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Adult nursing
Black patients with heart failure have worse quality of life than whites, possibly from worse depression symptoms and sleep quality
  1. Neil Aggarwal
  1. New York State Psychiatric Institute, Columbia University, New York, New York, USA
  1. Correspondence to Dr Neil Aggarwal, New York State Psychiatric Institute, Columbia University, NY, New York, USA; aggarwa{at}nyspi.columbia.edu

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Commentary on: Wu J-R, Moser DK, Lin C-Y, et al. Depressive symptoms and sleep quality mediate the relationship between race and quality of life among patients with heart failure: a serial multiple mediator model.J Cardiovasc Nurs 2024; doi: 10.1097/JCN.0000000000001079.

Implications for practice and research

  • Providers should screen for depression symptoms and quality of life in patients with heart failure.

  • More research is needed on depression symptoms, sleep quality and quality of life across racial and ethnic groups.

Context

Heart failure is the chronic stage of any disease that leads to cardiac functional impairment, affecting between 1% and 7% of the world’s population.1 Racial/ethnic differences are present, with black patients reporting greater incidence, prevalence and severity of heart failure compared with whites.2 One conceptual model has hypothesised that patients with heart failure can have nighttime dyspnoea or …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.