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Lerdal A, Hofoss D, Gay CL, et al. Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity. J Patient Rep Outcomes. 2019;3(1):55doi: 10.1186/s41687-019-0142-1.
Lerdal, A., Hofoss, D., Gay, C. L., & Fagermoen, M. S. (2019). Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity. Journal of patient-reported outcomes, 3(1), 55. https://doi.org/10.1186/s41687-019-0142-1
Lerdal, Anners, et al. "Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity." Journal of patient-reported outcomes vol. 3,1 (2019): 55. doi: https://doi.org/10.1186/s41687-019-0142-1
Lerdal A, Hofoss D, Gay CL, Fagermoen MS. Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity. J Patient Rep Outcomes. 2019 Aug 16;3(1):55. doi: 10.1186/s41687-019-0142-1. PMID: 31420775; PMCID: PMC6702592.
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J Patient Rep Outcomes. 2019 Aug 16;3(1):55. doi: 10.1186/s41687-019-0142-1.

Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity.

Journal of patient-reported outcomes

Anners Lerdal, Dag Hofoss, Caryl L Gay, May Solveig Fagermoen

Affiliations

  1. Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, P.O. Box. 1130, N-0318, Oslo, Blindern, Norway. [email protected].
  2. Department for Patient Safety and Research, Lovisenberg Diaconal Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway. [email protected].
  3. Lovisenberg Diaconal University College, Lovisenberggata 15b, N-0456, Oslo, Norway.
  4. Department of Health Management and Health Economics, Faculty of Medicine, Institute of Health and Society, University of Oslo, P.O. Box. 1130, Blindern, N-0318, Oslo, Norway.
  5. Department for Patient Safety and Research, Lovisenberg Diaconal Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway.
  6. Department of Family Health Care Nursing, University of California, San Francisco, 2 Koret Way, San Francisco, CA, 94143, USA.
  7. Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, P.O. Box. 1130, N-0318, Oslo, Blindern, Norway.

PMID: 31420775 PMCID: PMC6702592 DOI: 10.1186/s41687-019-0142-1

Abstract

PURPOSE: To explore the relationship between illness perceptions and self-reported general health of patients with chronic heart disease, using some core elements from the Common Sense Model.

METHODS: Patients with heart failure (New York Heart Association [NYHA] Functional Class I-III) from five outpatient clinics in Eastern Norway were invited to participate in this cross-sectional study. Two research nurses collected socio-demographic data (age, sex, education and work status) and standardized questionnaires in structured interviews. Patients' self-reported general health was measured with the Euro-Qual Visual Analogue Scale (EQ-VAS), illness perceptions were measured with the 8-item Brief Illness Perception Questionnaire (BIPQ), and mood was assessed using the Hospital Anxiety and Depression Scale.

RESULTS: Among the 220 patients who were recruited into this study (98% response rate), the mean age was 67.5 years (SD ± 12.5), and 65.9% were men. Patients were classified as NYHA Class I (8.7% with no activity limitations), Class II (47.6% with slight limitations), or Class III (43.8% with marked limitations). Mean EQ-VAS score was 58.8 (SD ± 21.0). Three of the eight perception of illness items (consequences, personal control and identity) were associated with the patients' general health rating, controlling for their NYHA Class, mood and other BIPQ items.

CONCLUSIONS: Our findings suggest that patients' perceptions of their illness have an independent and substantial relationship to the self-rated general health of patients with chronic heart failure. Peoples' illness perceptions are beliefs that have been shown to be modifiable in clinical interventions. Thus, targeted interventions aimed to modify these, such as patient education courses, ought to be developed and tested, as they may be helpful for improving perceived health status.

Keywords: Anxiety; Depression; Functioning; Heart failure; Illness perception; Quality of life

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