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Saturday, June 15, 2019
PICOT research question created and abstracts to support Assignment
PICOT research question created and abstracts to support - Assignment ExampleRESULTS Baseline and six-month case of action measures did not correlate with recorded arrhythmias. However, perceptions of diminished general wellness correlated significantly with signals of exercise intolerance, lightheadedness/silliness, palpitations and chest pain/pressure. By multivariable logistic regression, more severe perceived episodes, symptoms of exercise intolerance and lightheadedness/dizziness were independently associated with diminished quality of life-time.RELEVANCE TO CLINICAL PRACTICE The findings of this study indicate that symptomaticheart failurepatients suffer from poor quality of life and that interventions are needed to improve quality of life and decrease symptom severity. Nurses who care forheart failurepatients play an essential role in symptom evaluation and management and could significantly improve overall quality of life in these patients by carefully evaluating symptoma tology and testing interventions and educational programmes aimed at improving quality of life (Hickey, et al., 2102).METHODS In a cross-sectional study of 318 patients with chronic systolic HF recruited in 48 German primary care practices, we evaluated the patient-reported European HF Self-careBehaviourscale (EHFScBs) assessments (range 12-60, where lower scores indicate better self-care). Potential determinants included socio-demographic (e.g. age, living status), clinical (e.g. NYHA class, LVEF, NT-proBNP levels, co-morbidities), behavioural (e.g. smoking and alcohol intake), psychosocial (SF-36 scales and KCCQ domains, e.g. quality of life and self-efficacy) anddepressionstatus (PHQ-D), plus previous health care utilisation. Mixed regression modelling was applied.RESULTS Patients had a mean (SD) age of 69.0 (10.4) years and were 71% male. They had a good overall EHFScBs score of 24.7 (7.8) (n=274). In the final regression model (n=271), six determinants were retained ( descripti ve p-value)
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