Cor Vasa 2022, 64(5):510-516 | DOI: 10.33678/cor.2022.015

(Illness perception and its connection with chosen characteristics in heart failure patients)

Katka Bobčíková, Radka Bužgová
Ústav ošetřovatelství a porodní asistence, Lékařská fakulta Ostravské univerzity, Ostrava

Aim: The aim of this cross-sectional study was to determine the illness perception of the chronic heart fail- ure, and to describe its links with selected characteristics.

Methods: Data were obtained with a questionnaire survey, data on NYHA classification were obtained from the patient's medical records. Illness perception was evaluated by The Brief Illness Perception Questionnaire (Brief-IPQ). The sample included 173 patients, and data were collected from July 2020 to November 2021 at the cardiovascular ward.

Results: The overall Brief-IPQ score was 42.70 (SD = 9.95; min. 11; max. 70). Statistically significant rela- tionships were found between illness perception and NYHA classification (p = 0.0015), and between illness perception and self-sufficiency of the patient (p = 0.0388). Illness perception further correlated with quality of life overall score (rSp = 0.4113; p <0.05) and within the domain score of quality of life (physical domain: rSp = 0.3642; p <0.05; emotional domain: rSp = 0.4751; p <0.05). A correlation was also found between illness perception and depression (rSp = 0.5371; p <0.05), social support (rSp = -0.2333; p <0.05), and age (rSp = 0.1628; p <0.05).

Conclusion: Patients with more serious heart failure (NYHA classes III and IV) and decreasing self-sufficiency perceive their illness more negatively. Furthermore, illness perceptions of chronic heart failure may be exacerbated by decreasing quality of life, the incidence of depression, poorer social support, or older age of the patient.

Keywords: Depression, Illness perception, NYHA, Quality of life, Self-sufficiency, Social support

Received: February 15, 2022; Revised: February 23, 2022; Accepted: February 24, 2022; Published: November 1, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Bobčíková K, Bužgová R. (Illness perception and its connection with chosen characteristics in heart failure patients). Cor Vasa. 2022;64(5):510-516. doi: 10.33678/cor.2022.015.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Leventhal H, Diefenbach M, Leventhal EA. Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognit Ther Res 1992;16:143-163. Go to original source...
    2. Özkan TF, Fertelli T, Mollaoğlu M. Effects of loneliness on illness perception in persons with a chronic disease. J Clin Nurs 2018;27:e1494-e1500. Go to original source... Go to PubMed...
    3. Steca P, Greco A, Monzani D, et al. How does illness severity influence depression, health satisfaction and life satisfaction in patients with cardiovascular disease? The mediating role of illness perception and self efficacy beliefs. Psychol Health 2013;28:765-783. Go to original source... Go to PubMed...
    4. Gřiva M, Kabelka L, Vítovec J. Paliativní péče u pacientů žijících se srdečním selháním. Souhrn dokumentu. Cor Vasa 2020;62:64-69. Go to original source...
    5. Sobanski PZ, Alt-Epping B, Currow DC, et al. Palliative care for people living with heart failure: European Association for Palliative Care Task Force expert position statement. Cardiovasc Res 2020;116:12-27. Go to original source... Go to PubMed...
    6. Pedersen S, Von Känel R, Tully P, et al. Psychosocial perspectives in cardiovascular disease. Eur J Prev Cardiol 2017;24:108-115. Go to original source... Go to PubMed...
    7. Špinar J, Málek F, Špinarová L, et al. Úprava guidelines ACC pro léčbu srdečního selhání v roce 2021. Cor Vasa 2021;63:264-270. Go to original source...
    8. Špinar J, Špinarová L, Málek F, et al. Shrnutí nových poznatků v léčbě srdečního selhání: farmakologická, nefarmakologická léčba a péče o nemocné. Zpráva ze setkání expertů Asociace srdečního selhání Evropské kardiologické společnosti - 2019. Cor Vasa 2019;61:e617-e622. Go to original source...
    9. Seferovic PM, Ponikowski P, Anker SD, et al. Clinical practice update on heart failure 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2019;21: 1169-1186. Go to original source... Go to PubMed...
    10. Broadbent E, Petrie KJ, Main J, et al. The Brief Illness Perception Questionnaire. J Psychosom Res 2006;60:631-637. Go to original source... Go to PubMed...
    11. Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Md State Med J 1965;14:56-61. Go to original source...
    12. Rector T, Kubo S, Cohn J. Patient's self-assessment of their congestive heart failure. Part 2: content, reliability and validity of a new measure, The Minnesota Living with Heart Failure Questionnaire. Heart Failure 1987;3:198-209.
    13. Kroenke K, Spitzer RL, Williams J. The PHQ-9 Validity of a Brief Depression Severity Measure. J Gen Intern Med 2001;16:606-613. Go to original source... Go to PubMed...
    14. Mitchell PH, Powell L, Blumenthal J, et al. A short social support measure for patients recovering from myocardial infarction: the ENRICHD Social Support Inventory. J Cardiopulm Rehabil 2003;23:398-403. Go to original source... Go to PubMed...
    15. Špinarová M, Špinarová L, Špinar J. Klinické klasifikace a skórovací systémy u srdečního selhání. Kardiol Rev Int Med 2015;17:131-135.
    16. MacMahon KMA, Lip GYH. Psychological Factors in Heart Failure: A Review of the Literature. Arch Intern Med 2002;162:509-516. Go to original source... Go to PubMed...
    17. Lerdal A, Hofoss D, Gay CL, et al. Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity. J Patient Rep Outcomes 2019;3:55. Go to original source... Go to PubMed...
    18. Bos-Touwen I, Schuurmans M, Monninkhof EM, et al. Patient and Disease Characteristics Associated with Activation for Self--Management in Patients with Diabetes, Chronic Obstructive Pulmonary Disease, Chronic Heart Failure and Chronic Renal Disease: A Cross-Sectional Survey Study. PLoS One 2015;10:e0126400. Go to original source... Go to PubMed...
    19. Ding R. Exercise-Based Rehabilitation for Heart Failure: Clinical Evidence. Adv Exp Med Biol 2017;1000:31-49. Go to original source... Go to PubMed...
    20. Nguyen TV, Dang HT, Burns MJ, et al. Impairment in activities of daily living and readmission in older patients with heart failure: a cohort study. BMJ Open 2021;11:e044416. Go to original source... Go to PubMed...
    21. Le Corvoisier P, Bastuji-Garin S, Renaud B, et al. Functional status and co-morbidities are associated with in-hospital mortality among older patients with acute decompensated heart failure: a multicentre prospective cohort study. Age Ageing 2015;44:225-231. Go to original source... Go to PubMed...
    22. Morgan K, Villiers-Tuthill A, Barker M, et al. The contribution of illness perception to psychological distress in heart failure patients. BMC Psychol 2014;2:50. Go to original source... Go to PubMed...
    23. Nahlén Bose C, Elfström ML, Björling G, et al. Patterns and the mediating role of avoidant coping style and illness perception on anxiety and depression in patients with chronic heart failure. Scand J Caring Sci 2016;30:704-713. Go to original source... Go to PubMed...
    24. Eastwood JA, Moser DK, Riegel BJ, et al. Commonalities and differences in correlates of depressive symptoms in men and women with heart failure. Eur J Cardiovasc Nurs 2012;11:356-365. Go to original source... Go to PubMed...
    25. Morgan K, Villiers-Tuthill A, Barker M, McGee H. The contribution of illness perception to psychological distress in heart failure patients. BMC Psychol 2014;2:50. Go to original source... Go to PubMed...
    26. Timmermans I, Versteeg H, Meine M, et al. Illness perceptions in patients with heart failure and an implantable cardioverter defibrillator: Dimensional structure, validity, and correlates of the brief illness perception questionnaire in Dutch, French and German patients. J Psychosom Res 2017;97:1-8. Go to original source... Go to PubMed...
    27. Broadbent E, Wilkes C, Koschwanez H, et al. A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychol Health 2015;30:1361-1385. Go to original source... Go to PubMed...
    28. Lee S, Riegel B. State of the Science in Heart Failure Symptom Perception Research: An Integrative Review. J Cardiovasc Nurs 2018;33:204-210. Go to original source... Go to PubMed...
    29. McDonagh TM, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2021;42:3599-3726. Go to original source... Go to PubMed...
    30. Płotka A, Prokop E, Migaj J, et al. Patients' knowledge of heart failure and their perception of the disease. Patient Prefer Adherence 2017;11:1459-1467. Go to original source... Go to PubMed...
    31. Leventhal H, Phillips LA, Burns E. The Common-Sense Model of Self-Regulation (CSM): a dynamic framework for understanding illness self-management. J Behav Med 2016;39:935-946. Go to original source... Go to PubMed...
    32. Maddox TM, Januzzi JL Jr, Januzzi JL, et al. 2021 Update to the 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment: Answers to 10 Pivotal Issues About Heart Failure With Reduced Ejection Fraction: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol 2021;77:772-810. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content


    Cor et Vasa

    You are accessing a site intended for medical professionals, not the lay public. The site may also contain information that is intended only for persons authorized to prescribe and dispense medicinal products for human use.

    I therefore confirm that I am a healthcare professional under Act 40/1995 Coll. as amended by later regulations and that I have read the definition of a healthcare professional.


    No
    Yes