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Correlates of psychological distress in elderly patients with congestive heart failure (2004)_香港中文大学

香港中文大学 辅仁网/2017-06-25

Correlates of psychological distress in elderly patients with congestive heart failure
Publication in refereed journal


香港中文大学研究人员 ( 现职)
Professor David Robert THOMPSON (那打素护理学院)
胡令芳教授 (内科及药物治疗学系)
李子芬教授 (那打素护理学院)
余秀凤教授 (那打素护理学院)


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Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/34WOS source URL

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摘要Objective: High levels of psychological distress have been reported in patients with congestive heart failure (CHF), resulting in increased morbidity and mortality. Yet, little is known about its associated factors. The purpose of this study is to identify the significant demographic, clinical and psychosocial correlates of psychological distress in CHF patients. Methods: Cross-sectional data were obtained from a sample of a consecutive series of hospitalized CHF patients (n = 227) with measures of psychological distress, functional status, symptom status, social support and health perception. Objective clinical variables were obtained from the hospital records. Results: High levels of psychological distress, in particular, depression, were found in patients with CHF. In hierarchical regression analysis, poorer perceived emotional-informational support, higher levels of fatigue, poorer health perception and not living with family were identified as the significant correlates of psychological distress. These correlates, in total, explained 49% of the variance for the scores of psychological distress. None of the objective clinical variables demonstrated a significant contribution that accounted for psychological distress in CHF patients. Conclusion: The findings highlight the importance of addressing social support for CHF patients. Assisting this vulnerable patient group to cope with fatigue and to cultivate a positive health perception are also highly prioritized treatment goals. (C) 2004 Elsevier Inc. All rights reserved.

着者Yu DSF, Lee DTF, Woo J, Thompson DR
期刊名称Journal of Psychosomatic Research
出版年份2004
月份12
日期1
卷号57
期次6
出版社PERGAMON-ELSEVIER SCIENCE LTD
页次573 - 581
国际标準期刊号0022-3999
电子国际标準期刊号1879-1360
语言英式英语

关键词anxiety; chronic illness; congestive heart failure; depression; psychological distress
Web of Science 学科类别Psychiatry; PSYCHIATRY, SCI; PSYCHIATRY, SSCI

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