Perceived Stress Among Patients With Heart Failure Who Have Low Socioeconomic Status: A Mixed-Methods Study

The Journal of Cardiovascular Nursing
Carolyn DickensMariann R Piano

Abstract

Patient populations with low socioeconomic status (SES) experience psychological stress because of social determinants of health. Social determinants of health contribute to self-care-especially among patients with heart failure (HF). We sought to describe the influence of stress and social determinants of health on self-care in patients with HF who have low SES. In this mixed-methods, concurrent embedded study, participants (N = 35) were recruited from 2 urban hospitals in Chicago if they had low SES and were readmitted within 120 days of an exacerbation of HF. We conducted semistructured interviews to collect qualitative data about stressors associated with patients' living circumstances, strategies patients used to foster self-care, family dynamics, and coping strategies patients used to decrease stress. We measured psychological stress (Perceived Stress Scale [PSS-10]), and self-care (Self-care of Heart Failure Index). Content analysis was used to analyze the qualitative data, and descriptive statistics were used to describe the sample. In the final analytic phase, the qualitative and quantitative data were integrated. Self-care was poor: 91.5% of participants had Self-care of Heart Failure Index subscale scores lower than ...Continue Reading

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Citations

Mar 10, 2020·Circulation. Cardiovascular Quality and Outcomes·Colleen K McIlvennanTimothy S Sannes
Apr 17, 2020·International Journal of Environmental Research and Public Health·Natasa SedlarJerneja Farkas
Nov 21, 2020·Heart Failure Reviews·Kristie M HarrisMatthew M Burg
Feb 12, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Victoria Vaughan Dickson, Shayleigh Dickson Page
Apr 12, 2020·International Journal of Nursing Studies·Paolo IovinoMaria Matarese

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