Congestive heart failure: Predictors of health-related quality of life in Iranian women

Rahnavard, Zahra; Nodeh, Zahra Hosseini; Hatamipour, Khadijeh

doi:10.1080/10376178.2014.11081917

Cited by 6 publications

(4 citation statements)

References 15 publications

(20 reference statements)

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“…The important target of CHF management is improving QOL, which is indicated by the subjective feelings of people, with regard to the physical, psychological, social, emotional, sexual, and mental well-being in their daily life ( 7 ). A study in Iran indicated that a high proportion of women with heart failure had an unfavorable QOL in total, and its dimensions included physical functioning, emotional well-being, mental health, and general health ( 8 ). Multiple physical symptoms lead to the disturbance of the person’s daily life and may cause mental health disorders.…”

Section: Introductionmentioning

confidence: 99%

Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial

Abbasi¹,

Ghezeljeh²,

Farahani³

2018

Electron Physician

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BackgroundChronic Heart Failure (CHF) is a syndrome that negatively affects a person’s Quality of Life (QOL). The efficient self-management education program increases the individual’s abilities and skills for following and participating in a long-term healthcare plan.ObjectiveThe aim of this study was to determine the effect of the self-management education program on QOL in people with CHF.MethodsThis randomized controlled trial study was conducted on 60 people with CHF and without sensory-cognitive problem from April-August 2015. They were selected using the convenience sampling method, and were randomly assigned into the intervention and control groups. The control group received the routine education presented to participants at discharge. However, besides the routine education, the intervention group received the self-management education program consisting of three sessions followed for a 3-month period. The Iranian heart failure QOL questionnaire was used for data collection before and after the intervention. The independent-samples and paired-samples t-tests, Chi-square and Fisher exact tests were used for data analysis via the SPSS v.16 software. P<0.05 was considered statistically significant.ResultsNo statistically significant differences were reported between the groups in terms of demographic and clinical characteristics, indicating that they were homogeneous. A statistically significant difference was reported between the two groups after the intervention in terms of the mean changes of total QOL (p<0.001) and its dimensions, including symptoms (p=0.002), social interference (p=0.01), psychological condition (p=0.013), and self-efficacy and knowledge (p<0.001). In addition, an improvement was observed in the total QOL in the intervention group after the education (p<0.001).ConclusionsAccording to the results of this study, the self-management education program can be considered an appropriate strategy for improving the QOL in people suffering from CHF by health care providers.Trial registrationThe trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the IRCT ID: IRCT2015032021521N1.FundingThe authors received financial support for the research, authorship, and/or publication of this article from Iran University of Medical Sciences (No: 107/105/94/D, date April 11, 2015).

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Section: Introductionmentioning

confidence: 99%

Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial

Abbasi¹,

Ghezeljeh²,

Farahani³

2018

Electron Physician

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“…The effective role of inner strength and health-promoting behaviors on the improvement of quality of life and obtaining of positive health results and self-management in chronic diseases has been demonstrated ( 20 ). Heart failure is one of the most fatal diseases in Iranian women ( 22 ), who play important roles by fulfilling their daily activities; indeed, female seniors are more active than their male counterparts ( 23 ). For these reasons, in the last two decades, increasing efforts have been made to evaluate and promote the well-being of Iranian women with heart failure; however, little is known in this regard ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

“…Heart failure is one of the most fatal diseases in Iranian women ( 22 ), who play important roles by fulfilling their daily activities; indeed, female seniors are more active than their male counterparts ( 23 ). For these reasons, in the last two decades, increasing efforts have been made to evaluate and promote the well-being of Iranian women with heart failure; however, little is known in this regard ( 22 ). Thus, it seemed necessary to conduct a study related to subjects such as inner strength and health-promoting behaviors in women with heart failure in Iranian society.…”

Section: Introductionmentioning

confidence: 99%

Correlation between inner strength and health-promoting behaviors in women with heart failure

et al. 2016

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IntroductionInner strength is a factor for mental health and well-being and, consequently, a dynamic component of holistic healing. Health-promoting behaviors are appropriate activities to improve health status and prevent the progression of the functional defect resulting from heart failure. The present study aimed to determine the correlation between inner strength and health-promoting behaviors in women with heart failure referred to hospitals affiliated with Shahid Beheshti University of Medical Sciences (SBMU) in 2013.MethodsIn this cross-sectional study, 145 women with hearth failure were selected through convenient sampling from the clients referred to hospitals affiliated with SBMU. The data collection tool included a three-section questionnaire of personal characteristics, inner strength, and health-promoting life profile II (HPLP II). The data analysis used descriptive statistical tests and Pearson correlation coefficient through SPSS version 20.ResultsA direct significant correlation was found between inner strength and all dimensions of health-promoting behaviors and overall health-promoting behaviors (p=0.000) as well as between all dimensions of inner strength (except for the dimension of knowing and searching with physical activity and the dimension of connectedness with personal accountability in healthcare as well as connectedness with physical activity) with health-promoting behaviors (p=0.000 to p=0008).ConclusionTo improve the level of health and well-being and reduce the costs of care services in women with health failure, close attention should be paid to developing and empowering their inner strength.

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“…Poor self-care and low QOL among patients with HF are major global health issues [11] that are also affecting Iran [15-17]. Adequate self-care is associated with an improved health status [18], fewer symptoms, higher QOL [19], and reduced hospitalizations [18].…”

Section: Introductionmentioning

confidence: 99%

Self-Monitoring by Traffic Light Color Coding Versus Usual Care on Outcomes of Patients With Heart Failure Reduced Ejection Fraction: Protocol for a Randomized Controlled Trial

Nomali¹,

Mohammadrezaei²,

Keshtkar³

et al. 2018

JMIR Res Protoc

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BackgroundPatients with heart failure (HF) reduced ejection fraction (HFrEF) have symptoms that are more severe and experience a higher rate of hospitalization compared with HF preserved ejection fraction (HFpEF) patients. However, symptom recognition cannot be made by patients based on current approaches. This problem is a barrier to effective self-care that needs to be improved by new self-monitoring instruments and strategies.ObjectiveThis study describes a protocol for the self-monitoring daily diaries of weight and shortness of breath (SOB) based on the traffic light system (TLS). The primary objective is to compare the self-care between the intervention and control group. Comparison of HF knowledge, HF quality of life (HFQOL), and all-cause hospitalization between the 2 groups are the secondary objectives.MethodsA single-blind randomized controlled trial is being conducted at the HF clinic at Tehran Heart Center (Tehran, Iran). Sixty-eight adult patients of both genders will be enrolled during admission to HF clinic. Eligible subjects will be assigned to either the intervention or control group by a block balanced randomization method. Baseline surveys will be conducted before random allocation. Participants in the intervention group will receive an integrated package consisting of (1) HF self-care education by an Australian Heart Foundation booklet on HF, (2) regular home self-monitoring of weight and SOB, and (3) scheduled call follow-ups for 3 months. Patients in the control group will receive no intervention and they only complete monthly surveys.ResultsThis study is ongoing and is expected to be completed by the end of 2018.ConclusionsThis is the first trial with new self-monitoring instruments in Iran as a low and middle-income country. If the findings show a positive effect, the package will be applied in different regions with the same health care status.Trial RegistrationIranian Registry of Clinical Trials IRCT2017021032476N1; https://en.irct.ir/trial/25296?revision=25296 (Archived by WebCite at http://www.webcitation.org/73DLICQL8)International Registered Report Identifier (IRRID)PRR1-10.2196/9209

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Congestive heart failure: Predictors of health-related quality of life in Iranian women

Abstract: According to the results, QOL in CHF patients was unfavorable in the scales of general health, role-emotional, and mental health.

Cited by 6 publications

References 15 publications

Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial

Effect of the self-management education program on the quality of life in people with chronic heart failure: a randomized controlled trial

Correlation between inner strength and health-promoting behaviors in women with heart failure

Self-Monitoring by Traffic Light Color Coding Versus Usual Care on Outcomes of Patients With Heart Failure Reduced Ejection Fraction: Protocol for a Randomized Controlled Trial

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