Symptoms, Hope, Self-Management Behaviors, and Quality of Life Among Chinese Preoperative Patient With Symptomatic Valvular Heart Diseases

Abstract

Introduction: More than 42 million people are estimated to suffer from valvular heart disease (VHD) worldwide with a prevalence of 5.3% to 7.7% in the Chinese adult population. The purpose of this study was to examine the associations between symptoms, hope, self-management behaviors, and quality of life (QOL) for preoperative patients with symptomatic VHD in a rural area of China. Method: This was a descriptive comparative study that took place in Nanning, China, between January 2015 and March 2016. The sample was 128 preoperative patients with symptomatic VHD. Data were collected using the Symptom Distress Questionnaire, Herth Hope Index, Self-Management Scale, and Minnesota Living with Heart Failure Questionnaire. Results: Data from 122 patients were included in the final analysis. Mean scores of hope, self-management, and QOL were 36.71, 55.27, and 55.56. Worse total scores of symptom severity ( r = 0.57 to 0.69, p < .001) and self-management behaviors ( r = −0.22 to −0.25, p < .05) were associated with poorer QOL. Fatigue, loss of appetite, and self-management behaviors explained 49.90% variance of QOL ( p < .001). Discussion: Fatigue, loss of appetite, and self-management influenced QOL of patients with symptomatic VHD. Interventions aimed at strengthening self-management and relieving symptoms should be tailored for patients with symptomatic VHD base on their traditional animist belief and food culture in rural areas of China such as the Zhuang Autonomous Region.

Biodegradable synthetic polymeric composite scaffold‐based tissue engineered heart valve with minimally invasive transcatheter implantation

“…In 2017, there were 65 749 heart valve operations in China, accounting for more than 25% of all cardiac surgeries 5 . It is estimated that, there are more than 42 million people suffering from valvular heart disease worldwide with a prevalence of 5.3% to 7.7% among the adult population in some Chinese central and western regions 6 …”

Ansiedade cardíaca no perioperatório de cirurgias de revascularização do miocárdio e de correção de valvopatias

“…Por outro lado, a maioria dos pacientes submetida à correção cirúrgica de valvopatias era do sexo feminino, resultado que corrobora com muitos estudos da literatura (ANJOS et al, 2016;CALÇA et al, 2019;FU et al, 2020;FUKUNAGA;SAKATA;KOYMA, 2018;DE LIMA JÚNIOR;MATIAS;STAHLKE JÚNIOR, 2019;KAPADIA et al, 2020;COSTA et al, 2016;OLIVEIRA, 2017;PEREIRA, 2019;FLORENTINO et al, 2018;LI et al, 2019;DORDETTO;PINTO;ROSA, 2016;CHEN et al, 2019), porém difere de outros (GUEDENEY et al, 2019;KWEDAR et al, 2017;LIN et al, 2019;MARTINS, 2016;MODICA et al, 2018;RODRIGUES et al, 2020).…”

“…Com relação a presença de companheiro e a situação profissional dos pacientes submetidos à CRM, a maior parte possuía companheiro e houve predominância de situação profissional inativa, corroborando com outros achados da literatura (JANSSEN et al, 2015;KRZEMIŃSKA et al, 2019;SILVA, L. D. C. et al, 2018;NIELSEN et al, 2019), assim como para os pacientes do grupo de correção valvar (ANJOS et al, 2016;OTERHALS et al, 2015;DORDETTO;PINTO;ROSA, 2016;RODRIGUES et al, 2020;CHEN et al, 2019;GIARETTA et al, 2018;HUSSAIN et al, 2018).…”

“…No grupo de pacientes submetidos à correção cirúrgica valvar, a média de idade foi de 54,7 anos, corroborando com achados da literatura, nos quais pesquisadores encontraram valores de 52 a 58 anos em média (FU et al, 2020;ANJOS et al, 2016;OLIVEIRA, 2017;RODRIGUES et al, 2020;CHEN et al, 2019). Entretanto, alguns estudos encontraram maiores médias de idade em pacientes valvopatas, com variação de 81,8 a 84,2 anos (CALÇA et al, 2019;GUEDENEY et al, 2019;KAPADIA et al, 2020;LI et al, 2019).…”

“…Além disso, essa exposição crônica pode resultar no aparecimento de distúrbios do sono, sofrimento psicológico, diabetes por excesso de esteroides, degradação e inibição de síntese proteica nos músculos, tecido adiposo, linfoide, conjuntivo e adiposo, imunossupressão, alteração na liberação de hormônios ovarianos e ciclo menstrual, início precoce de doenças relacionadas com a idade e quadros típicos de ansiedade crônica e estresse pós-traumático, distúrbios psicóticos transitórios e mudanças no comportamento alimentar (MONTELEONE et al, 2005;ZORN et al, 2017;MAENG;MILAD, 2017;SEILER;FAGUNDES;CHRISTIAN, 2020;MILLER;CHEN;ZHOU, 2007;MORENO-PERAL et al, 2014;MCEWEN, 2004;RODENBECK et al, 2001; GLASER; KIECOLT-GLASER, 2005;MATHEVON et al, 2004;KSIAZEK et al, 2007;CORTEZ;SILVA, 2007;VAN DER KOOY et al, 2007;STANSFELD et al, 2002;MYIN-GERMEYS et al, 2001;JONHSON, 1998;LUENG;MUNCK, 1975;MITRA et al, 2005).…”