miércoles, 5 de octubre de 2016

Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease. - PubMed - NCBI

2016 Jul 15. pii: S0738-3991(16)30315-9. doi: 10.1016/j.pec.2016.07.020. [Epub ahead of print]

Perceived health competence predicts health behavior and health-related quality of life in patients withcardiovascular disease.

Bachmann JM1, Goggins KM2, Nwosu SK3, Schildcrout JS4, Kripalani S5, Wallston KA6.

Author information

Abstract

OBJECTIVE:

Evaluate the effect of perceived health competence, a patient's belief in his or her ability to achieve health-related goals, on healthbehavior and health-related quality of life.

METHODS:

We analyzed 2063 patients hospitalized with acute coronary syndrome and/or congestive heart failure at a large academic hospital in the United States. Multivariable linear regression models investigated associations between the two-item perceived health competence scale (PHCS-2) and positive health behaviors such as medication adherence and exercise (Health Behavior Index) as well as health-related quality oflife (5-item Patient Reported Outcome Information Measurement System Global Health Scale).

RESULTS:

After multivariable adjustment, perceived health competence was highly associated with health behaviors (p<0.001) and health-relatedquality of life (p<0.001). Low perceived health competence was associated with a decrease in health-related quality of life between hospitalization and 90days after discharge (p<0.001).

CONCLUSIONS:

Perceived health competence predicts health behavior and health-related quality of life in patients hospitalized withcardiovascular disease as well as change in health-related quality of life after discharge.

PRACTICE IMPLICATIONS:

Patients with low perceived health competence may be at risk for a decline in health-related quality of life after hospitalization and thus a potential target for counseling and other behavioral interventions.