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Perceived Social Isolation in Heart Failure
1Department of Nursing, University of West Attica, Athens, Greece.
The Journal of Innovations in Cardiac Rhythm Management
|June 29, 2022
Summary
Heart failure patients often feel socially isolated, which is linked to worse health outcomes. Fatigue and specific clinical factors significantly contribute to this isolation, highlighting the need for assessment in routine care.
Area of Science:
- Cardiology
- Psychosocial Health
- Patient Outcomes
Background:
- Social isolation in heart failure (HF) patients is linked to increased morbidity, mortality, and healthcare costs.
- Understanding the drivers of social isolation is crucial for improving patient well-being and management.
Purpose of the Study:
- To identify factors associated with perceived social isolation in heart failure outpatients.
- To evaluate the impact of fatigue on social isolation in this population.
Main Methods:
- A study involving 100 heart failure outpatients.
- Data collection via the Greek version of the Modified Fatigue Impact Scale (MFIS-Greek), including patient characteristics and self-reported social isolation.
- Convenience sampling was used for patient enrollment.
Main Results:
- 78% of participants reported perceived social isolation.
- Factors associated with isolation included female sex, NYHA class IV, HF stress, dyspnea, edema, polypharmacy, body image changes, and non-adherence to fluid/sodium restrictions.
- Higher fatigue levels (median MFIS score of 70) were significantly associated with social isolation (P=.001).
Conclusions:
- Demographic and clinical factors, alongside significant fatigue, are associated with perceived social isolation in heart failure patients.
- Routine assessment of social isolation in heart failure management is essential.
- Interventions targeting fatigue and associated clinical factors may help mitigate social isolation.
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