Quality of Life of Chronic Heart Failure Patients

Costa, Lipy Lucy; Islam, Md. Shariful; Anowar, Mohammad Nurul; Latif, Mohammad Abdul

doi:10.4236/ojn.2020.109058

Cited by 13 publications

(10 citation statements)

References 30 publications

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“…A significant negative association between age and HRQoL was observed in other studies; the lower the age, the worse the quality of life 58,60 . According to the results of previous studies 16,57,69 , gender was a significant predictor of poor HRQoL, with women reporting significantly lower quality of life than men. Ahmeti et al reported that females had poorer quality of life than males with HF 38 .…”

Section: Discussionmentioning

confidence: 96%

“…This finding is supported by previous studies 16,70,71 . This may be attributed to unemployed individuals often having a lower economic status and experience financial hardship due to medication and other health costs, which negatively impact management of HF and reduce their HRQoL 69 . Another factor which influenced HRQoL in people with HF was social support.…”

Section: Discussionmentioning

confidence: 99%

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Health-related quality of life and its influencing factors among people with heart failure in Ethiopia: using the revised Wilson and Cleary model

Mulugeta,

Sinclair,

Wilson

2023

Sci Rep

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Heart failure is a challenging public health problem associated with poor health-related quality of life (HRQoL). Data on the quality of life of people with heart failure are limited in Ethiopia. This study aimed to assess the HRQoL and its influencing factors in people with heart failure in Ethiopia. A hospital-based, cross-sectional study design was conducted in the cardiac outpatient clinics of two tertiary-level hospitals in Addis Ababa, Ethiopia. Data were collected from people with heart failure who met the inclusion criteria using an interviewer-administered questionnaire. The HRQoL was measured using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). A multiple linear regression model was fitted to identify factors that influenced HRQoL. All statistical analyses were conducted using STATA version 17 software. A total of 383 people with heart failure participated in the study. The mean age of the participants was 55 years. The MLHFQ score was 48.03±19.73, and 54% of participants had poor HRQoL. Multiple linear regression analysis revealed that age (β= 0.12, 95% CI 0.11, 0.28), diabetes mellitus comorbidity (β= 4.47, 95% CI 1.41, 7.54), social support score (β= − 1.48, 95% CI − 1.93, − 1.03), and depression score (β = 1.74, 95% CI 1.52, 1.96) were significant factors influencing overall HRQoL (p < 0.05). This study found that people in Ethiopia with heart failure had poor HRQoL, influenced by several factors. The findings can help health professionals identify appropriate interventions to improve the HRQoL of people with heart failure.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Health-related quality of life and its influencing factors among people with heart failure in Ethiopia: using the revised Wilson and Cleary model

Mulugeta,

Sinclair,

Wilson

2023

Sci Rep

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“…The results are also in line with a previous study that stated income is a factor that could affect the quality of life of heart failure patients. Financial difficulties, job loss, increased cost of living, and treatment negatively impact their quality of life (17). In this study, heart failure patients under treatment at this hospital were included who generally use health insurance that the Aceh Government, Indonesia, has programmed.…”

Section: Discussionmentioning

confidence: 99%

Investigating Occupation, Ejection Fraction, and Comorbidity Factors with Quality of Life in Heart Failure Patients: A Cross-sectional Study in Indonesia

2023

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Background: Heart disease causes functional disorders that can cause the sufferer to experience fatigue and dyspnea, leading to low quality of life. Various factors related to the quality of life of heart failure patients include occupation and ejection fraction. The number of heart failure patients treated at Aceh government hospital is still high in 2021, as well as the incidence of recurrent hospitalization. Objectives: This study aimed to determine the relationship between occupation, ejection fraction, and heart failure patients' quality of life. Methods: The study used a quantitative research approach with a cross-sectional design. The sample was 154 heart failure patients who visited the Cardiac Polyclinic of a provincial hospital in Banda Aceh, Indonesia. Data on patient occupation, ejection fraction, and comorbidity factors were obtained from the sociodemographic and clinical characteristics of the respondents. Then, the patient’s quality of life was measured by the Minnesota Living with Heart Failure (MLHF) questionnaire. The chi-square test and logistic regression (with a significance level α = 0.05) were used in data analysis in this study. Results: The results of the study found a significant direct correlation between patient occupation (P = 0.001), ejection fraction (P = 0,001), and an inverse correlation of comorbidity factors (P = 0.001) with quality of life (α = 0.05). The multivariate analysis using logistic regression found that the dominant factor, ejection fraction, was associated with the quality of life of heart failure patients with OR: 12.033, followed by comorbidity factors (OR: 3.565) and occupation (OR: 1.819). Conclusions: The quality of life of heart failure patients is strongly associated with the ejection fraction in heart failure patients; therefore, maintaining the ejection fraction is needed to improve the quality of life.

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“…The prevalence of HF is increasing not only because of population aging but also because of improved cardiovascular disease treatment (Dunlay et al, 2021). HF is a complex clinical condition with various signs and symptoms, including poor cardiac function and physical capacity, that results in poor health-related quality of life (HRQOL; Costa et al, 2020). One study conducted across 15 countries reported patients with HF to be older and to have generally poorer physical and mental functioning, sense of coherence (SOC), and quality of life (Lu et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Sense of Coherence as a Mediator Between Functional Status and Health-Related Quality of Life in Patients With Heart Failure

LEE,

HSU,

LIU

et al. 2024

Journal of Nursing Research

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Background Poor functional status relating to heart failure (HF) negatively affects health-related quality of life (HRQOL). Patients with HF, especially those with New York Heart Association (NYHA) Class III or IV HF, often exhibit poor HRQOL because of physical limitations and HF-related symptoms. Although sense of coherence (SOC) has been reported to be a determinant of HRQOL, its role as a mediator between functional status and HRQOL remains unclear, and few studies have explored the prevalence of HF in patients in NYHA Classes I and II. Purpose This study was designed to investigate SOC as a mediator between different functional status classes and HRQOL in patients with HF. Methods A cross-sectional study was conducted on patients with HF recruited from a hospital in northern Taiwan from April 2020 to September 2020. The Minnesota Living with Heart Failure Questionnaire and a questionnaire on sociodemographic characteristics; functional classification in terms of NYHA Classes I, II, and III; and SOC were administered. The PROCESS v3.5 (by Andrew F. Hayes) macro was applied to analyze the effects, and Model 4 was used to examine the mediating role of SOC on the relationship between NYHA functional class and HRQOL. Results Of the 295 participants, SOC was found to mediate the effects of functional status on HRQOL more significantly in patients in Class II than those in Class III but not more significantly in patients in Class I than those in Class III. A weaker mediating effect of SOC was noted on the relationship between functional status and HRQOL in patients with HF in NYHA Class II than those in Class III. Conclusions In patients with HF, poor functional status often reduces HRQOL significantly. SOC mediates the relationship between functional status and HRQOL more significantly in those in NYHA Class II than those in Class III. Nursing staff should work to increase patients' SOC by strengthening their coping capacity and improving their functional status to improve their HRQOL.

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Quality of Life of Chronic Heart Failure Patients

Cited by 13 publications

References 30 publications

Health-related quality of life and its influencing factors among people with heart failure in Ethiopia: using the revised Wilson and Cleary model

Health-related quality of life and its influencing factors among people with heart failure in Ethiopia: using the revised Wilson and Cleary model

Investigating Occupation, Ejection Fraction, and Comorbidity Factors with Quality of Life in Heart Failure Patients: A Cross-sectional Study in Indonesia

Sense of Coherence as a Mediator Between Functional Status and Health-Related Quality of Life in Patients With Heart Failure

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