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Debra K. Moser - One of the best experts on this subject based on the ideXlab platform.

  • high dietary sodium intake is associated with shorter Event Free Survival in patients with heart failure and comorbid diabetes
    Clinical Nursing Research, 2021
    Co-Authors: Zyad T Saleh, Terry A. Lennie, Abdullah S Alhurani, Issa M Almansour, Hamza Alduraidi, Debra K. Moser
    Abstract:

    The aim was to determine whether 24-hour urine sodium excretion predicted Event-Free Survival of patients with heart failure (HF) and diabetes mellitus (DM). Twenty-four hour urine sodium, as an in...

  • dietary vitamin c deficiency is associated with health related quality of life and cardiac Event Free Survival in adults with heart failure
    Journal of Cardiovascular Nursing, 2019
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Terry A. Lennie
    Abstract:

    Background Vitamin C deficiency is prevalent in adults with heart failure (HF). Little is known about the relationship of dietary vitamin C deficiency with health outcomes in adults with HF. Objective The study's aim was to determine the relationships of vitamin C deficiency measured at baseline with health-related quality of life (HRQOL) and cardiac Event-Free Survival in patients with HF measured 1 year later. Method A total of 251 patients with HF completed a 4-day food diary. Dietary vitamin C deficiency was defined as daily intake less than the estimated average requirement from the Institute of Medicine of 75 mg/d for men and 60 mg/d for women. Health-related quality of life was assessed using the Minnesota Living with Heart Failure Questionnaire at 12 months. Patients were followed for a median of 1 year to determine time to the first Event of cardiac-related hospitalization or death. Data were analyzed by hierarchical linear and Cox proportional hazards regressions. Results One hundred patients (40%) had vitamin C deficiency. Dietary vitamin C deficiency was associated with poorer HRQOL at 12 months (β = 0.16, P = .02) after controlling for demographic and clinical variables. During the follow-up period, 59 patients (24%) had cardiac Events. In Cox regression, vitamin C deficiency predicted shorter cardiac Event-Free Survival after adjusting for the same covariates (hazards ratio, 1.95; 95% confidence interval, 1.08-3.51). Conclusion Vitamin C deficiency was associated with poorer HRQOL and shorter cardiac Event-Free Survival in patients with HF. The findings suggest that encouraging patients with HF to consume a diet rich in fruits/vegetables to prEvent vitamin C deficiency may lead to better health outcomes.

  • stress cognitive appraisal coping and Event Free Survival in patients with heart failure
    Heart & Lung, 2018
    Co-Authors: Abdullah S Alhurani, Terry A. Lennie, Rebecca L. Dekker, Muayyad M Ahmad, Jennifer C Miller, Khalil Yousef, Basel Abdulqader, Ibrahim Salami, David C Randall, Debra K. Moser
    Abstract:

    Abstract Objectives To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with Event-Free Survival. Methods This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively. The Event-Free Survival was defined as cardiac rehospitalization and all-cause death. Results A total of 88 HF patients (mean age 58 ± 13 years and 53.4% male) participated. Linear and cox regression showed that harm/loss cognitive appraisal was associated with avoidant emotional coping (β = -0.28; 95% CI: -0.21 – 0.02; p = 0.02) and Event Free Survival (HR = 0.53; 95% CI: 0.28 – 1.02; p = 0.05). Conclusions The cognitive appraisal of the stressors related to HF may lead to negative coping strategies that are associated with worse Event-Free Survival.

  • Racial differences in dietary antioxidant intake and cardiac Event-Free Survival in patients with heart failure:
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2018
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Terry A. Lennie
    Abstract:

    Background:Heart failure is a chronic, burdensome condition with higher re-hospitalization rates in African Americans than Whites. Higher dietary antioxidant intake is associated with lower oxidative stress and improved endothelial function. Lower dietary antioxidant intake in African Americans may play a role in the re-hospitalization disparity between African American and White patients with heart failure.Objective:The objective of this study was to examine the associations among race, dietary antioxidant intake, and cardiac Event-Free Survival in patients with heart failure.Methods:In a secondary analysis of 247 patients with heart failure who completed a four-day food diary, intake of alpha-carotene, beta-carotene, beta-cryptoxanthin, lutein, zeaxanthin, lycopene, vitamins C and E, zinc, and selenium were assessed. Antioxidant deficiency was defined as intake below the estimated average requirement for antioxidants with an established estimated average requirement, or lower than the sample median for ...

  • Abstract 20579: Event-Free Survival in Central Appalachian Implantable Cardioverter Defibrillator Recipients
    Circulation, 2017
    Co-Authors: Jennifer L Miller, Martha J. Biddle, Misook L Chung, Muna Hammash, Jessica Harman, Christine Haedtke, Samy Elayi, Mary M. Czarapata, Debra K. Moser
    Abstract:

    Introduction: Social determinants of health affect Event-Free Survival in individuals with cardiovascular disease (CVD). Social and economic disparities are well documented in Central Appalachia. T...

Terry A. Lennie - One of the best experts on this subject based on the ideXlab platform.

  • high dietary sodium intake is associated with shorter Event Free Survival in patients with heart failure and comorbid diabetes
    Clinical Nursing Research, 2021
    Co-Authors: Zyad T Saleh, Terry A. Lennie, Abdullah S Alhurani, Issa M Almansour, Hamza Alduraidi, Debra K. Moser
    Abstract:

    The aim was to determine whether 24-hour urine sodium excretion predicted Event-Free Survival of patients with heart failure (HF) and diabetes mellitus (DM). Twenty-four hour urine sodium, as an in...

  • dietary vitamin c deficiency is associated with health related quality of life and cardiac Event Free Survival in adults with heart failure
    Journal of Cardiovascular Nursing, 2019
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Terry A. Lennie
    Abstract:

    Background Vitamin C deficiency is prevalent in adults with heart failure (HF). Little is known about the relationship of dietary vitamin C deficiency with health outcomes in adults with HF. Objective The study's aim was to determine the relationships of vitamin C deficiency measured at baseline with health-related quality of life (HRQOL) and cardiac Event-Free Survival in patients with HF measured 1 year later. Method A total of 251 patients with HF completed a 4-day food diary. Dietary vitamin C deficiency was defined as daily intake less than the estimated average requirement from the Institute of Medicine of 75 mg/d for men and 60 mg/d for women. Health-related quality of life was assessed using the Minnesota Living with Heart Failure Questionnaire at 12 months. Patients were followed for a median of 1 year to determine time to the first Event of cardiac-related hospitalization or death. Data were analyzed by hierarchical linear and Cox proportional hazards regressions. Results One hundred patients (40%) had vitamin C deficiency. Dietary vitamin C deficiency was associated with poorer HRQOL at 12 months (β = 0.16, P = .02) after controlling for demographic and clinical variables. During the follow-up period, 59 patients (24%) had cardiac Events. In Cox regression, vitamin C deficiency predicted shorter cardiac Event-Free Survival after adjusting for the same covariates (hazards ratio, 1.95; 95% confidence interval, 1.08-3.51). Conclusion Vitamin C deficiency was associated with poorer HRQOL and shorter cardiac Event-Free Survival in patients with HF. The findings suggest that encouraging patients with HF to consume a diet rich in fruits/vegetables to prEvent vitamin C deficiency may lead to better health outcomes.

  • stress cognitive appraisal coping and Event Free Survival in patients with heart failure
    Heart & Lung, 2018
    Co-Authors: Abdullah S Alhurani, Terry A. Lennie, Rebecca L. Dekker, Muayyad M Ahmad, Jennifer C Miller, Khalil Yousef, Basel Abdulqader, Ibrahim Salami, David C Randall, Debra K. Moser
    Abstract:

    Abstract Objectives To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with Event-Free Survival. Methods This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively. The Event-Free Survival was defined as cardiac rehospitalization and all-cause death. Results A total of 88 HF patients (mean age 58 ± 13 years and 53.4% male) participated. Linear and cox regression showed that harm/loss cognitive appraisal was associated with avoidant emotional coping (β = -0.28; 95% CI: -0.21 – 0.02; p = 0.02) and Event Free Survival (HR = 0.53; 95% CI: 0.28 – 1.02; p = 0.05). Conclusions The cognitive appraisal of the stressors related to HF may lead to negative coping strategies that are associated with worse Event-Free Survival.

  • Racial differences in dietary antioxidant intake and cardiac Event-Free Survival in patients with heart failure:
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2018
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Terry A. Lennie
    Abstract:

    Background:Heart failure is a chronic, burdensome condition with higher re-hospitalization rates in African Americans than Whites. Higher dietary antioxidant intake is associated with lower oxidative stress and improved endothelial function. Lower dietary antioxidant intake in African Americans may play a role in the re-hospitalization disparity between African American and White patients with heart failure.Objective:The objective of this study was to examine the associations among race, dietary antioxidant intake, and cardiac Event-Free Survival in patients with heart failure.Methods:In a secondary analysis of 247 patients with heart failure who completed a four-day food diary, intake of alpha-carotene, beta-carotene, beta-cryptoxanthin, lutein, zeaxanthin, lycopene, vitamins C and E, zinc, and selenium were assessed. Antioxidant deficiency was defined as intake below the estimated average requirement for antioxidants with an established estimated average requirement, or lower than the sample median for ...

  • depressive symptoms mediator of Event Free Survival in patients with heart failure
    Western Journal of Nursing Research, 2017
    Co-Authors: Muna Hammash, Terry A. Lennie, Rebecca L. Dekker, Martha J. Biddle, Seongkum Heo, Misook L Chung, Timothy N Crawford, Mary Kay Rayens, Debra K. Moser
    Abstract:

    Depressive symptoms and poor health perceptions are predictors of higher hospitalization and mortality rates (heart failure [HF]). However, the association between depressive symptoms and health perceptions as they affect Event-Free Survival outcomes in patients with HF has not been studied. The purpose of this secondary analysis was to determine whether depressive symptoms mediate the relationship between health perceptions and Event-Free Survival in patients with HF. A total of 458 HF patients (61.6 ± 12 years, 55% New York Heart Association Class III/IV) responded to one-item health perception question and completed the Patient Health Questionnaire–9. Event-Free Survival data were collected for up to 4 years. Multiple regression and Cox proportional hazards regression analysis showed that depressive symptoms mediated the relationship between health perceptions and Event-Free Survival. Decreasing depressive symptoms is essential to improve Event-Free Survival in patients with HF.

Eun Kyeung Song - One of the best experts on this subject based on the ideXlab platform.

  • dietary vitamin c deficiency is associated with health related quality of life and cardiac Event Free Survival in adults with heart failure
    Journal of Cardiovascular Nursing, 2019
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Terry A. Lennie
    Abstract:

    Background Vitamin C deficiency is prevalent in adults with heart failure (HF). Little is known about the relationship of dietary vitamin C deficiency with health outcomes in adults with HF. Objective The study's aim was to determine the relationships of vitamin C deficiency measured at baseline with health-related quality of life (HRQOL) and cardiac Event-Free Survival in patients with HF measured 1 year later. Method A total of 251 patients with HF completed a 4-day food diary. Dietary vitamin C deficiency was defined as daily intake less than the estimated average requirement from the Institute of Medicine of 75 mg/d for men and 60 mg/d for women. Health-related quality of life was assessed using the Minnesota Living with Heart Failure Questionnaire at 12 months. Patients were followed for a median of 1 year to determine time to the first Event of cardiac-related hospitalization or death. Data were analyzed by hierarchical linear and Cox proportional hazards regressions. Results One hundred patients (40%) had vitamin C deficiency. Dietary vitamin C deficiency was associated with poorer HRQOL at 12 months (β = 0.16, P = .02) after controlling for demographic and clinical variables. During the follow-up period, 59 patients (24%) had cardiac Events. In Cox regression, vitamin C deficiency predicted shorter cardiac Event-Free Survival after adjusting for the same covariates (hazards ratio, 1.95; 95% confidence interval, 1.08-3.51). Conclusion Vitamin C deficiency was associated with poorer HRQOL and shorter cardiac Event-Free Survival in patients with HF. The findings suggest that encouraging patients with HF to consume a diet rich in fruits/vegetables to prEvent vitamin C deficiency may lead to better health outcomes.

  • Racial differences in dietary antioxidant intake and cardiac Event-Free Survival in patients with heart failure:
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2018
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Terry A. Lennie
    Abstract:

    Background:Heart failure is a chronic, burdensome condition with higher re-hospitalization rates in African Americans than Whites. Higher dietary antioxidant intake is associated with lower oxidative stress and improved endothelial function. Lower dietary antioxidant intake in African Americans may play a role in the re-hospitalization disparity between African American and White patients with heart failure.Objective:The objective of this study was to examine the associations among race, dietary antioxidant intake, and cardiac Event-Free Survival in patients with heart failure.Methods:In a secondary analysis of 247 patients with heart failure who completed a four-day food diary, intake of alpha-carotene, beta-carotene, beta-cryptoxanthin, lutein, zeaxanthin, lycopene, vitamins C and E, zinc, and selenium were assessed. Antioxidant deficiency was defined as intake below the estimated average requirement for antioxidants with an established estimated average requirement, or lower than the sample median for ...

  • vitamin c deficiency high sensitivity c reactive protein and cardiac Event Free Survival in patients with heart failure
    Journal of Cardiovascular Nursing, 2016
    Co-Authors: Eun Kyeung Song, Seok Min Kang
    Abstract:

    Vitamin C is related to lower levels of high-sensitivity C-reactive protein (hsCRP), an inflammatory biomarker that predicts cardiovascular disease. Whether vitamin C deficiency is associated with hsCRP and cardiac Events in heart failure (HF) patients has not been examined. The aim of this study is to determine the relationships among vitamin C intake, serum levels of hsCRP, and cardiac Events. A total of 200 HF patients completed a 3-day food diary to determine vitamin C deficiency and provided blood to measure serum levels of hsCRP. Patients were followed for 2 years to obtain data on cardiac Event-Free Survival. Moderation analyses with hierarchical logistic and Cox regressions were used for the data analysis. SEventy-eight patients (39%) had vitamin C deficiency and 100 (50%) had an hsCRP level higher than 3 mg/L. Vitamin C deficiency was associated with an hsCRP level higher than 3 mg/L in the hierarchical logistic regression (odds ratio, 2.40; 95% confidence interval, [1.13–5.10]; P = .023). Vitamin C deficiency (hazard ratio, 1.68; 95% CI, 1.05–2.69, P = .029) and hsCRP level higher than 3 mg/L (hazard ratio, 1.79; 95% CI, 1.07–3.01; P = .027) predicted shorter cardiac Event-Free Survival in hierarchical Cox regression. The interaction of hsCRP level higher than 3 mg/L and vitamin C deficiency produced a 2.3-fold higher risk for cardiac Events (P = .002) in moderation analysis. Higher level of hsCRP predicted shorter cardiac Event-Free Survival only in patients with vitamin C deficiency (P = .027), but not in those with vitamin C adequacy. Vitamin C deficiency moderated the relationship between inflammation and cardiac Events in patients with HF. Future study is required to determine whether adequate intake of vitamin C could play a protective role against the impact of inflammation on cardiac Events in HF patients.

  • The Relationship of Depressive Symptoms and Vitamin D Intake to Cardiac Event-Free Survival in Patients With Heart Failure.
    The Journal of cardiovascular nursing, 2016
    Co-Authors: Eun Kyeung Song, Seok Min Kang
    Abstract:

    BACKGROUND: Low vitamin D and depressive symptoms are associated with inflammation activation that predicts cardiovascular disease. Little is known about the relationships among vitamin D intake, depressive symptoms, and cardiac Events in heart failure (HF). PURPOSE: The aim of this study is to determine the relationships among vitamin D deficiency, depressive symptoms, and cardiac Events. METHODS: A total of 204 HF patients completed a 3-day food diary to determine average daily intake of vitamin D. Patients completed the Patient Health Questionnaire-9 to assess somatic and cognitive depressive symptoms and were split into 2 groups using the Patient Health Questionnaire-9 cut-point score of 10 (< 10, no depressive symptoms; >/= 10, depressive symptoms). Data on cardiac Events during 1 year were obtained through medical record review. Hierarchical Cox and logistic regressions were used for data analyses. RESULTS: Sixty patients (29.4%) had depressive symptoms and 106 (52.0%) had vitamin D deficiency. Depressive symptoms (hazard ratio [HR], 1.93; P = .031) and vitamin D deficiency (HR, 1.84, P = .036) predicted shorter cardiac Event-Free Survival in Cox regression. Depressive symptoms predicted shorter cardiac Event-Free Survival in patients with vitamin D deficiency (HR, 2.16; P = .038), but not those with vitamin D adequacy. Somatic depressive symptoms were associated with vitamin D deficiency (odds ratio, 1.12; P = .028) in logistic regression, whereas cognitive depressive symptoms were not. CONCLUSIONS: Vitamin D deficiency and depressive symptoms predicted shorter cardiac Event-Free Survival. Depressive symptoms did not predict cardiac Events in HF patients with vitamin D adequacy. Somatic depressive symptoms predicted vitamin D deficiency, but cognitive depressive symptoms did not. Additional research is necessary to determine the protective role of vitamin D in the link between somatic depressive symptoms and cardiac Events.

  • association of depressive symptoms and micronutrient deficiency with cardiac Event Free Survival in patients with heart failure
    Journal of Cardiac Failure, 2015
    Co-Authors: Eun Kyeung Song, Debra K. Moser, Seok Min Kang, Terry A. Lennie
    Abstract:

    Abstract Background Depressive symptoms and malnutrition independently predict cardiac Events in heart failure (HF) patients. However, the relationships among depressive symptoms, nutritional intake, and cardiac Event–Free Survival have not been examined. Methods and Results A total of 232 patients with HF completed the Patient Health Questionnaire 9 (PHQ-9) to measure depressive symptoms and a 3-day food diary to determine the number of micronutrient deficiencies. Patients were followed for 2 years to collect data on cardiac Event–Free Survival. Patients were divided into 4 groups by a PHQ-9 score of 10 and the median value of micronutrient deficiencies. Cox regressions were used to determine the relationships among depressive symptoms, micronutrient deficiency, and cardiac Event–Free Survival. Depressive symptoms conferred greater risk of cardiac Events in patients with a high number of micronutrient deficiencies than in those with a low number of micronutrient deficiencies. Patients with a PHQ-9 score ≥10 and number of micronutrient deficiencies >5 had 2.4 times higher risk for cardiac Events compared with patients with a PHQ-9 score P  = .005). Conclusions There was a synergistic effect on the association of depressive symptoms with cardiac Event–Free Survival in HF patients that differed by micronutrient deficiency.

Misook L Chung - One of the best experts on this subject based on the ideXlab platform.

  • Abstract 20579: Event-Free Survival in Central Appalachian Implantable Cardioverter Defibrillator Recipients
    Circulation, 2017
    Co-Authors: Jennifer L Miller, Martha J. Biddle, Misook L Chung, Muna Hammash, Jessica Harman, Christine Haedtke, Samy Elayi, Mary M. Czarapata, Debra K. Moser
    Abstract:

    Introduction: Social determinants of health affect Event-Free Survival in individuals with cardiovascular disease (CVD). Social and economic disparities are well documented in Central Appalachia. T...

  • depressive symptoms mediator of Event Free Survival in patients with heart failure
    Western Journal of Nursing Research, 2017
    Co-Authors: Muna Hammash, Terry A. Lennie, Rebecca L. Dekker, Martha J. Biddle, Seongkum Heo, Misook L Chung, Timothy N Crawford, Mary Kay Rayens, Debra K. Moser
    Abstract:

    Depressive symptoms and poor health perceptions are predictors of higher hospitalization and mortality rates (heart failure [HF]). However, the association between depressive symptoms and health perceptions as they affect Event-Free Survival outcomes in patients with HF has not been studied. The purpose of this secondary analysis was to determine whether depressive symptoms mediate the relationship between health perceptions and Event-Free Survival in patients with HF. A total of 458 HF patients (61.6 ± 12 years, 55% New York Heart Association Class III/IV) responded to one-item health perception question and completed the Patient Health Questionnaire–9. Event-Free Survival data were collected for up to 4 years. Multiple regression and Cox proportional hazards regression analysis showed that depressive symptoms mediated the relationship between health perceptions and Event-Free Survival. Decreasing depressive symptoms is essential to improve Event-Free Survival in patients with HF.

  • abstract 13354 Event Free Survival in african american patients with heart failure
    Circulation, 2014
    Co-Authors: Kelly L Adams, Terry A. Lennie, Rebecca L. Dekker, Misook L Chung, Kathleen Dracup, Debra K. Moser
    Abstract:

    Introduction: Health outcomes such as Event-Free Survival (cumulative end-point in time to first health Event) in heart failure (HF) patients is worse in African American than Caucasians. While the direct impact of traditional risk factors on outcomes are recognized, it is unknown how sociodemographic and psychosocial variables, disease, and treatment factors may alter the relationship between race and Event-Free Survival. Hypothesis: Sociodemographics (age, gender, economic status), psychosocial factors (anxiety, depression), disease factors (smoking, functional status, diabetes) and treatments (beta blockers, ACE inhibitors) moderate the relationship between race and shorter Event-Free Survival among patients with HF. Methods: Data were analyzed from 993 outpatients in a multicenter HF registry who were followed for a median of 1.9 years (37% female, 11.3% African American, 64±13 years, 44% NYHA Class III/IV). Data were collected via chart review and interview. Potential proposed moderators were analyzed with race as the predictor and the outcome Event-Free Survival. Regressions were conducted on Event-Free Survival using race and each proposed moderator, and the product of race and each moderator. Results: A primary analysis showed that African American patients are 1.54 times more likely to experience a cardiac Event within this data set (p=.003). Further regression analyses indicate Event-Free Survival in African American patients with HF is not moderated by the proposed moderators (all p>.05). Although an incomplete moderation, interactions with medication and race demonstrated better outcomes in African Americans than Caucasians not on ACE inhibitors, but Caucasians on prescribed ACE inhibitors have better comparative outcomes. Conclusions: Although many modifiable and non-modifiable risk factors may be associated with Event Free Survival in African American HF patients, sociodemographic, psychosocial, disease, and treatment factors do not moderate the relationship between race and Event-Free Survival. Future research is needed to better understand what factors contribute to and moderate evident disparities in the Event-Free Survival of African American patients with HF.

  • medication adherence social support and Event Free Survival in patients with heart failure
    Health Psychology, 2013
    Co-Authors: Susan K Frazier, Terry A. Lennie, Misook L Chung, Mary Kay Rayens, Debra K. Moser
    Abstract:

    Objectives: Medication adherence and perceived social support (PSS) are independent predictors of mortality in patients with heart failure (HF). However, the predictive power of the combination of medication adherence and PSS for hospitalization and death has not been investigated in patients with HF. The purpose of the study was to explore the combined influence of medication adherence and PSS for prediction of cardiac Event-Free Survival in patients with HF. Method: A total of 218 HF patients monitored medication adherence for 1–3 months and completed the Multidimensional Perceived Social Support Scale (MPSSS) at baseline. Medication adherence was measured using a valid and objective measure, the Medication Event Monitoring System (MEMS). Patients were followed for up to 3.5 years to collect data about cardiac Event-Free Survival (i.e., cardiac emergency department visits, hospitalizations, and death). To test the association of the combination of medication adherence and PSS with outcomes, the interaction term of medication adherence and PSS was first entered in a Cox regression to predict outcomes. Second, patients were grouped using an evidence-based cutpoint of 88% for medication adherence from the MEMS data and a median score 71 of the MPSSS. Kaplan-Meier and Cox proportional hazards models were used to compare cardiac Event-Free Survival among groups. Result: Medication adherence and PSS were independent predictors of cardiac Event-Free Survival (p .006 and .021, respectively). Patients with medication nonadherence and lower PSS had a 3.5 times higher risk of cardiac Events than those who were adherent and had higher PSS. Conclusion: Medication adherence mediated the relationship between PSS and cardiac Event-Free Survival in this sample. Moreover, medication adherence and social support independently, and in combination, predicted cardiac Event-Free Survival in patients with HF. Interventions to improve clinical outcomes should address medication adherence and social support.

  • antidepressants do not improve Event Free Survival in patients with heart failure when depressive symptoms remain
    Heart & Lung, 2013
    Co-Authors: Misook L Chung, Terry A. Lennie, Rebecca L. Dekker, Debra K. Moser
    Abstract:

    Objective The purpose of this secondary data analysis was to compare Event-Free Survival among four groups of patients with heart failure (HF) that were stratified by presence of depressive symptoms and antidepressants.

Seongkum Heo - One of the best experts on this subject based on the ideXlab platform.

  • depressive symptoms mediator of Event Free Survival in patients with heart failure
    Western Journal of Nursing Research, 2017
    Co-Authors: Muna Hammash, Terry A. Lennie, Rebecca L. Dekker, Martha J. Biddle, Seongkum Heo, Misook L Chung, Timothy N Crawford, Mary Kay Rayens, Debra K. Moser
    Abstract:

    Depressive symptoms and poor health perceptions are predictors of higher hospitalization and mortality rates (heart failure [HF]). However, the association between depressive symptoms and health perceptions as they affect Event-Free Survival outcomes in patients with HF has not been studied. The purpose of this secondary analysis was to determine whether depressive symptoms mediate the relationship between health perceptions and Event-Free Survival in patients with HF. A total of 458 HF patients (61.6 ± 12 years, 55% New York Heart Association Class III/IV) responded to one-item health perception question and completed the Patient Health Questionnaire–9. Event-Free Survival data were collected for up to 4 years. Multiple regression and Cox proportional hazards regression analysis showed that depressive symptoms mediated the relationship between health perceptions and Event-Free Survival. Decreasing depressive symptoms is essential to improve Event-Free Survival in patients with HF.

  • higher dietary lycopene intake is associated with longer cardiac Event Free Survival in patients with heart failure
    European Journal of Cardiovascular Nursing, 2013
    Co-Authors: Martha J. Biddle, Eun Kyeung Song, Debra K. Moser, Seongkum Heo, Heather Payneemerson, Sandra B Dunbar, Susan J Pressler, Terry A. Lennie
    Abstract:

    Background:The antioxidant lycopene may be beneficial for patients with heart failure (HF). Processed tomato products are a major source of lycopene, although they are also high in sodium. Increased sodium intake may counter the positive antioxidant effect of lycopene.Methods:This was a prospective study of 212 patients with HF. Dietary intake of lycopene and sodium was obtained from weighted 4-day food diaries. Patients were grouped by the median split of lycopene of 2471 µg/day and stratified by daily sodium levels above and below 3 g/day. Patients were followed for 1 year to collect Survival and hospitalization data. Cox proportional hazards modeling was used to compare cardiac Event-Free Survival between lycopene groups within each stratum of sodium intake.Results:Higher lycopene intake was associated with longer cardiac Event-Free Survival compared with lower lycopene intake (p = 0.003). The worst cardiac Event-Free Survival was observed in the low lycopene intake group regardless of sodium intake (>...

  • social status health related quality of life and Event Free Survival in patients with heart failure
    European Journal of Cardiovascular Nursing, 2012
    Co-Authors: Seongkum Heo, Debra K. Moser, Misook L Chung, Terry A. Lennie
    Abstract:

    Background: Social status may impact health-related quality of life (HRQOL), hospitalization, and mortality in patients with heart failure (HF). Purpose: To determine if social status was associated with HRQOL and Event-Free Survival. Hypotheses: Higher social status (quality of perceived support, emotional support, marital status, and economic status) is related to better HRQOL and Event-Free Survival after controlling covariates (New York Heart Association [NYHA] functional class, comorbidity status, and age). Methods: Patients (N = 147, 61 ± 11 years old, 70% male, 62% NYHA class III/IV) provided data on HRQOL (measured by the Minnesota Living with Heart Failure questionnaire) and social status. Event-Free Survival data were collected by medical record reviews and patient or family interviews. Hierarchical regression analysis and Survival analysis were used to test the hypothesis. Results: Better quality of perceived support, better economic status, better functional status, older age, and less comorbidity were related to better HRQOL (R2 = .365, p = <.001). Only economic status predicted Event-Free Survival. Conclusion: Attention should be given to those who have lower social support to improve HRQOL and those who have lower economic status to improve Event-Free Survival.

  • Social status, health-related quality of life, and Event-Free Survival in patients with heart failure:
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2012
    Co-Authors: Seongkum Heo, Debra K. Moser, Misook L Chung, Terry A. Lennie
    Abstract:

    Background: Social status may impact health-related quality of life (HRQOL), hospitalization, and mortality in patients with heart failure (HF). Purpose: To determine if social status was associated with HRQOL and Event-Free Survival. Hypotheses: Higher social status (quality of perceived support, emotional support, marital status, and economic status) is related to better HRQOL and Event-Free Survival after controlling covariates (New York Heart Association [NYHA] functional class, comorbidity status, and age). Methods: Patients (N = 147, 61 ± 11 years old, 70% male, 62% NYHA class III/IV) provided data on HRQOL (measured by the Minnesota Living with Heart Failure questionnaire) and social status. Event-Free Survival data were collected by medical record reviews and patient or family interviews. Hierarchical regression analysis and Survival analysis were used to test the hypothesis. Results: Better quality of perceived support, better economic status, better functional status, older age, and less comorbidity were related to better HRQOL (R2 = .365, p =

  • association of physical versus affective depressive symptoms with cardiac Event Free Survival in patients with heart failure
    Psychosomatic Medicine, 2012
    Co-Authors: Kyoung Suk Lee, Terry A. Lennie, Seongkum Heo, Debra K. Moser
    Abstract:

    ObjectiveTo determine whether physical depressive symptoms inflate the association between depressive symptoms as measured with the nine-item Patient Health Questionnaire (PHQ-9) and cardiac Event–Free Survival in patients with heart failure (HF).MethodsA total of 210 patients with HF were recruited