Health Related Quality of Life Among Heart Failure Patients Attending an Outpatient Clinic at University of Gondar Comprehensive Specialized Hospital Northwest Ethiopia 2020: Structural Equation Modeling Approach

Tarekegn, Gebrekidan Ewnetu; Gezie, Lemma Derseh; Birhan, Tilahun Yemanu

doi:10.21203/rs.3.rs-60569/v1

Cited by 3 publications

(6 citation statements)

References 25 publications

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“…However, Alla et al [ 42 ] and Scott et al [ 43 ] eventually agreed on a multidimensional account that encompasses the physical, psychological, and social dimensions of HRQoL, all of which are incorporated in the SF-36 health survey [ 33 – 35 ]. Building on that approach, the present study found higher scores across almost all of the SF-36 domains compared to previous studies in the KSA’s Eastern region [ 26 ], Ethiopia [ 44 ], and Spain [ 18 ], which reported low HRQoL across all domains of the SF-36. This might be explained by methodological differences, variations in the history of comorbidities, duration of heart failure, treatment compliance, and differences in health quality.…”

Section: Discussionsupporting

confidence: 63%

Assessment of health-related quality of life in patients with heart failure: a cross-sectional study in Saudi Arabia

Alharbi

AlTuwayjiri

et al. 2022

Health Qual Life Outcomes

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Background As a precarious clinical condition and a public health problem, heart failure (HF) is associated with a significant burden of morbidity, mortality, and health care costs. As almost all of the published research has been conducted in Western countries, there is a need for culturally relevant studies in Saudi Arabia. This is the first study to investigate health-related quality of life (HRQoL) and its associated factors among Saudi patients with HF in the Qassim region. Methods A cross-sectional study was conducted at the only tertiary care hospital in the Qassim region of Saudi Arabia during the period from November 2020 to July 2021. The participants were interviewed face-to-face by trained interviewers using the standard validated 36-item Short-Form Health Survey (SF-36) questionnaire for HRQoL assessment. The data were analyzed using STATA version 16. Results The participants included 246 HF patients whose mean (SD) age was 56.7 (10.9) years. A majority of the respondents (80%, n = 197) were male, and 49% (n = 121) had an education level of less than secondary school. The median scores were high for the domains of social functioning (100 points) and bodily pain (75 points) and low for role-physical functioning (25 points). In general, the median scores for the physical and mental component summaries were 58.1 and 63.7, respectively. Patients with an education level less than secondary school were more likely to have a low physical component summary score (aOR 3.00, 95% CI 1.46–6.17), while female patients were more likely to have a low mental component summary score (aOR 2.67, 95% CI 1.38–5.16). Conclusions Health-related quality of life was found to be moderate among these HF patients. Periodic HRQoL assessment is recommended for HF patients to minimize their physical and psychological concerns, particularly for patients with low education levels and female patients.

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Section: Discussionsupporting

confidence: 63%

Assessment of health-related quality of life in patients with heart failure: a cross-sectional study in Saudi Arabia

Alharbi

AlTuwayjiri

et al. 2022

Health Qual Life Outcomes

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“…Multiple studies demonstrated that older age had a significant relationship with all areas of quality of life as shown in this study. For instance, Tarekegn, Gezie, Birhan, and Ewnetu (2021) concluded that patients over 60 years of age had worse mental health, physical health, social relationships and environmental health. Pelegrino, Dantas, and Clark (2011) and AbuRuz, Alaloul, Saifan, Masa’Deh, and Abusalem (2016) found a negative significant relationship between age and quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…physical, social and symptom domains) compared with lower income. Additionally, Tarekegn et al (2021) reported that lower income and lower education level were associated with poorer quality of life. Asimakopoulou et al (2019) found that the older the age of the patient and the lower levels of education, the lower the quality of life of patients with heart failure.…”

Section: Agjsrmentioning

confidence: 99%

Perceived quality of life in patients with heart failure: a cross-sectional study among adults in Kingdom of Bahrain

Ghuloom

Sanad

2022

AGJSR

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PurposeThe aim of this study is to assess the perceived quality of life of Bahraini patients with heart failure.Design/methodology/approachA sample of 250 patients aged 18 years and older was recruited using a cross-sectional design. Minnesota Living with Heart Failure Questionnaire version three was employed to obtain data from participants on their socio-demographic characteristics and their perceived quality of life.FindingsThe mean age of patients was 69.0 ± 8.1 years and 78% were males. Almost half of the patients with third/fourth degree heart failure had difficulties in earning a living (48.4%) since they had long periods of hospital stays (49.2%). The quality of life is inversely proportional to the age of the patients with third/fourth degree heart failure (p < 0.001). Most of the patients had a poor quality of life (74.8%); about 21.6% had a moderate quality of life, while only few patients (3.6%) had a good quality of life.Originality/valueThe quality of life among Bahraini patients diagnosed with third/fourth degree heart failure is generally poor. Further, advanced age, low level of education, not currently married and low income were shown to be associated with poor quality of life. A need exists to include a quality of life assessment tool as part of the management of these patients.

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“…The sample size was estimated based on a single population proportion formula ( 30 ), considering a Z -value of 1.96 with a 95% level of confidence and a 5% margin of error. The prevalence (P) for sample size estimation was based on a previous study conducted in Ethiopia using the World Health Organization Quality of Life questionnaire (WHOQoL-BREF) instrument ( 15 ), in which 45.6% of patients with heart failure rated their overall HRQoL as poor. We applied the finite population correction factor formula ( 31 ) for the source population of 5,500 CVD patients, and recruited a total of 360 eligible patients using a consecutive sampling method.…”

Section: Methodsmentioning

confidence: 99%

“…To improve patient outcomes, patient-reported problems must be addressed alongside cardiovascular pharmacotherapy. Previous studies showed that a more active involvement of patient's in disease management can substantially enhance HRQoL ( 15 , 16 ). In LMICs, lower socioeconomic status, low access and high cost of medications could negatively affect HRQoL and treatment satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life and treatment satisfaction of patients with cardiovascular disease in Ethiopia

Tito

Gebremariam

Beyene

et al. 2022

Front. Public Health

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PurposeCardiovascular disease is the most prevalent health problem associated with poorer health-related quality of life (HRQoL). We aimed to assess HRQoL and treatment satisfaction of cardiovascular disease patients in Ethiopia.MethodsA cross-sectional survey was conducted among adults attending the outpatient cardiac clinic at Tikur Anbessa Specialized Hospital from July to September 2021. Patients were recruited consecutively during follow-up visits. Treatment Satisfaction Questionnaire for Medication and European Quality of life questionnaires were used to evaluate treatment satisfaction and HRQoL, respectively. Kruskal-Wallis and Mann-Whitney U-tests were used to compare utility weights between patient subgroups. Utility values were computed using disutility weights of the Ethiopian general population derived using a hybrid regression model. Tobit regression modeling was used to explore factors associated with poor HRQoL. Statistical significance was determined at p < 0.05.ResultsA total of 357 patients participated in the study with a mean age of 49.3 ± 17.8 years. The most frequently reported health problems were pain/discomfort (75.4%), followed by mobility (73.4%). The median (interquartile range) European Quality questionnaires five dimensions with five levels utility (EQ-5D-5L) and European Quality of life Visual Analog Scale scores were 0.84 (0.55–0.92) and 70.0 (50.0–85.0), respectively. The highest and lowest mean (standard deviation) treatment satisfaction scores were for the convenience and safety satisfaction dimensions: 87.7 (17.9) and 53.1 (33.5), respectively. Unemployment, older age, previous hospital admission, non-adherence to lifestyle modification, and presence of three or more cardiovascular disease factors were significantly negatively associated with HRQoL.ConclusionsOverall, the study found that cardiovascular disease had a profound negative effect on HRQoL and patient treatment satisfaction. We suggest that interventions to enhance HRQoL and treatment satisfactions should focus on modifiable associated factors including lifestyle changes and controlling disease progression.

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Health Related Quality of Life Among Heart Failure Patients Attending an Outpatient Clinic at University of Gondar Comprehensive Specialized Hospital Northwest Ethiopia 2020: Structural Equation Modeling Approach

Cited by 3 publications

References 25 publications

Assessment of health-related quality of life in patients with heart failure: a cross-sectional study in Saudi Arabia

Assessment of health-related quality of life in patients with heart failure: a cross-sectional study in Saudi Arabia

Perceived quality of life in patients with heart failure: a cross-sectional study among adults in Kingdom of Bahrain

Health-related quality of life and treatment satisfaction of patients with cardiovascular disease in Ethiopia

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