Jiayun Xu|Joseph J. Gallo|Jennifer Wenzel|Marie T. Nolan|Chakra Budhathoki|Martha Abshire Saylor|K. Bruce Bower|Sofia Arruda|D. Lynn Flowers|Sarah L. Szanton|Cheryl Dennison Himmelfarb|Kaylin Gonzalez|Hae Ra Han
Heart Failure Rehospitalization and Delayed Decision Making
University of Utah|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|Case Western Reserve University|National Institutes of Health|Sigma Theta Tau International|Sotheby's Institute of Art|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins Hospital|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International|Johns Hopkins University|Johns Hopkins University|National Institutes of Health|Sigma Theta Tau International|National Institutes of Health|Sigma Theta Tau International
background rehospitalization soon discharge distressing persons heart failure hf places heavy burden healthcare system objective investigated explored association selfcare decision making variables 1 rehospitalization within 30 days discharge 2 delay seeking medical assistance delayed decision making methods crosssectional explanatory sequential mixed methods design quan gt qual used survey 127 hospitalized hf patients interview 15 participants explain survey responses survey assessed rehospitalization within 30 days discharge delayed decision making hf selfcare psychosocial factors influencing selfcare results likelihood delaying decision hospitalized 5 times higher among high depressive symptoms odds ratio 533 95 confidence interval 2141328 delayed going hospital uncertain prognosis feel symptoms urgent likelihood rehospitalized within 30 days doubled among high depressive symptoms 231 95 confidence interval 101531 rehospitalized within 30 days less likely consult healthcare professionals decision making wanted immediate relief symptoms conclusions recommend patientcentered approach help hf patients identify adequately selfmanage symptoms strong association high depressive symptoms rehospitalization within 30 days well delayed decision making highlights critical need clinicians carefully assess address depression among hf patients