The relationship between cognitive perception of self-concept and coping styles in heart failure patients.
Zahra Amouzeshi, Farzaneh Safajou, Tooba Kazemi and 1 others
PMID 32089849WHAT IT FOUND
Hospitalized heart failure patients who felt their self-concept was more threatened reported more emotion-focused or avoidant coping.
Problem-focused coping was not linked to threat, and feeling challenged did not relate to coping.
Key findings
01Threat to self-concept was associated with emotion-oriented coping.
02Threat to self-concept was associated with avoidance-oriented coping.
03Problem-oriented coping was not associated with threat, and challenge to self-concept was not associated with any coping style.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It was a correlational survey, so it cannot show which way the relationship runs. Participants were recruited by convenience sampling from one hospital in Iran, so the findings may not apply to other heart failure populations. Responses may have been influenced by patients' psychological and mental conditions, which the researchers could not control. Coping styles and self-concept are changing processes, so a single interview may not capture them well.
Declared interests
No conflicts of interest were declared.
The easy way to misread this
Do not conclude that improving self-concept will change coping or adherence. This was a correlational survey, not a trial, and it did not test any intervention.