{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:37:07Z","timestamp":1769085427018,"version":"3.49.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":938,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000860","name":"ESC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000860","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000860","name":"European Society of Cardiology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000860","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Left ventricular assist devices (LVADs) support the hearts of patients with advanced heart failure. Following LVAD implantation, patients face a complex regimen of self-care behaviours including self-care maintenance, self-care monitoring and self-care management. However, during the COVID-19 pandemic, symptoms of anxiety and depression may have interfered with their self-care. Currently, little is known on how specific self-care behaviours of LVAD-implanted patients changed during the COVID-19 pandemic. We aim to describe the changes in self-care behaviours among patients with an implanted LVAD in Israel during the COVID-19 pandemic and explore the factors related to self-care behaviour change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational cross-sectional study design. A convenience sample of 27 Israeli LVAD-implanted patients (mean age 62.4 \u00b1 9, 86% male, 78.6% living with a partner) completed the LVAD Self-Care Behaviour Scale (1 = never to 5 = always) and Hospital Anxiety and Depression Scale (0 = not at all to 3 = most of the time). Data were collected before and after the onset of the COVID-19 pandemic in Israel. Statistical analyses included paired t-tests, Pearson's correlations, and one-way repeated measures ANOVAs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the COVID-19 pandemic, a significant decrease was found in patients' adherence to checking and recording their LVAD speed, flow, power and PI (Pulsatility Index) (P = 0.05), checking their INR (P = 0.01), and daily weighing (P &amp;lt; 0.01). The prevalence of some behaviours (e.g. regularly exercising) increased in some patients and decreased in others. Patients living without a partner worsened their adherence to some of the self-care behaviours (e.g. taking medicines as prescribed), compared with those living with a partner (Mb = 5.0 \u00b1 0 and Md = 5.0 \u00b1 0, delta = 0 vs. Mb = 5.0 \u00b1 0 and Md = 4.6 \u00b1 0.9, delta = \u22120.4, respectively; F = 4.9, P = 0.04). Women, and not men, tended to improve their adherence to the self-care behaviour such as avoiding kinking, pulling, or moving the LVAD driveline at the exit site (Mb = 4.0 \u00b1 1.0 and Md = 5.0 \u00b1 0, delta = 1.0 vs. Mb = 4.5 \u00b1 0.9 and Md = 4.4 \u00b1 1.2, delta = \u22120.1, F = 4.7, P = 0.04, respectively). In total, 41% (11) patients reported neither anxiety nor depression, 11% (3) reported anxiety, 15% (4) reported depression, and 44% (12) reported both anxiety and depression. No associations between anxiety and\/or depression and self-care behaviours were found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Priorities in self-care behaviours among patients with implanted LVAD changed after the onset of the COVID-19 pandemic. Factors that assisted with adherence to self-care behaviours included living with a partner and being female. The current results may guide further research on identifying behaviours that are at risk of not being maintained during a time of emergency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.14376","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T18:29:46Z","timestamp":1681928986000},"page":"2734-2739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Self-Care Behaviours of Patients with Left Ventricular Assist Devices in Israel: Changes During the COVID-19 Pandemic"],"prefix":"10.1093","volume":"10","author":[{"given":"Semyon","family":"Melnikov","sequence":"first","affiliation":[{"name":"Nursing Department, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv, 69978 ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binyamin","family":"Ben Avraham","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Failure Unit, Rabin Medical Center , Petah Tikva ,","place":["Israel"]},{"name":"Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osnat","family":"Itzhaki Ben Zadok","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Failure Unit, Rabin Medical Center , Petah Tikva ,","place":["Israel"]},{"name":"Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aviv","family":"Shaul","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Failure Unit, Rabin Medical Center , Petah Tikva ,","place":["Israel"]},{"name":"Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miri","family":"Abuhazira","sequence":"additional","affiliation":[{"name":"VAD Coordinator and Heart and Lung Transplant Coordinator Rabin Medical Center , Petah Tikva ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicky","family":"Yaari","sequence":"additional","affiliation":[{"name":"Head Nurse CHF Unit and Heart Transplant Coordinator Rabin Medical Center , Petah Tikva ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiny","family":"Jaarsma","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Linkoping University , Linkoping ,","place":["Sweden"]},{"name":"Julius Center, University Medical Center Utrecht , Utrecht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuvia","family":"Ben-Gal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart Failure Unit, Rabin Medical Center , Petah Tikva ,","place":["Israel"]},{"name":"Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv ,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"2026012114093362000_ehf214376-bib-0001","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1002\/ejhf.1858","article-title":"Epidemiology of heart failure","volume":"22","author":"Groenewegen","year":"2020","journal-title":"Eur J Heart Fail"},{"key":"2026012114093362000_ehf214376-bib-0002","volume-title":"Clalit HMO Israel. \u05d0\u05d9\u05be\u05e1\u05e4\u05d9\u05e7\u05ea \u05dc\u05d1 Heart Failure [Internet]","year":"2022"},{"key":"2026012114093362000_ehf214376-bib-0003","article-title":"A rising 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