General Health Variations, in patients with MI, Longitudinal Case-Control Nested Design Study (original) (raw)
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Jundishapur Journal of Chronic Disease Care, 2016
Background: Currently, studying the quality of life of patients and the level of their adaptation to their disease is considered an important issue in studies of chronic diseases. Heart failure affects the quality of life of patients in varying degrees. Objectives: The present study aimed to determine the status of quality of life of patients with heart failure and their level of adaptation to their disease. Methods: In this descriptive-analytical study, 76 patients with heart failure who had referred to one of the specialized therapy clinics of Shushtar in Khuzestan Province during year 2015 were selected based on the convenience sampling method and inclusion criteria. The research tools for collecting the required data and information included demographic information questionnaire, minnesota quality of life questionnaire, and an assessment form designed for patients with heart failure based on four dimensions of the Roy adaptation model. The data were analyzed using descriptive and analytical statistics (independent t-test). Results: The results of this study showed that this disease leaves the greatest negative impact on the physical dimension of quality of life (32.97 ± 6.89). In addition, this disease has put the least negative impact on mental dimension of quality of life. Also, the lowest average adaptation was related to the dependence-independence dimension (28.71 ± 5.54). The results indicated that there is a significant difference between males and females in terms of physical and mental dimensions of quality if life, with lower averages of both in females (P = 0.037 and P = 0.007, respectively). The study findings also showed that different dimensions of adaptation are the same in males and females and there is no significant difference between them (P > 0.05). Conclusions: The present study showed that quality of life and adaptation have a weak status in the studied patients with heart failure. By taking appropriate measures and training programs, nurses can help these patients improve their quality of life and level of adaptation to their disease.
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.
Co-Morbidities as Determinantof Heart Failure: A Hospital Based Matched Case-Control Study
Pakistan BioMedical Journal, 2022
To evaluate the one most common combination of co-morbidities that can lead to heart failure.Methods:Total374 participants (case=187 & control=187 with 1:1) of age ≥20 included in this case control study through non probability convenient sampling from hospitals of Tehsil Wazirabad and District Gujrat.187 participants having heart failure were included in case group and 187 nothaving heart failure included in control group. Asemi structure questionnaire was used to collect data and results were compiled through SPSS software. There was no gender specification in this study.Results: Results showed thatFrequency of single disease was 55 in case group and 88 in control group. Participants having >1 disease were 51 in cases and 55 in control. Frequency of >2 diseases was 44 and 41 in case and control group respectively and in >3diseases 17 participants were in case group and 2 were in control group.As number of diseases increases in combination, frequency of participants incre...
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.
ASSESSMENT OF THE LEVEL OF STRESS AMONG PATIENTS WITH HEART FAILURE IN SULAIMANI CARDIAC HOSPITAL
ASSESSMENT OF THE LEVEL OF STRESS AMONG PATIENTS WITH HEART FAILURE IN SULAIMANI CARDIAC HOSPITAL , 2023
Background Life events and experiences eventually lead to stress. Stress also activates one's process of thinking and autonomic arousal level. One of the complications of heart failure is coronary artery disease, which can also be caused by stress and behaviours like being extremely hardworking toward achieving one's goals. Objectives To detect the stress levels of heart failure patients, and to find out the association between socio-demographic characteristics and level of stress. Materials and Methods Quantitative descriptive design (non-probability purposive sample). The sample was the heart failure admitted to Sulaimani Cardiac Hospital. A total of 200 heart failure patients were selected by non-probability sampling methods. The standardized Perceived Stress Scale tool was used for the study. Results Almost half (50.5%) of the sample was between 62 to 77 years. More than half were males, widows, illiterate with low economic status, and lived with their family members (65.5, 53%, 61%, 65.5%, and 68%) respectively. Less than half (48%) of them were in class III of heart failure according to the New York Heart Association classification. Most of the sample were from urban areas (91%), Nearly half of the sample (47.5%) had a high level, (51%) had moderate stress, and only (1.5%) of them had low stress. Also, the present study revealed a significant association among all items of sociodemographic and clinical characteristics and levels of stress except the economic state, marital state, and resident at the p-value of 0.05. Conclusion This research demonstrated an approach to developing more coping strategies to reduce stress among heart failure patients. So, this study recommended that the medical staff who work in the coronary care unit should involve themselves in dealing with the psychosocial needs of those patients and take measures to plan to solve their problems, especially stress, through teamwork.
Patient-reported causes of heart failure in a large European sample
International journal of cardiology, 2018
Patients diagnosed with chronic diseases develop perceptions about their disease and its causes, which may influence health behavior and emotional well-being. This is the first study to examine patient-reported causes and their correlates in patients with heart failure. European heart failure patients (N = 595) completed questionnaires, including the Brief Illness Perceptions Questionnaire. Using deductive thematic analysis, patient-reported causes were categorized into physical, natural, behavioral, psychosocial, supernatural and other. Clinical data were collected from medical records. Patients who did not report any cause (11%) were on average lower educated and participated less often in cardiac rehabilitation. The majority of the remaining patients reported physical causes (46%, mainly comorbidities), followed by behavioral (38%, mainly smoking), psychosocial (35%, mainly (work-related) stress), and natural causes (32%, mainly heredity). There were socio-demographic, clinical a...
Physical and psychosocial aspects among heart failure patients at Al-Najaf Al-Ashraf Governorate
A descriptive study used to find the relationship between physical and psychosocial aspects and heart failure. The study was carried out during the period from (October 2013 to May 2014). The study aims to find out Physical and psychosocial aspects for patients with heart failure in Al-Sadder medical city, in the ICU and CCU units, to identify the relationship between the physical and psychosocial aspects for heart failure. A purposive sample of (30) patient in the ICU and CCU units in Al-Sadder medical city in Al-Najaf Al-Ashraf Governorate. The data were collected through used of questionnaire was developed and modified by researchers format of viewing with patient that available in the ICU and CCU units. The questionnaire consisted of three major part, the first part was concerning Sociodemographic characteristics, consisted of (9) items, the second part of the questionnaire was comprised of (10) items that related to disease distribution characteristics and clinical manifestations, the third part concerning about the physical and psychosocial aspects and this part have (47) item. The validity of the questionnaire was reviewing by a panel of experts. The data were analyze through the application of descriptive statistical analyze include (frequency & percentage) and the application of inferential statistical analyze that include (person correlation coefficient and Chi-square). The finding of the present study indicate that there is highly significance for physical domain with the age, marital status, Occupational Status, Socioeconomic Status, Disease chronicity, Disease duration, Cardiomyopathy and Pneumothorax. Also highly significance for psychological domain with the age, marital status, and level of education, Occupational Status, Socioeconomic Status, Disease chronicity, Disease duration and Cardiomyopathy. The study confirms that the heart failure most commonly occur in elderly people over (38) years of age. Heart failure occurs almost equally between male and female, rural and urban, married and widowed. The study confirms that the heart failure occur in high percentage of illiterate retires have no enough income in An Najaf Al Ashraf. The study indicates that the majority of the study sample have chronic heart failure, most of them diagnosed since over (2) years and over. The researchers confirmed that the heart failure most commonly complications progress were high percentage for cardiomyopathy then pulmonary hypertension then hepatomegaly then pneumothorax. The Overall assessment of physical and psychosocial domains of heart failure patients' quality of life in al-Sadder medical city was high percentage for poor in physical domain of quality of life (73.3%) also there was a high percentage for poor in psychosocial domain (63.3%), which means failing in these domains of heart failure patients' quality of life. The study recommends that an intensive comprehensive wide population based studies be conducted to assess the physical and psychosocial aspects of people with heart failure. Moreover, health oriented mass media approach could be employed by the ministry of health to increase people's knowledge and awareness of heart failure and how we can prevent and managed it. So, an educational program toward target population about adaptation and changing life style for those patients could be helpful in reducing the burden of the disease prognosis.
Introduction: The present study aimed to determine the relationship between New York Heart Association (NYHA) classification and disease characteristics on the quality of life scores and the distribution of the scores at different stages of Heart Failure (HF). Materials and Methods: A total of 150 patients with HF participated in this cross-sectional study. The method of data collection was interview based on NYHA classification and using the validated Persian version of the Kansas City Cardiomyopathy Questionnaire (PKCCQ). Results: According to NYHA classification, 10% of patients were classified as mild HF, 16% as moderate HF, 63% as severe HF, and 11% as very severe HF. Significant differences were observed for total score and the component scores of PKCCQ among four stages of the disease (P<0.001). By comparing the PKCCQ total score and three domains in male and female groups, it was revealed that sex cannot affect quality of life based on PKCCQ total score and its functional areas (P=0.18). Conclusion: Distribution of the quality of life scores in patients with different stages of HF showed that quality of life scores overlap in the severe and very severe stages. Classifying the disease using NYHA classification cannot distinct patients with HF according to impairments in their health status between severe and very severe stages. In addition, the degree of education is the factor that may affect the quality of life.
Asian Journal of Pharmaceutical and Clinical Research, 2019
Objective: This study was aimed to assess the quality of life (QoL) of the subjects having congestive heart failure (HF) under different domains of life, such as physical, psychological, and social domains, and they started taking the standard care treatment. Methods: The questionnaire-based prospective study was designed to assess the effects of the HF in different domains of life such as social, psychological, physical, or mental. After getting consent from the subjects, health questionnaire was provided to a total of 60 subjects. Results: We found drastic improvements in 24% of total HF cases in terms of physical debility, whereas only 15% patients reported none of the complications during taking standard care therapy. Total 32.5% patients aware of the treatment took and to whom contact in an emergency. Psychological disturbances and life satisfaction were observed in 16.66% and 33.33% cases suffering from HF. Patient compliance means personal life, as well as medication adherenc...