Improvements in Health-Related Quality of Life of Patients Admitted for Heart Failure. The HF-QoL Study (original) (raw)
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Qualidade de vida e indicadores clínicos na insuficiência cardíaca: análise multivariada
Arquivos Brasileiros De Cardiologia, 2009
FUNDAMENTO: Na Insuficiência Cardíaca (IC), a atenção especial é necessária não somente em relação à aspectos objetivos ou isolados, mas também às percepções de saúde do paciente. Os aspectos subjetivos podem ajudar os profissionais da saúde a entender e a melhor tratar a IC. OBJETIVO: O objetivo desse estudo foi avaliar simultaneamente os efeitos dos indicadores clínicos da IC na qualidade de vida (QDV). MÉTODOS: Investigamos, através de análise multivariada, a QDV de 101 pacientes ambulatoriais brasileiros, utilizando o questionário de Minnesota (Minnesota Living with Heart Failure Questionnaire), incluindo suas sub-escalas, e sua correlação com as variáveis clínicas e psicológicas, tais como idade, etnia, gênero, parâmetros ecocardiográficos, índice de massa corporal, pressão arterial média de repouso, tempo de diagnóstico, Classificação Funcional de acordo com a NYHA, capacidade funcional através de uma Escala de Atividade Específica, comorbidades, Escore de Risco de Framingham ...
Quality of life – an important parameter of cardiac rehabilitation in heart failure patients
Balneo Research Journal
Heart failure is a significant healthcare problem, because of its impact at the individual and populational level, through multiple rehospitalizations and increased morbi-mortality. At the individual level, the multidimensional impact of this clinical condition and its treatment on patients' daily lives is reflected in the quality of life (QoL). QoL needs to be accurately measured, because it's related to high hospitalization and mortality rates and provides valuable information that cannot be directly obtained using clinical, biological or imaging measurements. For these reasons, QoL evaluation (global score, subscale scores, answers to various items, etc.) is a significant parameter for assessing the impact of and for structuring the cardiac rehabilitation programs (exercise training, nutritional counseling, psychosocial support and interventions, etc). In order to increase the long-term efficiency, these programs need also to include strategies to optimize and increase adherence to lifestyle changes and to medical therapy.
European Heart Journal: Acute Cardiovascular Care, vol. 2 no. 1 suppl 8 , 2013
The Acute Cardiovascular Care Association (ACCA) is very pleased to welcome you to the Acute Cardiac Care Congress 2013 in the great city of Madrid, Spain from 12-14 October 2013. The main theme of this edition is "Acute Cardiac Care: a multidisciplinary endeavour" Acute cardiovascular care begins in the moment the patient seeks medical attention, either at home, calling the emergency system, consulting his/her primary care physician or going to the emergency room. Then, acute cardiovascular care encompasses several processes of care focused on the presenting syndrome, which may need different levels of attention, from out of hospital to intensive cardiac care. Therefore, acute cardiovascular care requires networking through a multidisciplinary approach. The aim of the congress scientific programme is to develop a comprehensive multidisciplinary review of all recent advances in acute and intensive cardiovascular care medicine. With more than 40 high quality scientific sessions-main symposia, how to sessions, challenging cases, abstract sessions and a new feature for 2013: a specific educational track for young professionals, including case sessions presented by residents-, the congress should become the natural interactive forum for all specialists involved in acute cardiovascular care: cardiologists, emergency care physicians, intensive care physicians, internists, surgeons, imaging specialists, interventionists, nurses, paramedics, willing to integrate the acquired new information into their knowledge for patients care at the bedside from a truly multidisciplinary approach. Attendees will also have the opportunity to visit the exhibition area, to attend educational satellite symposia and meet with industry to discover the most recent state of the art technology and devices.
Heart failure and health related quality of life
Clinical Practice & Epidemiology in Mental Health, 2005
Quality of life is a major goal in the context of preventive and therapeutic cardiology. It is important, both as an outcome measure in clinical trials of congestive heart failure (CHF) and as a consideration in individual physicians' therapeutic decisions. In this article, quality of life concepts are reviewed, methods of measurement are explored and clinically significant changes on prognosis are discussed. There is a need for more research which is based on carefully selected measures of quality of life chosen as being of particular importance to patients and to the hypotheses being tested.
IMPACT OF HEART FAILURE ON QUALITY OF LIFE: AN INVESTIGATION INTO HOW HEART FAILURE AFFECTS PATIENTS' QUALITY OF LIFE, INCLUDING PHYSICAL, PSYCHOLOGICAL AND SOCIAL ASPECTS (Atena Editora), 2024
INTRODUCTION Heart failure (HF) encompasses a broad range of symptoms and etiologies, including structural and functional abnormalities of the heart. Diagnosis involves a thorough clinical assessment combined with imaging studies and biomarker evaluations. Patients with HF often experience a significant decline in quality of life due to physical symptoms, psychological distress, and social challenges. Physical limitations such as reduced exercise tolerance and muscle weakness are common, compounded by psychological factors like depression and anxiety. Addressing these multifaceted aspects requires comprehensive management strategies focusing on optimizing medical therapy, promoting physical activity, and addressing psychosocial needs to enhance functional capacity and overall well-being in HF patients. OBJETIVE: Analyze and describe the main aspects of the impact of HF on quality of life: an investigation into how heart failure affects patients' quality of life, including physical, psychological and social aspect in the last years. METHODS: This is a narrative review, which has used descriptors such as “heart failure” AND “epidemiology” AND “quality of life” AND “psychological” in the last 10 years in MEDLINE – PubMed (National Library of Medicine, National Institutes of Health), COCHRANE, EMBASE and Google Scholar databases. RESULTS AND DISCUSSION: potential targets for interventions to improve quality of life QoL in HF patients involves symptom management strategies, both pharmacological and non-pharmacological. Pharmacological interventions, such as guideline-directed medical therapies including ACEIs, beta-blockers, and diuretics, aim to improve symptom control and reduce hospitalizations. Non- pharmacological approaches like exercise training, dietary modifications, and weight management play a vital role in enhancing physical function and QoL. Psychosocial support programs focusing on counseling, cognitive-behavioral therapy, and support groups address emotional distress and improve mental well- being. Healthcare delivery innovations, such as telemedicine, remote monitoring, and transitional care programs, enhance access to care and optimize medication adherence, ultimately improving QoL outcomes in HF patients. By integrating these comprehensive approaches, healthcare providers can effectively address the multifaceted challenges of HF and improve patient outcomes and overall well- being. CONCLUSION: In summary, HF imposes significant challenges across physical, psychological, and social domains, profoundly affecting the quality of life of affected individuals. Physical limitations due to compromised exercise tolerance and activities of daily living, coupled with the psychological burden of depression, anxiety, and emotional distress, contribute to the multifaceted impact of HF. Moreover, HF disrupts social relationships, leading to caregiver stress, family dynamics alterations, and social isolation. Various determinants, including symptom burden, treatment adherence, socioeconomic status, and access to healthcare, influence quality of life outcomes, highlighting the need for tailored interventions.
Quality of Life of Individuals With Heart Failure
Medical Care, 2002
BACKGROUND. The growing number of patients with congestive heart failure has increased both the pressure on hospital resources and the need for community management of the condition. Improving hospital-to-home transition for this population is a logical step in responding to current practice guidelines' recommendations for coordination and education. Positive outcomes have been reported from trials evaluating multiple interventions, enhanced hospital discharge, and follow-up through the addition of a case management role. The question remains if similar gains could be achieved working with usual hospital and community nurses. METHODS. A 12-week, prospective, randomized controlled trial was conducted of the effect of transitional care on health-related quality of life (disease-specific and generic measures), rates of readmission, and emergency room use. The nurse-led intervention focused on the transition from hospital-tohome and supportive care for self-management 2 weeks after hospital discharge. RESULTS. At 6 weeks after hospital discharge, the overall Minnesota Living with Heart Failure Questionnaire (MLHFQ) score was better among the Transitional Care patients (27.2 ؎ 19.1 SD) than among the Usual Care patients (37.5 ؎ 20.3 SD; P ؍ 0.002). Similar results were found at 12 weeks postdischarge for the overall MLHFQ and at 6-and 12weeks postdischarge for the MLHFQ's Physical Dimension and Emotional Dimension subscales. Differences in generic quality life, as assessed by the SF-36 Physical component, Mental Component, and General Health subscales, were not significantly different between the Transition and Usual Care groups. At 12 weeks postdischarge, 31% of the Usual Care patients had been readmitted compared with 23% of the Transitional Care patients (P ؍ 0.26), and 46% of the Usual Care group visited the emergency department compared with 29% in the Transitional Care group (2 ؍ 4.86, df 1 , P ؍ 0.03).
Quality of Life Predicts Survival and Hospitalisation in a Heart Failure Portuguese Population
Applied Research in Quality of Life, 2016
The aim of this study was to examine whether quality of life (QoL) is an independent predictor of death and hospitalization for cardiovascular (CV) causes in patients with heart failure (HF). A 6-year prospective study was conducted on 130 outpatients with HF who were recruited from a cardiology service at S. João Hospital. Generic QoL was measured with the Medical Outcome Study 36-item Short Form Survey (SF-36), disease-specific QoL was measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the Beck Depression Inventory Scale (BDI-II) was used to screen for depressive symptoms (DS). Logistic regression and multinomial logistic regression analysis were used to evaluate the independent prognostic value of QoL measures on all cause mortality and hospitalization for CV causes after adjustment for clinical risk factors. During the follow-up 48 % of the participants died for all causes and 38 % were hospitalized for CV causes. Both generic and disease-specific QoL instruments were predictive of mortality and hospitalization on univariate analysis. After adjustment for prognostic factors such as DS, age, gender, B-type natriuretic peptide (BNP) levels, renal insufficiency and functional class NHYA only the summary clinical domain of KCCQ remained predictive of mortality. With respect to hospitalization for CV causes remained the predictive power: the summary clinical domain and the self-efficacy domains of KCCQ and the physical health domain of SF-36. Worse