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Reported adherence and social support among immigrants compared to native Swedes

Journal article
Authors Azar Hedemalm
Maria Schaufelberger
Inger Ekman
Published in Journal of Immigrant and Minority Health
Volume 12
Issue 1
Pages 124-131
ISSN 1557-1912
Publication year 2010
Published at Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
Institute of Health and Care Sciences
Pages 124-131
Language en
Links dx.doi.org/10.1007/s10903-009-9235-...
Keywords Immigrant, Symptom, Adherence, Self care, Social support, Heart failure
Subject categories Theory of science regarding care and nursing

Abstract

Challenges experienced by heart failure patients have seldom been studied from the perspective of immigrants. OBJECTIVE: To describe and compare immigrant and native Swedish patients regarding changes in physical limitation, emotional state, social support and self-care. METHOD: A comparative study was conducted including 23 consecutively selected immigrants and 46 Swedish patients. Baseline and 4-month follow-up interviews were conducted using the Kansas City Cardiomyopathy Questionnaire, Short Form-36, Hospital Anxiety and Depression Scale, MOS Social Support Survey, and European Heart Failure Self-Care Behaviour Scale. RESULTS: A larger number of immigrants adhered to prescribed medications (P = 0.02) and significantly less (P = 0.048) felt having somebody to confide to compared to Swedish patients. However the distress level, frequency and severity of symptoms and signs, physical function, emotional state and self care were similar between the groups over time. CONCLUSION: Caregivers should be aware that immigrants may be in need of greater emotional support than has previously been anticipated.

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