F = 3.99, p = .047) than controls. There were significant differences by race in four topics (dietitian referral, appointment date, help preparing discussion questions, and what to do about worsening HF symptoms) concerning patient-physician discussions. The intervention groups had a greater effect in reducing depressive symptoms among African Americans than Caucasians. Preparing patients for discussions at physician appointments on diet, depressive symptoms, and HF symptoms is recommended.
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影响因子：
120.7
作者：
Bodenheimer, T;Wagner, EH;Grumbach, K
通讯作者：
Grumbach, K
影响因子：
39.2
作者：
Boutron, Isabelle;Moher, David;Ravaud, Philippe
通讯作者：
Ravaud, Philippe
影响因子：
3.8
作者：
Glasgow, RE;Funnell, MM;Wagner, EH
通讯作者：
Wagner, EH
影响因子：
9.7
作者：
Coleman, Katie;Austin, Brian T.;Wagner, Edward H.
通讯作者：
Wagner, Edward H.
DOI：
10.1161/hhf.0b013e318291329a
发表时间：
2013-05
期刊：
Circulation. Heart failure
影响因子：
--
作者：
Heidenreich PA;Albert NM;Allen LA;Bluemke DA;Butler J;Fonarow GC;Ikonomidis JS;Khavjou O;Konstam MA;Maddox TM;Nichol G;Pham M;Piña IL;Trogdon JG;American Heart Association Advocacy Coordinating Committee;Council on Arteriosclerosis, Thrombosis and Vascular Biology;Council on Cardiovascular Radiology and Intervention;Council on Clinical Cardiology;Council on Epidemiology and Prevention;Stroke Council
通讯作者：
Stroke Council