Patient’s Self-Reported Functional Status and Health-Related Quality of Life:  Prognostic Predictors for 30-day Hospital Readmissions Among Heart Failure Patients

Albuquerque, Lydia; Napierkowski, Daria; Louie, Kem; Solanki, Pallavi; Mahon, Emily H.

doi:10.13178/jnparr.2019.09.02.0904

Cited by 1 publication

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“…In the sample in this study, 14.0% were readmitted for > 10 days. Readmission frequency and length of rehospitalization stay have been shown to affect QoL in patients with HF, reflecting their prognosis and increasing medical expenses (Albuquerque et al, 2020). Future discharge planning for older adults with HF must be enhanced by tailoring health education to their cultural characteristics and educational levels as well as by devising healthcare plans, including providing homecare guidance for patients with HF, relevant assistance and resources, and follow-up on home care plans, to help ensure patient compliance.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Associated Factors in Older Adults With Heart Failure

Yeh

Shao

2021

Journal of Nursing Research

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Background Although heart failure (HF) is negatively known to affect older adults physically, psychologically, and socially, only a few studies have explored the predictors of quality of life (QoL) in older adults with HF in Taiwan. Purpose This study was designed to determine the relationships among depression, demographic characteristics, clinical characteristics, and QoL in older patients with HF. Methods This was a cross-sectional study. From January 2013 to June 2014, convenience sampling was used to collect data from 175 older adults with HF at two hospitals in Northern Taiwan. Participant data were collected from medical records and researcher-administered structured questionnaires in face-to-face interviews. Results The QoL of the participants was found to be associated with clinical characteristics, including hospital readmission for > 10 days with an increased level of HF-related symptom distress (HFSD) and more-severe depression. Depression was found to have a mediating effect, with the New York Heart Association (NYHA) functional class and HFSD both affecting the QoL of the participants through this intermediary. Conclusions/Implications for Practice HF is a chronic and debilitating disease that often reduces QoL in older adults significantly. Interventions designed to increase QoL by improving the NYHA functional class and alleviating HFSD are valid treatment options only in cases with depressive symptoms. Nurses treating older adults with HF should consider factors such as NYHA functional class and HFSD to reduce HFSD and readmission rates and to enhance the QoL of these patients. In addition, after both hospital admission and discharge, older adult patients should be assessed regularly to monitor for and quickly address the development of comorbid depression.

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Section: Discussionmentioning

confidence: 99%