Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

Wang, Yu; Yang, Qiaofang; Liu, Yancun; Zheng, Gaigai; Fan, Fanghui; Tian, Huan; Zhang, Xin

doi:10.1111/jocn.16955

Cited by 4 publications

(1 citation statement)

References 54 publications

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“…The physical weakness, as well as the negative psychological impact (such as anxiety and depression) caused by CVD is associated with the poor level of QoL reported by these patients [74]. This meta-analysis assessed the effect of niVR on QoL, assessing not only the overall QoL but also the different dimensions of the QoL, such as physical, mental, social, and vitality.…”

Section: Discussionmentioning

confidence: 99%

Non-Immersive Virtual Reality-Based Therapy Applied in Cardiac Rehabilitation: A Systematic Review with Meta-Analysis

Peinado-Rubia,

Verdejo-Herrero,

Obrero-Gaitán

et al. 2024

Sensors

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Background: The aim of this systematic review with meta-analysis was to assess the effectiveness of non-immersive virtual reality (niVR) active videogames in patients who underwent cardiac rehabilitation (CR). Methods: A systematic review with meta-analysis, according to the PRISMA guidelines and previously registered in PROSPERO (CRD42023485240), was performed through a literature search in PubMed (Medline), SCOPUS, WOS, and PEDro since inception to 21 November 2023. We included randomized controlled trials (RCTs) that assessed the effectiveness of an niVR intervention, in comparison with conventional CR and usual care, on aerobic capacity and cardiovascular endurance (physical function), anxiety, depression, and quality of life (QoL). The risk of bias in individual studies was assessed using the Cochrane risk of bias tool. Effect size was estimated using Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI) in a random-effects model. Results: Nine RCT that met the inclusion criteria were included in the meta-analysis. The meta-analysis showed a moderate-to-large effect favoring niVR active videogames included in CR in increasing aerobic capacity and cardiovascular endurance (SMD = 0.74; 95% CI 0.11 to 1.37; p = 0.021) and reducing anxiety (SMD = −0.66; 95% CI −1.13 to −0.2; p = 0.006). Only 4.8% of patients reported adverse events while performing niVR active videogames. Conclusions: Inclusion of niVR active videogames in CR programs is more effective than conventional CR in improving aerobic capacity and cardiovascular endurance and in reducing anxiety.

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Section: Discussionmentioning

confidence: 99%

Non-Immersive Virtual Reality-Based Therapy Applied in Cardiac Rehabilitation: A Systematic Review with Meta-Analysis

Peinado-Rubia,

Verdejo-Herrero,

Obrero-Gaitán

et al. 2024

Sensors

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Psychometric evaluation of the Chinese version of the Chronic Heart Failure Health-related Quality of Life Questionnaire (CHFQOLQ-20)

Zhao,

Deng

et al. 2024

Sci Rep

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The incidence rate of chronic heart failure has increased significantly in China and has a large impact on patients’ lives. The purpose of the study was to validate the Chronic Heart Failure Health-Related Quality of Life Questionnaire (CHFQOLQ-20) cross-culturally and test its reliability and validity in patients with chronic heart failure. This study was conducted by investigating 622 patients with chronic heart failure from August 2023 to January 2024, and the data were tested for validity using SPSS 25.0 and AMOS 23.0. The final psychometric validation of the CHFQOLQ-20 was performed. The Chinese version of the CHFQOLQ-20 had a Cronbach’s α of 0.908, a split-half reliability of 0.870, and a retest reliability of 0.892. An exploratory factor analysis yielded four common factors with a cumulative ANOVA of 59.355%, and the validated factor analysis with one correction resulted in a better-fitting model (χ 2 /df = 2.020, RMSEA = 0.057, CFI = 0.920, TLI = 0.907). The scale is a reliable assessment tool that can be used in future clinical practice.

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The Effect of Heart Failure Symptom Clusters on Quality of Life: The Moderating Effect of Self‐Care Behaviours

Yao,

Luo,

Song

et al. 2024

Journal of Clinical Nursing

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BackgroundAlthough heart failure (HF) symptoms affect patients' quality of life (QoL), improving patients' QoL requires certain self‐care behaviours. However, the specific role of self‐care behaviours in the relationship between HF symptoms and QoL has not been clarified.AimsTo evaluate the status of symptom clusters, self‐care behaviours and QoL in HF patients, and to analyse and test the moderating effect of self‐care behaviours between symptom clusters and QoL.DesignThis study is a cross‐sectional study.MethodsA total of 320 HF patients who treated in the three hospitals in Chengdu, China, from December 2022 to July 2023 were selected as the research subjects. The patients were evaluated using The General Information Questionnaire, Memorial Symptom Assessment Scale Heart Failure, Self‐Care of Heart Failure Index and Minnesota Living with Heart Failure Questionnaire. The statistical analysis methods were exploratory factor analysis, Pearson correlation analysis, hierarchical regression analysis and simple slope analysis.ResultsThere were five symptom clusters in HF patients: emotional symptom cluster (sadness, anxiety, irritability, feeling nervous), digestive symptom cluster (lack of appetite, dry mouth, weight loss, nausea, abdominal distension), ischemic symptom cluster (dizziness, chest pain, palpitations, fatigue), dyspnoea symptom cluster (difficulty breathing when lying flat, waking up breathless at night, sleep difficulty) and congestion symptom cluster (cough, shortness of breath, oedema). There was a significant correlation between HF symptom group, self‐care behaviours and QoL (p < 0.05). Both self‐care maintenance (β = −0.262, p < 0.001) and self‐care management (β = −0.258, p < 0.001) had a moderating effect between symptom clusters and QoL.ConclusionThere are a variety of symptom clusters in HF patients. Improving the self‐care behaviours ability of HF patients is conducive to reducing the impact of HF symptom clusters on QoL.Reporting MethodThe study used the STROBE checklist for reporting.Relevance to Clinical PracticeMedical staff should focus on the impact of HF symptom clusters and self‐care behaviours on QoL, and formulate corresponding interventions for HF symptom clusters and self‐care behaviours to improve the QoL of patients.Patient or Public ContributionThe head nurse of the cardiovascular department actively assisted us in collecting questionnaires from HF patients, and all HF patients surveyed participated in this study seriously.

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Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

Cited by 4 publications

References 54 publications

Non-Immersive Virtual Reality-Based Therapy Applied in Cardiac Rehabilitation: A Systematic Review with Meta-Analysis

Non-Immersive Virtual Reality-Based Therapy Applied in Cardiac Rehabilitation: A Systematic Review with Meta-Analysis

Psychometric evaluation of the Chinese version of the Chronic Heart Failure Health-related Quality of Life Questionnaire (CHFQOLQ-20)

The Effect of Heart Failure Symptom Clusters on Quality of Life: The Moderating Effect of Self‐Care Behaviours

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