Friday, 8 September 2017

Chronic heart failure in Sweden

Roger Watson, Editor

The aim of this study from Sweden was to: 'compare coping strategies and quality of life (QoL) in patients with chronic heart failure (CHF) with such strategies and QOL in persons from two general Swedish populations and to investigate relationships between personal characteristics and coping strategies.' Over 120 patients and over 500 of the general population were compared.

Resuts show that: 'women in the patient group used more optimistic, fatalistic, evasive as well as problem-and emotion-focused coping than did women in the population group. Men in the patient group used more optimistic and evasive coping than men in the population group did, whereas men in the population group used more confrontative and emotive coping. Within-group differences showed that women in both groups used more problem-and emotion-focused coping than men did' and '(y)ounger women and women who perceived an unsatisfactory economic situation and low efficiency in managing the psychological aspects of daily life used more emotion-focused coping. Younger men with a higher education and men who perceived an unsatisfactory economic situation and low efficiency in managing the psychological aspects of daily life used also more emotion-focused coping.'

The authors concluded: 'In this study women used more problem-focused as well as emotion-focused coping strategies than men did. In addition, women in the patient group used coping the most. Compared with the Swedish general population, patients with CHF rated lower QoL. To deal with the psychological consequences of daily life, men with CHF and persons in the general Swedish population reported using both problem-and emotion-focused coping. This indicates the need to investigate what meaning-based coping can add to this research area and to clinical practice. However, nurses need to assess the coping strategies the patients use and encouraged patients abilities  to improve their self-management.'

Reference

Nilsson A, Carlsson M, Lindvqist R, Kristofferzon M-L (2017) A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population Nursing Open DOI: 10.1002/nop2.81

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