Health-Related Quality of Life in Relation to Different Levels of Disease Severity in Patients with Chronic Heart Failure

Izawa, Kazuhiro P.; Watanabe, Satoshi; Omiya, Kazuto; Yamada, Sumio; Oka, Koichiro; Tamura, Masachika; Samejima, Hisanori; Osada, Naohiko; Iijima, Shigeruko

doi:10.1298/jjpta.8.39

Cited by 10 publications

(5 citation statements)

References 27 publications

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“…In patients with chronic heart failure, BP was not lower than the national average. 26 BP score in the present study was similarly in accordance with this result. Furthermore, not many patients with CTEPH have a history of chest pain in clinical practice.…”

Section: Discussionsupporting

confidence: 92%

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension　― Similar Effects on Health-Related Quality of Life ―

et al. 2019

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balloon pulmonary angioplasty (BPA) was introduced, which had similarly beneficial effects on hemodynamics, exercise tolerance, and prognosis in patients with inoperable or surgically inaccessible disease. 7-12 In spite of the progress in therapeutic options, some patients who have undergone PEA or BPA still had residual symptoms. 13,14 Health-related quality of life (HRQOL) measurement is a subjective outcome that represents disease impact on a person's function and wellbeing, and can be altered by disease treatment. 15,16 Beyond objective outcomes such as C hronic thromboembolic pulmonary hypertension (CTEPH) is a rare disease characterized by fibrothrombotic obstructions of the pulmonary arteries (PA), resulting in increased pulmonary vascular resistance (PVR), pulmonary vascular remodeling and eventually leading to right ventricular failure. 1 The primary therapy for CTEPH has been pulmonary endarterectomy (PEA), 2 which contributes to better hemodynamics, oxygenation, exercise capacity, and prognosis. 3,4 CTEPH prognosis had been poor until the development of PEA. 5,6 Subsequently,

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Section: Discussionsupporting

confidence: 92%

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension　― Similar Effects on Health-Related Quality of Life ―

et al. 2019

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“…The study population comprised 125 ambulatory patients with HFrEF. It was noted that HRQOL decreased as NYHA functional class increased [84]. Similar findings were reported by a subsequent Spanish study, which utilized SF-36 and MLHFQ for the evaluation of HRQOL in 544 patients with clinically stable HF.…”

Section: Differences In Hrqol Based On Nyha Functional Classsupporting

confidence: 81%

Differences in Health-Related Quality of Life among Patients with Heart Failure

Ventoulis,

Kamperidis,

Abraham

et al. 2024

Medicina

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Heart failure (HF) is characterized by a progressive clinical course marked by frequent exacerbations and repeated hospitalizations, leading to considerably high morbidity and mortality rates. Patients with HF present with a constellation of bothersome symptoms, which range from physical to psychological and mental manifestations. With the transition to more advanced HF stages, symptoms become increasingly more debilitating, interfere with activities of daily living and disrupt multiple domains of life, including physical functioning, psychological status, emotional state, cognitive function, intimate relationships, lifestyle status, usual role activities, social contact and support. By inflicting profuse limitations in numerous aspects of life, HF exerts a profoundly negative impact on health-related quality of life (HRQOL). It is therefore not surprising that patients with HF display lower levels of HRQOL compared not only to the general healthy population but also to patients suffering from other chronic diseases. On top of this, poor HRQOL in patients with HF becomes an even greater concern considering that it has been associated with unfavorable long-term outcomes and poor prognosis. Nevertheless, HRQOL may differ significantly among patients with HF. Indeed, it has consistently been reported that women with HF display poorer HRQOL compared to men, while younger patients with HF tend to exhibit lower levels of HRQOL than their older counterparts. Moreover, patients presenting with higher New York Heart Association (NYHA) functional class (III–IV) have significantly more impaired HRQOL than those in a better NYHA class (I–II). Furthermore, most studies report worse levels of HRQOL in patients suffering from HF with preserved ejection fraction (HFpEF) compared to patients with HF with reduced ejection fraction (HFrEF) or HF with mildly reduced ejection fraction (HFmrEF). Last, but not least, differences in HRQOL have been noted depending on geographic location, with lower HRQOL levels having been recorded in Africa and Eastern Europe and higher in Western Europe in a recent large global study. Based on the observed disparities that have been invariably reported in the literature, this review article aims to provide insight into the underlying differences in HRQOL among patients with HF. Through an overview of currently existing evidence, fundamental differences in HRQOL among patients with HF are analyzed based on sex, age, NYHA functional class, ejection fraction and geographic location or ethnicity.

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“…However, due to the fact that, in this study, the patients were included with ejection fraction less than 40% (i.e., severe heart failure), it is expected that the severity of the disease would reduce the effect of teach-back self-care education on their physical performance. As Izawa et al [ 60 ] suggest different levels of disease severity in patients with heart failure affect health-related quality of life [ 60 ]. That is, patients' quality of life decreases with increasing severity of the disease in accordance with the NYHA classification and worsening of physiological symptoms.…”

Section: Discussionmentioning

confidence: 99%

The Effect of the Teach-Back Method on Knowledge, Performance, Readmission, and Quality of Life in Heart Failure Patients

Rahmani

Vahedian‐Azimi

Sirati-Nir

et al. 2020

Cardiology Research and Practice

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Background. Among chronic diseases, heart failure has always been a serious challenge imposing high costs on health systems and societies. Therefore, nurses should adopt new educational strategies to improve self-care behaviors and reduce the readmissions in heart failure patients. This study aimed to determine the effect of the teach-back method on knowledge, performance, readmission, and quality of life in these patients. Methods. This clinical trial was conducted in patients with heart failure (n = 70) hospitalized in the internal wards of the Baqiyatallah al-Azam Medical Center in Tehran (2019). Routine discharge educations were provided in control patients. Self-care topics were taught to the intervention groups by the teach-back method. A cardiac self-care questionnaire was used to assess the knowledge and practice of patients immediately after intervention and three months after patient discharge. Also, SF-36 was presented to each patient. Readmission(s) and quality of life were followed up by telephone interviews three months after patient discharge. Repeated measures analysis of variance and related post-hoc tests were performed for within-group comparisons before, immediately after, and 3 months after teach-back education. Wilks’ lambda multivariate tests were conducted for simultaneous comparison of quality of life subscales between intervention and control groups. Also, logistic regressions were after controlling for baseline measures and confounders. Results. Findings showed significant improvement in the patients’ knowledge and performance immediately after teach-back education, though this effect was slow in the long term after discharge. Also, the frequency of readmissions decreased and the quality of life (except physical function) increased in the patients through teach-back education. By controlling for the pretest effect, the posttest scores for the relevant components of the quality of life suggested improvement in both intervention and control patients. This improvement in the quality of life was confirmed by controlling for baseline measurements using binary logistic regression analysis. Conclusion. Teach-back education improved patients’ knowledge and performance, readmission frequency, and quality of life.

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Health-Related Quality of Life in Relation to Different Levels of Disease Severity in Patients with Chronic Heart Failure

Cited by 10 publications

References 27 publications

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension　― Similar Effects on Health-Related Quality of Life ―

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension　― Similar Effects on Health-Related Quality of Life ―

Differences in Health-Related Quality of Life among Patients with Heart Failure

The Effect of the Teach-Back Method on Knowledge, Performance, Readmission, and Quality of Life in Heart Failure Patients

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Health-Related Quality of Life in Relation to Different Levels of Disease Severity in Patients with Chronic Heart Failure

Cited by 10 publications

References 27 publications

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension ― Similar Effects on Health-Related Quality of Life ―

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension ― Similar Effects on Health-Related Quality of Life ―

Differences in Health-Related Quality of Life among Patients with Heart Failure

The Effect of the Teach-Back Method on Knowledge, Performance, Readmission, and Quality of Life in Heart Failure Patients

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Product

Resources

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Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension　― Similar Effects on Health-Related Quality of Life ―

Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension　― Similar Effects on Health-Related Quality of Life ―