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    Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes

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    Author
    Toukhsati, SR; Hare, DL
    Date
    2016-01-01
    Source Title
    Current Cardiology Reviews
    Publisher
    BENTHAM SCIENCE PUBL LTD
    University of Melbourne Author/s
    Hare, David; Toukhsati, Samia
    Affiliation
    Medicine and Radiology
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Toukhsati, S. R. & Hare, D. L. (2016). Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes. CURRENT CARDIOLOGY REVIEWS, 12 (3), pp.243-248. https://doi.org/10.2174/1573403X12666160606122451.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/259324
    DOI
    10.2174/1573403X12666160606122451
    Abstract
    Psychosocial factors play an important role in the development and progression of cardiovascular diseases (CVD), such as chronic heart failure (CHF). In particular, psycho-cognitive disturbance is common in CHF, which presents additional challenges to secondary prevention and management strategies. This review provides a summary of the contemporary psycho-cardiology literature, including coverage of common mood and cognitive symptoms, and explores some of the pathophysiologic evidence linking psycho-cognition to CHF, with particular emphasis on sympathetic nervous system activation and neuroendocrine functioning. Social support is identified as a strategy by which to reduce depressive symptoms, manage cognitive impairment and to, potentially, improve health outcomes through improved patient self care and adherence. Recent research outcomes suggest that the integration of family caregivers into CHF psycho-educational disease management programs, as providers and recipients of support, may achieve best outcomes. In this regard, couples-oriented strategies that promote communication, emotional attachment and support may enhance healthpromoting behaviours in patients and their partners.

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