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Updated: Mar 13, 2026
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Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
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Factors Affecting Volume Load Management in Patients With Heart Failure: A Path Analysis Using a Multimediation Model
Qiuping Wu1, Haoyu Pei2, Limin Zhang1
1Department of Cardiology, Xinqiao Hospital and The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Heart, Lung & Circulation
|March 11, 2026
Summary
Psychosocial factors like self-care, cognition, and social support significantly impact volume overload in heart failure (HF) patients. Improving these areas is key to better HF management and prognosis.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Effective management of volume overload is crucial for improving heart failure (HF) prognosis.
- Psychosocial and behavioral factors significantly influence fluid balance in HF patients.
- Limited studies explore the direct link between these factors and volume overload in HF.
Purpose of the Study:
- To model the direct and indirect influences of psychosocial factors on volume overload in HF patients.
- To identify key behavioral and social determinants for targeted volume management interventions.
- To enhance understanding of the multifactorial nature of volume overload in heart failure.
Main Methods:
- A cross-sectional study of 233 hospitalized HF patients in Chongqing, China.
- Volume status assessed via bioelectrical impedance analysis.
- Psychosocial variables measured using validated scales (e.g., Lubben Social Network Scale, Mini-Cog, General Self-Efficacy Scale).
Main Results:
- 71% of HF patients experienced volume overload.
- Direct negative associations found between volume overload and self-care maintenance, cognition, and self-efficacy.
- Indirect negative effects linked volume overload to social support, self-care confidence, and consideration of future outcomes.
Conclusions:
- Social support, cognitive function, self-efficacy, future outlook, and self-care capacity are significant contributors to volume overload vulnerability in HF.
- Multifaceted interventions targeting these psychosocial factors are necessary for improving HF patient prognosis.
- Findings highlight the importance of a holistic approach to managing volume overload in heart failure.
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