Cognitive dysfunction and self-care decision making in chronic heart failure: a review of the literature.
Eur J Cardiovasc Nurs
; 12(6): 505-11, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-23630404
ABSTRACT
BACKGROUND:
Memory and executive function may be associated with poorer self-care management behaviors (indicators of self-care decision making). Dysfunction of self-care decision making processes often results in worsening of heart failure symptoms that necessitates hospitalization for acute management.AIMS:
The purposes of this literature review are to (a) synthesize the published literature (2000-2012) examining the relationship between cognitive dysfunction (CD) (executive function and memory) and self-care management decisions in heart failure (HF) patients; (b) identify gaps in knowledge; and (c) provide recommendations for future research to fill this gap.METHODS:
Literature from January 2000-September 2012 was reviewed to determine the relationship between cognitive dysfunction and self-care decision making in patients with HF. Studies were included that used measures to examine the relationship between cognitive dysfunction and self-care decision making in patients with HF.RESULTS:
The ability to identify a significant relationship between CD and self-care decision making processes was limited by the paucity of studies, small sample sizes, use of convenience samples and the use of single center recruitment sites.CONCLUSION:
Despite the importance of memory and executive function in decision making, there is a paucity of studies describing the relationship between CD and self-care decision making processes. A knowledge gap exists regarding the relationship between CD and self-care decision making processes. The influence of executive function and memory on self-care decision making abilities needs further study in diverse populations, using standardized and valid measures for CD and self-care decision making processes.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Autocuidado
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Comportamentos Relacionados com a Saúde
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Transtornos Cognitivos
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Tomada de Decisões
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Função Executiva
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Insuficiência Cardíaca
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Memória
Limite:
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article