Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic
Abstract Aims Left ventricular assist devices (LVADs) support the hearts of patients with advanced heart failure. Following LVAD implantation, patients face a complex regimen of self‐care behaviours including self‐care maintenance, self‐care monitoring and self‐care management. However, during the C...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-08-01
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| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.14376 |
| _version_ | 1797770775096197120 |
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| author | Semyon Melnikov Binyamin Ben Avraham Osnat Itzhaki Ben Zadok Aviv Shaul Miri Abuhazira Vicky Yaari Tiny Jaarsma Tuvia Ben‐Gal |
| author_facet | Semyon Melnikov Binyamin Ben Avraham Osnat Itzhaki Ben Zadok Aviv Shaul Miri Abuhazira Vicky Yaari Tiny Jaarsma Tuvia Ben‐Gal |
| author_sort | Semyon Melnikov |
| collection | DOAJ |
| description | Abstract Aims Left ventricular assist devices (LVADs) support the hearts of patients with advanced heart failure. Following LVAD implantation, patients face a complex regimen of self‐care behaviours including self‐care maintenance, self‐care monitoring and self‐care management. However, during the COVID‐19 pandemic, symptoms of anxiety and depression may have interfered with their self‐care. Currently, little is known on how specific self‐care behaviours of LVAD‐implanted patients changed during the COVID‐19 pandemic. We aim to describe the changes in self‐care behaviours among patients with an implanted LVAD in Israel during the COVID‐19 pandemic and explore the factors related to self‐care behaviour change. Methods A prospective observational cross‐sectional study design. A convenience sample of 27 Israeli LVAD‐implanted patients (mean age 62.4 ± 9, 86% male, 78.6% living with a partner) completed the LVAD Self‐Care Behaviour Scale (1 = never to 5 = always) and Hospital Anxiety and Depression Scale (0 = not at all to 3 = most of the time). Data were collected before and after the onset of the COVID‐19 pandemic in Israel. Statistical analyses included paired t‐tests, Pearson's correlations, and one‐way repeated measures ANOVAs. Results During the COVID‐19 pandemic, a significant decrease was found in patients' adherence to checking and recording their LVAD speed, flow, power and PI (Pulsatility Index) (P = 0.05), checking their INR (P = 0.01), and daily weighing (P < 0.01). The prevalence of some behaviours (e.g. regularly exercising) increased in some patients and decreased in others. Patients living without a partner worsened their adherence to some of the self‐care behaviours (e.g. taking medicines as prescribed), compared with those living with a partner (Mb = 5.0 ± 0 and Md = 5.0 ± 0, delta = 0 vs. Mb = 5.0 ± 0 and Md = 4.6 ± 0.9, delta = −0.4, respectively; F = 4.9, P = 0.04). Women, and not men, tended to improve their adherence to the self‐care behaviour such as avoiding kinking, pulling, or moving the LVAD driveline at the exit site (Mb = 4.0 ± 1.0 and Md = 5.0 ± 0, delta = 1.0 vs. Mb = 4.5 ± 0.9 and Md = 4.4 ± 1.2, delta = −0.1, F = 4.7, P = 0.04, respectively). In total, 41% (11) patients reported neither anxiety nor depression, 11% (3) reported anxiety, 15% (4) reported depression, and 44% (12) reported both anxiety and depression. No associations between anxiety and/or depression and self‐care behaviours were found. Conclusions Priorities in self‐care behaviours among patients with implanted LVAD changed after the onset of the COVID‐19 pandemic. Factors that assisted with adherence to self‐care behaviours included living with a partner and being female. The current results may guide further research on identifying behaviours that are at risk of not being maintained during a time of emergency. |
| first_indexed | 2024-03-12T21:27:00Z |
| format | Article |
| id | doaj.art-d1ad3c3169d548c8ab334380efa5670a |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-03-12T21:27:00Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-d1ad3c3169d548c8ab334380efa5670a2023-07-28T06:30:48ZengWileyESC Heart Failure2055-58222023-08-011042734273910.1002/ehf2.14376Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemicSemyon Melnikov0Binyamin Ben Avraham1Osnat Itzhaki Ben Zadok2Aviv Shaul3Miri Abuhazira4Vicky Yaari5Tiny Jaarsma6Tuvia Ben‐Gal7Nursing Department, Steyer School of Health Professions, Sackler Faculty of Medicine Tel Aviv University Tel Aviv 69978 IsraelDepartment of Cardiology, Heart Failure Unit Rabin Medical Center Petah Tikva IsraelDepartment of Cardiology, Heart Failure Unit Rabin Medical Center Petah Tikva IsraelDepartment of Cardiology, Heart Failure Unit Rabin Medical Center Petah Tikva IsraelVAD Coordinator and Heart and Lung Transplant Coordinator Rabin Medical Center Petah Tikva IsraelHead Nurse CHF Unit and Heart Transplant Coordinator Rabin Medical Center Petah Tikva IsraelDepartment of Health, Medicine and Caring Sciences Linkoping University Linkoping SwedenDepartment of Cardiology, Heart Failure Unit Rabin Medical Center Petah Tikva IsraelAbstract Aims Left ventricular assist devices (LVADs) support the hearts of patients with advanced heart failure. Following LVAD implantation, patients face a complex regimen of self‐care behaviours including self‐care maintenance, self‐care monitoring and self‐care management. However, during the COVID‐19 pandemic, symptoms of anxiety and depression may have interfered with their self‐care. Currently, little is known on how specific self‐care behaviours of LVAD‐implanted patients changed during the COVID‐19 pandemic. We aim to describe the changes in self‐care behaviours among patients with an implanted LVAD in Israel during the COVID‐19 pandemic and explore the factors related to self‐care behaviour change. Methods A prospective observational cross‐sectional study design. A convenience sample of 27 Israeli LVAD‐implanted patients (mean age 62.4 ± 9, 86% male, 78.6% living with a partner) completed the LVAD Self‐Care Behaviour Scale (1 = never to 5 = always) and Hospital Anxiety and Depression Scale (0 = not at all to 3 = most of the time). Data were collected before and after the onset of the COVID‐19 pandemic in Israel. Statistical analyses included paired t‐tests, Pearson's correlations, and one‐way repeated measures ANOVAs. Results During the COVID‐19 pandemic, a significant decrease was found in patients' adherence to checking and recording their LVAD speed, flow, power and PI (Pulsatility Index) (P = 0.05), checking their INR (P = 0.01), and daily weighing (P < 0.01). The prevalence of some behaviours (e.g. regularly exercising) increased in some patients and decreased in others. Patients living without a partner worsened their adherence to some of the self‐care behaviours (e.g. taking medicines as prescribed), compared with those living with a partner (Mb = 5.0 ± 0 and Md = 5.0 ± 0, delta = 0 vs. Mb = 5.0 ± 0 and Md = 4.6 ± 0.9, delta = −0.4, respectively; F = 4.9, P = 0.04). Women, and not men, tended to improve their adherence to the self‐care behaviour such as avoiding kinking, pulling, or moving the LVAD driveline at the exit site (Mb = 4.0 ± 1.0 and Md = 5.0 ± 0, delta = 1.0 vs. Mb = 4.5 ± 0.9 and Md = 4.4 ± 1.2, delta = −0.1, F = 4.7, P = 0.04, respectively). In total, 41% (11) patients reported neither anxiety nor depression, 11% (3) reported anxiety, 15% (4) reported depression, and 44% (12) reported both anxiety and depression. No associations between anxiety and/or depression and self‐care behaviours were found. Conclusions Priorities in self‐care behaviours among patients with implanted LVAD changed after the onset of the COVID‐19 pandemic. Factors that assisted with adherence to self‐care behaviours included living with a partner and being female. The current results may guide further research on identifying behaviours that are at risk of not being maintained during a time of emergency.https://doi.org/10.1002/ehf2.14376LVADSelf‐careCOVID‐19 |
| spellingShingle | Semyon Melnikov Binyamin Ben Avraham Osnat Itzhaki Ben Zadok Aviv Shaul Miri Abuhazira Vicky Yaari Tiny Jaarsma Tuvia Ben‐Gal Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic ESC Heart Failure LVAD Self‐care COVID‐19 |
| title | Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic |
| title_full | Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic |
| title_fullStr | Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic |
| title_full_unstemmed | Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic |
| title_short | Self‐care behaviours of patients with left ventricular assist devices in Israel: changes during the COVID‐19 pandemic |
| title_sort | self care behaviours of patients with left ventricular assist devices in israel changes during the covid 19 pandemic |
| topic | LVAD Self‐care COVID‐19 |
| url | https://doi.org/10.1002/ehf2.14376 |
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