Self-care and quality of life among men with chronic heart failure

Wiśnicka, Alicja; Lomper, Katarzyna; Uchmanowicz, Izabella

doi:10.3389/fpubh.2022.942305

Cited by 13 publications

(9 citation statements)

References 29 publications

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“…The proficiency of patient self-management skills is one of the key aspects of heart failure (HF) management. Evidence indicates that individuals diagnosed with congestive heart failure (CHF) who exhibit elevated levels of self-care demonstrate diminished mortality rates and decreased incidences of hospital readmissions attributable to disease exacerbations (37). In examining the connections between quality of life and self-care, studies have demonstrated that reduced self-care is linked to a decline in overall HRQoL, including both physical and emotional subcomponents.…”

Section: Discussionmentioning

confidence: 99%

A follow-up program in patients after hospitalization for heart failure: long-term health related quality of life and associated factors

Paleckiene,

Zaliaduonyte,

Dambrauskiene

et al. 2024

Front. Cardiovasc. Med.

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BackgroundThe well-being of individuals with chronic heart failure (HF) is significantly influenced by their health-related quality of life (HRQoL), which serves as a crucial measure indicating how HF affects their daily activities. Monitoring programs aimed at reducing the number of hospitalizations and improving functional conditions are currently being offered to patients with chronic HF.The objectiveTo examine the long-term health-related quality of life changes in patients with heart failure enrolled in a follow-up program after hospitalization and to evaluate the factors associated with quality of life of patients with heart failure.MethodsThis prospective study was conducted between 2019 and 2020 at the Department of Cardiology of Lithuanian University of Health Sciences. Patients were divided into two groups: Group I consisted of 71 patients (60.2%) where the Minnesota Living with Heart Failure Questionnaire (MLHFQ) score decreased by more than 10 points at 4th visit if compared to the 1st one; and Group II consisted of 47 patients (39.8%) where the MLHFQ score remained unchanged or increased by less than 10 points at the 4th visit if compared to the 1st visit.ResultsStatistically significant differences were observed between groups. In Group II, a history of myocardial infarction was more frequent (p = 0.038), and there was a significantly higher occurrence of significant coronary artery disease (p = 0.006). Laboratory parameters indicating liver function exhibited statistically significant deterioration among patients in Group II. Specifically, AST (p = 0.050), ALT (p = 0.010), and GGT (p = 0.031) levels significantly increased. Upon analyzing the echocardiographic data, a statistically significant difference was found between the groups in relation to the left ventricular ejection fraction (LVEF) (p = 0.043) and TAPSE (p = 0.031). An analysis of changes in dimensions related to QoL was conducted during the long-term follow-up program, which revealed statistically significant differences between groups in overall changes based on the MLHFQ (p < 0.001). This difference was also observed across all dimensions, including the emotional, physical, and social aspects (p < 0.001).ConclusionPatients who had a higher LVEF at baseline, as well as those with an etiology of ischemic heart disease (IHD), better liver function, and fewer manifestations of edema, demonstrated a statistically significant improvement in their quality of life throughout the course of the patient monitoring program.

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Section: Discussionmentioning

confidence: 99%

A follow-up program in patients after hospitalization for heart failure: long-term health related quality of life and associated factors

Paleckiene,

Zaliaduonyte,

Dambrauskiene

et al. 2024

Front. Cardiovasc. Med.

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“…The cardiotoxicity caused by TKI might present as hypertension, impaired left ventricular function, and, in severe instances, heart failure. TKI-induced cardiotoxicity is caused by inhibiting tyrosine kinases, which disrupt signaling pathways necessary for maintaining cardiovascular homeostasis [ 29 ]. VEGF inhibition, a frequent mechanism observed in TKIs, can result in compromised endothelial function, hypertension, and heightened vascular resistance, contributing to cardiovascular events.…”

Section: Reviewmentioning

confidence: 99%

“…Risk factor management entails the management of modifiable cardiovascular risk factors, including hypertension, diabetes, and dyslipidemia [ 28 ]. Proactively controlling these risk factors frequently and utilizing pharmacological interventions as needed aid in reducing cardiovascular risk and can potentially improve the safety of cancer treatments [ 29 ].…”

Section: Reviewmentioning

confidence: 99%

“…A multifaceted approach to management is necessary due to the intricate nature of cardiovascular problems in cancer patients. Effective collaboration between oncologists and cardiologists is essential for optimizing treatment strategies and avoiding cardiovascular hazards [ 29 ]. Creating cardio-oncology clinics and teams improves communication and streamlines collaborative decision-making.…”

Section: Reviewmentioning

confidence: 99%

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Cardio-Oncology: Managing Cardiovascular Complications of Cancer Therapies

Sharma,

Kashyap,

Olanrewaju

et al. 2023

Cureus

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This narrative review explores the complex relationship between cancer medicines and cardiovascular health in the junction of oncology and cardiology, known as cardio-oncology. The study examines the historical development of cancer treatments and highlights the growing importance of cardiovascular problems in patient care. This text delves into the topic of cardiotoxicity, examining both conventional chemotherapeutic drugs like anthracyclines and more recent tyrosine kinase and immune checkpoint inhibitors. The complex molecular and cellular mechanisms that control cardiovascular problems are explained, including an understanding of how genetic predisposition influences an individual's sensitivity. The narrative expands into the crucial realm of risk stratification and evaluation, revealing advanced instruments for identifying cardiovascular risk in cancer patients. The importance of non-invasive imaging methods and biomarkers in early detection and continuous monitoring is emphasized.The prioritization of preventive tactics emphasizes the need to take proactive measures incorporating therapies to protect the heart throughout cancer treatment. It also highlights the significance of making lifestyle improvements to reduce risk factors. The narrative emphasizes the changing collaborative treatment environment, advocating for merging oncologists and cardiologists in a coordinated endeavor to maximize patient outcomes. In addition to clinical factors, the review explores the critical domain of patient education and support, acknowledging its crucial role in promoting informed decision-making and improving overall patient well-being. The latter portions of the text anticipate and consider upcoming treatments and existing research efforts that offer the potential for the future of cardio-oncology. This review seeks to provide a detailed viewpoint on the intricate connection between cancer treatments and cardiovascular well-being. Its objective is to encourage a more profound comprehension of the subject and prompt careful contemplation regarding the comprehensive care of cancer patients who confront the intricate difficulties presented by their treatment plans.

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“…Specifically, it measures physical, psychological (emotional and cognitive), and social functioning ( Seid, 2020 ). Poor QoL is consistently linked to HF-related outcomes in patients with HF, including higher mortality, frequent hospitalization, and poor self-care adherence ( Molla et al, 2022 ; Seid et al, 2022 ; Wisnicka et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Self-Care and Quality of Life Among Adult Patients With Heart Failure: Scoping Review

2023

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Introduction Although self-care has a therapeutic effect on heart failure (HF), patients experience a marked reduction in physical and executive function, resulting in poor quality of life (QoL). A literature review revealed limited evidence regarding the possible relationship between self-care and QoL in HF patients. Therefore, this scoping review aimed to identify scientific evidence that examines the extent of self-care, QoL, and relationship between self-care and QoL in patients with HF. Methods Full-text research published from March 23, 2010, to March 23, 2020, written in English, that had content on both self-care and QoL among adult patients with HF was included. A literature search of electronic databases and web searches was conducted for published articles. Four databases were used: MEDLINE, Scopus, Web of Science, and the Cochrane Library. Studies collected from Google and Google Scholar web searches were also included. Results Of 1,537 papers identified by the search, 12 were included. The reviewed studies included 3,127 patients. Ten articles used a cross-sectional study design, whereas the remaining articles used a longitudinal and quasi-experimental design. This review found that the extent of self-care practices among patients with HF was inadequate, a significant proportion of patients enrolled in the reviewed studies had a moderate QoL, and higher self-care practices were associated with a better QoL. Self-care behavior and QoL were affected by social support, sex, age, educational level, place of residence, illness knowledge, presence of comorbidities, and functional classification of HF. Conclusion Self-care behavior was positively correlated with QoL in patients with HF. Self-care and QoL in these patients have been reported to be affected by several factors. Further research with a rigorous study design is recommended to investigate the influence of self-care practices on QoL in patients with HF.

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Self-care and quality of life among men with chronic heart failure

Cited by 13 publications

References 29 publications

A follow-up program in patients after hospitalization for heart failure: long-term health related quality of life and associated factors

A follow-up program in patients after hospitalization for heart failure: long-term health related quality of life and associated factors

Cardio-Oncology: Managing Cardiovascular Complications of Cancer Therapies

Self-Care and Quality of Life Among Adult Patients With Heart Failure: Scoping Review

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