Health-related quality of life determinants in outpatients with heart failure

Abstract

This descriptive and exploratory study analyzed variables associated with health-related quality of life among 130 outpatients. Health-related quality of life was measured through the Minnesota Living with Heart Failure Questionnaire. Significant associations were found between patients' health-related quality of life and their age (r=-0.177; p=0.044), vitality (r=-0.625; p=<0.001) as well as mental health (r=-0.672; p=<0.001), which are both SF-36 domains. The linear regression showed that heart failure symptom severity, vitality and mental health explained 54% of HRQOL measurement variation. To control symptoms and preserve good mental well-being are important to maintain health-related quality of life and to deliver effective heart failure care.Descriptors: Heart Failure; Quality of Life; Mental Health; Symptoms. Heart Failure e realizada análise de regressão linear. A média da QVRS foi de 34,9 (dp=24,8; intervalo de 0 a 99). Foram encontradas associações significantes entre a medida da QVRS e idade (r=-0,177; p=0,044), vitalidade (r=-0,625; p=<0,001) e saúde mental (r=-0,672; p=<0,001), domínios do SF-36. A regressão linear mostrou que a gravidade dos sintomas da insuficiência cardíaca, e dois domínios do SF-36, vitalidade e saúde mental, explicaram 54% da variação da medida da QVRS. Controlar os sintomas e manter bem-estar mental é essencial para a manutenção da QVRS e são essenciais para o cuidado eficaz da insuficiência cardíaca.Descritores: Insuficiência Cardíaca; Qualidade de Vida; Saúde Mental; Sintomas. Determinantes de la calidad de vida relacionada a la salud en pacientes atendidos en ambulatorios con insuficiencia cardíacaSe trata de un estudio descriptivo y exploratorio que analizó las variables asociadas a la calidad de vida relacionada a la salud (CVRS) de 130 pacientes con insuficiencia cardíaca en seguimiento en ambulatorio. La CVRS fue evaluada por el Minnesota Living with Heart Failure y realizado análisis de regresión linear. El promedio de la CVRS fue de 34,9(DE = 24,8; intervalo de 0 a 99). Fueron encontradas asociaciones significantes entre la medida de la CVRS y edad (r=-0,177; p=0,044), vitalidad (r=-0,625; p=<0,001) y salud mental (r=-0,672; p=<0,001), dominios del SF-36. La regresión linear mostró que la gravedad de los síntomas de la Insuficiencia Cardíaca, y dos dominios del SF-36, vitalidad y salud mental, explicaron 54% de la variación de la medida de la CVRS.Controlar los síntomas y mantener el bienestar mental es esencial en la manutención de la CVRS y son esenciales para el cuidado eficaz de la Insuficiencia Cardíaca.

Health-related quality of life and self-reported long-term conditions: a population-based survey

“…Our results are consistent with those of previous studies in the literature, which have described depression as a major factor, along with chronic diseases, associated with reduced QoL. 9,12,22,23 Population-based surveys 10,11,[23][24][25] using the EQ-5D instrument have detected an impact for diabetes, depression, and respiratory disorders. Even though the impact for respiratory disorders was not significant in the present study, our structured questionnaire included a large spectrum of self-reported respiratory conditions (asthma, bronchitis, or any other respiratory disorder), which could hypothetically explain this difference in relation to other populationbased studies.…”

Associação das condições sociais e clínicas à qualidade de vida de pacientes com insuficiência cardíaca

“…The results obtained were like those found in the study in Southeast Brazil, with 130 outpatients, in which an average HRQoL of 34.9 ± 24.8 was found and the physical dimension was the most affected (8) . So, although in regions with peculiar socio-cultural specificities, the HRQoL of patients with heart failure was similar, since the perception of HRQoL is influenced by symptoms instituted by the disease, as well as the ability to perform everyday activities.…”

“…Regarding education, the results are like national surveys conducted in patients with HF (8)(9) . However, in the context of North American countries (14)(15) , some studies show an average education of about 12 years, which is due to better access and quality of education offered in most developed countries.…”

“…On the national scene, the studies focus particularly in the Southeast region of Brazil (8)(9) , with it being necessary to propose new research covering the other regions of the country. Considering the plurality of Brazilian culture, it appears that the subject was not explored in the Northeast, especially in João Pessoa -PB.…”

Dampak Karakteristik Sosiodemografi dan Tingkat Kepatuhan Terapi Antihipertensi Terhadap HRQoL Pasien Gagal Jantung Kongestif

“…Beberapa penelitian yang telah dilakukan sebelumnya menunjukkan bahwa pasien yang berpendidikan rendah juga memiliki HRQoL yang lebih buruk dibandingkan mereka dengan pendidikan tinggi [18,19]. Akan tetapi, penelitian lain membuktikan bahwa tidak terdapat hubungan yang bermakna antara tingkat pendidikan dan HRQoL [20,21]. Nilai HRQoL yang lebih rendah pada pasien dengan tingkat pendidikan yang rendah mungkin disebabkan oleh rendahnya kesadaran akan pelayanan kesehatan, kepatuhan terhadap pengobatan, dan menjaga pola hidup sehat.…”