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Perceived Social Support in Persons With Heart Failure Living With an Implantable Cardioverter Defibrillator: A

Hanna Allemann1, Anna Strömberg, Ingela Thylén

  • 1Hanna Allemann, MsC, RN PhD Student, Division of Nursing, Department of Medical and Health Sciences, Linköping University, Sweden. Anna Strömberg, PhD, RN Professor, Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden, and Sue and Bill Gross School of Nursing, University of California Irvine. Ingela Thylén, PhD, RN Associate Professor, Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

The Journal of Cardiovascular Nursing
|August 1, 2018
PubMed

Insights

One in five individuals with heart failure (HF) and an implantable cardioverter defibrillator (ICD) reported low social support. Living alone, depression, and anxiety were key factors associated with lower support, impacting perceived health and control.

Area of Science:

  • Cardiology
  • Psychology
  • Sociology

Background:

  • Established links exist between chronic illness, psychological well-being, and social support.
  • Social isolation and loneliness increase mortality risk in heart failure (HF) patients.
  • Few studies address social support in HF patients with implantable cardioverter defibrillators (ICDs).

Purpose of the Study:

  • To explore factors associated with perceived social support in a large cohort of HF patients with ICDs.

Main Methods:

  • Cross-sectional study of 1550 adult ICD recipients with HF from the Swedish ICD registry.
  • Data collected on demographics, perceived social support, health status, psychological well-being, and perceived control.
  • Logistic regression analysis to identify predictors of low/medium social support.

Main Results:

  • 18% of participants reported low/medium social support.
  • Living alone was the strongest predictor of low/medium support.
  • Low support was linked to poorer perceived health, depression, anxiety, and lower perceived control, varying by living situation.

Conclusions:

  • One in five HF patients with ICDs experience low social support.
  • Perceived social support is complexly related to psychological well-being and perceived control in this population.
  • Interventions should consider multiple factors to optimize psychosocial support and outcomes for HF patients with ICDs.
Abstract

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