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Depression in Community-Dwelling Elderly Patients With Heart Failure
Authors:Hsiang-Fen Yeh  Jung-Hua Shao
Affiliation:1. Nursing Department, Tzu Chi University of Science and Technology, Taiwan;2. School of Nursing, College of Medicine, Chang Gung University; Department of Orthopedics, Chang Gung Memorial Hospital, Linkou, Taiwan
Abstract:The present cross-sectional study discussed the relationship between comorbid depression, demographic characteristics, clinical characteristics, and dietary self-efficacy among Taiwanese community-dwelling elderly patients with heart failure (HF). Specifically, the study examined 175 community-dwelling elderly patients with HF between July 2013 and June 2014. In total, 47.13% of the patients exhibited symptoms of depression. Those without a spouse, who were currently employed, who had an ejection fraction < 30%, who had been readmitted to the hospital 2 or more times, and who had a high level of HF symptom distress were significantly more likely to be depressed. Therefore, it is crucial that care programs designed for these patients include the self-management of HF symptoms, psychological consultations, cognitive behavioral therapy, and physical exercise.
Keywords:Community care  Depression  Heart failure  Heart failure-related symptom distress  Older adults
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