Abstract:Background: Heart failure is an increasing global health problem which adversely affects all aspects of a patient's health-related quality of life (HRQOL). Purpose: The hypothesized causal model of HRQOL in Thai heart-failure patients was based on Wilson and Cleary's HRQOL conceptual model. We examined causal relationships among bio-physiological status, symptoms, functional status, general health perception (GHP), and HRQOL shown in the model, and added an additional item-social support. Methods: A stratified… Show more
“…The Thai version has been used in 422 HF patients and in pilot testing in a sample of 30, had good reliability (Cronbach's alpha coefficient was 0.94 (Krethong et al . ). The MLHF was applied only to patients with HF and not the carers.…”
Addressing a significant service gap in rural Thailand, this family-based heart failure programme improved patient knowledge, self-care behaviours and health-related quality of life and carer knowledge and perceived control.
“…The Thai version has been used in 422 HF patients and in pilot testing in a sample of 30, had good reliability (Cronbach's alpha coefficient was 0.94 (Krethong et al . ). The MLHF was applied only to patients with HF and not the carers.…”
Addressing a significant service gap in rural Thailand, this family-based heart failure programme improved patient knowledge, self-care behaviours and health-related quality of life and carer knowledge and perceived control.
“…Furthermore, it has been reported that patients experience a threat, uncertainty, and emotional instability during the stage of recovery after discharge (4). IHD and Heart failure has been pointed out to affect the quality of life of patients in the aspect of health (5,6), and thus a comprehensive symptom management and a prevention and treatment program are recognized as important. However, patient symptom management after discharge is critical since the diffusion rate of comprehensive cardiac rehabilitation is low in Japan.…”
The purpose of this study was to explore the experience of patients with ischemic heart disease (IHD) during the transitional phase from hospitalization to discharge. Twenty-four patients who experienced IHD for the first time comprised the sample of the study. Semi-structured interviews were conducted during the transitional phase. The results of the qualitative inductive analysis showed two categories of illness experience: (i) the connection of heart attack experience with the self, and (ii) the instability of the self as a patient with heart disease. The participants were found to vacillate between the self as patient with a heart disease and the typical self before the disease onset. The transitional phase is the time when patients experience changes in their symptoms and physical conditions rather than a condition of stability signifying recovery. Patients are expected to manage the symptoms of their heart disease by themselves; however the participants showed signs and symptoms of confusion and anxiety about facilitating their own care. These findings suggest the importance of outpatient nursing practice focusing on the support and emphasis on nursing interventions for patient anxiety and alleviation of confusion through the management of symptoms of heart disease after discharge.
“…6 Quality of life in HF patients is decreased when compared with people with other chronic health problems and the population in general. 7 Quality of life has been increasingly recognized as a salient patient outcome to study, especially in instances of chronic illnesses such as HF, and is one of the most common health outcome measures in interventional studies with HF patients.…”
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