Correlation between symptom status, health perception, and spiritual well-being in heart failure patients: A structural equation modeling approach

IF 2.4 3区医学 Q1 NURSING Journal of Nursing Scholarship Pub Date : 2024-02-08 DOI:10.1111/jnu.12961

Hacer Eroglu MSc, RN, Zehra Gok Metin PhD, RN

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引用次数: 0

Abstract

Aim

To explore predictors of spiritual well-being behaviors among heart failure patients based on Wilson and Cleary's conceptual model of health-related quality of life and to clarify the interrelationships among these variables.

Design

A descriptive and correlational study design was used.

Methods

This study included 202 heart failure patients treated between October 2020 and July 2021. Data were collected using the Symptom Status Questionnaire-Heart Failure, Perception of Health Scale, and Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale. Descriptive analysis, correlation, and structural equation modeling were performed.

Results

Characteristic factors positively affected spiritual well-being both directly (β = 0.19, p = 0.007) and indirectly (β = 0.19; CI (0.106; 0.311)). The direct relationship between health perception and spiritual well-being was significant (β = 0.83, p < 0.05). Symptom status acted as an essential mediator between model variables and spiritual well-being (β = −0.28; CI (−0.449; −0.133)). Comorbidity and symptom status also influence spiritual well-being through health perceptions. These variables explain 77% of the variance in spiritual well-being.

Conclusion

The modified structural equation modeling based on Wilson and Cleary's conceptual model fits well in predicting spiritual well-being in patients with heart failure. Spiritual well-being was reported to be poor, and changes in spiritual well-being were predicted by age, educational level, marital status, comorbidity, symptom status, and health perception. The results can be applied to patients with heart failure and may serve as a guide for assessment and interventions for improving spiritual well-being.

Clinical Relevance

This study mainly concludes that symptom status and perceived health status affect spiritual well-being in heart failure patients. Symptom relief and improvement in perceived health status interventions may help enhance spiritual well-being in this population. Future studies are needed to investigate the different predictor's effects on spiritual well-being and examine whether symptom management and health status-enhancing interventions result in improved spiritual well-being in the heart failure population.

Reporting Method

This study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies.

Patient or Public Contribution

No patient or public contribution.

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心力衰竭患者的症状状态、健康感知和精神幸福感之间的相关性：结构方程模型法

目的：根据威尔逊和克利里的健康相关生活质量概念模型，探讨心力衰竭患者精神健康行为的预测因素，并阐明这些变量之间的相互关系：方法：采用描述性和相关性研究设计：研究对象包括 202 名在 2020 年 10 月至 2021 年 7 月期间接受治疗的心衰患者。使用症状状态问卷-心力衰竭、健康感知量表和慢性疾病治疗功能评估-精神健康量表收集数据。研究人员进行了描述性分析、相关分析和结构方程建模：特征因素对精神幸福感有直接（β = 0.19，p = 0.007）和间接（β = 0.19; CI (0.106; 0.311)）的积极影响。健康感知与精神幸福感之间的直接关系显著（β = 0.83，p 结论：健康感知与精神幸福感之间的直接关系显著：基于 Wilson 和 Cleary 概念模型的修正结构方程模型很好地预测了心力衰竭患者的精神幸福感。据报告，心衰患者的精神幸福感较差，而年龄、教育程度、婚姻状况、合并症、症状状况和健康感知可预测患者精神幸福感的变化。研究结果适用于心力衰竭患者，可作为评估和干预改善精神幸福感的指南：本研究的主要结论是，症状状态和健康感知状态会影响心衰患者的精神幸福感。缓解症状和改善感知健康状况的干预措施可能有助于提高这类人群的精神幸福感。未来的研究需要调查不同的预测因素对精神幸福感的影响，并研究症状控制和健康状况改善干预措施是否能改善心衰人群的精神幸福感：本研究按照加强流行病学观察性研究报告（STROBE）清单进行横断面研究报告：无患者或公众贡献。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.