The Interplay Between Physical Symptoms, Benefit Finding, Patient Activation, Social Support, Family Function, and Hope in Patients With Heart Failure: A Network Analysis.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: The Interplay Between Physical Symptoms, Benefit Finding, Patient Activation, Social Support, Family Function, and Hope in Patients With Heart Failure: A Network Analysis.
Συγγραφείς: Zhang H; Huaxue Zhang, Master candidate, RN, School of Nursing and Rehabilitation, Shandong University, Jinan, China., Dong X; Xiaoyu Dong, Master, RN, School of Nursing, Puyang Medical College, Henan, China., Liang C; Chaoqun Liang, Master candidate, RN, School of Nursing and Rehabilitation, Shandong University, Jinan, China., Yang M; Mei Yang, PhD candidate, RN, School of Nursing and Rehabilitation, Shandong University, Jinan, China., Fang W; Wenjie Fang, PhD candidate, RN, School of Nursing and Rehabilitation, Shandong University, Jinan, China., Zhang Y; Yilin Zhang, PhD candidate, RN, School of Nursing and Rehabilitation, Shandong University, Jinan, China., Fan X; Xiuzhen Fan, PhD, RN, Professor, School of Nursing and Rehabilitation, Shandong University, Jinan, China.
Πηγή: The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2026 Sep-Oct 01; Vol. 41 (5), pp. E492-E500. Date of Electronic Publication: 2026 Jul 07.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8703516 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5049 (Electronic) Linking ISSN: 08894655 NLM ISO Abbreviation: J Cardiovasc Nurs Subsets: MEDLINE
Imprint Name(s): Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Frederick, MD : Aspen Publishers, c1986-
Ιατρικοί όροι (MeSH): Heart Failure*/psychology , Social Support* , Hope* , Patient Participation*, Humans ; Female ; Male ; Middle Aged ; Aged ; Surveys and Questionnaires ; Family Support
Περίληψη: Background: Hope plays an important role in alleviating psychological distress in patients with chronic diseases. However, research on the associative mechanisms between hope and its related factors in patients with heart failure is limited.
Objective: In this study, our aim was to identify the central nodes within the whole network of hope and explore the factors associated with hope in patients with heart failure.
Methods: A total of 240 inpatients with heart failure were recruited using convenience sampling. Hope, physical symptoms, benefit finding, patient activation, social support, and family function were assessed by self-reported questionnaires. A Gaussian graphical model was employed to examine the associations among the variables.
Results: Temporality and future was the central and influential node within the hope network, which exhibited the highest strength and expected influence (strength = 0.96, expected influence = 0.96). In addition, physical symptoms were negatively associated with positive readiness and expectancy. Family function was positively associated with positive readiness and expectancy, and interconnectedness. Benefit finding, patient activation, and social support were positively associated with all dimensions of hope.
Conclusions: Temporality and future dimension of hope emerged as a central node in the entire network of hope, indicating that as the most important component of hope, greater attention should be paid to it. Moreover, physical symptoms, benefit finding, patient activation, social support, and family function are contributors to hope in patients with heart failure. Therefore, interventions targeting these factors may be conducive to enhancing hope in patients with heart failure.
(Copyright © 2026 Wolters Kluwer Health, LLC. All rights reserved.)
Competing Interests: The authors have no conflicts of interest to disclose.
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Contributed Indexing: Keywords: heart failure; hope; intricate relationships; network analysis
Entry Date(s): Date Created: 20260706 Date Completed: 20260811 Latest Revision: 20260811
Update Code: 20260812
DOI: 10.1097/JCN.0000000000001331
PMID: 42403236
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1550-5049
DOI:10.1097/JCN.0000000000001331