The Status of Quality of Life and Adaptation of Patients with Heart Failure to Their Disease in Shushtar, Khuzestan Province (original) (raw)
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Japan Journal of Nursing Science, 2019
AimHeart failure is a progressive, debilitating disease with exacerbated physical and psychological symptoms that reduces the quality of life of patients. Nursing intervention based on nursing theories could help in the adaptation of patients to the disease and improving quality of life. The aim of this study was to determine the effect of an educational program based on Roy's adaptation model on the quality of life of patients with heart failure.Methods and MaterialIn this randomized controlled trial, 76 patients with heart failure were allocated to either the intervention or control group through a blocked randomization method. The data were collected between May and October 2017. The intervention group received oral and written educational programs for 4 weeks. Minnesota quality‐of‐life questionnaire and Roy's adaptation model‐based evaluation form was completed at the beginning of the trial, and 1 month after the completion of the study.ResultsIntervention patients showe...
2014
Background & Aim : Heart failure is one of the most common cardiovascular diseases which decreases the quality of life. Most of the factors influencing quality of life can be modified with ongoing educational interventions. Inadequate teaching is one of the causes of low health outcomes. Therefore, this study examined the effects of a Roy’s Adaptation Model (RAM) based on quality of life of patients with heart failure. Methods & Materials : This randomized clinical trial study was conducted during May to August 2011. From patients with heart failure referred to Tabriz Shahid Madani policlinics, 44 subjects were conveniently selected and randomly allocated to two groups. The intervention group (n=22) received ongoing one-to-one teaching and counseling sessions and phone calls based on RAM over 3 months. The control group (n=22) received routine teaching. Data were collected using the Minnesota Living with Heart Failure Questionnaire (MLHFQ), Interpersonal Support Evaluation List (ISE...
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...
Quality of Life in Patients Hospitalized with Heart Failure: A Novel Two Questionnaire Study
2007
Heart failure (HF) is a common disease with high health care costs and high mortality rate Knowledge of the health-related quality of life (QOL) outcomes of HF may guide decision making and be useful in assessing new therapies for population. Yet little is known about QOL of HF patients in Iran. Objectives: To assess health related QOL of patients with HF with two different instrument and to correlate these two measures and to assess the role of relevant factors. Analytic cross sectional study was conducted involving 230 adult patients hospitalized with HF, demographic data and health -related quality of life were determined by interview; for assessing of quality of life was used SF-36 and Minnesota questionnaires. Simple random sampling from ward patients list choose patients. Patients had no other man diseases that affected their quality of life. Results: 118 female (53.3%) and 112 male (48.7%) with mean age of 51.4 +/-13.18 were collected. 61 patients (26.5%) were smoker and 100 ...
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.
Measuring quality of life in patients with heart failure
Srpski arhiv za celokupno lekarstvo, 2005
INTRODUCTION The quality of life in patients with heart failure is diminished by symptoms of disease, affected social connections, frequent hospitalizations, side effects caused by medication, and costs of treatment borne by the patient himself. OBJECTIVE The objective of this research was to measure the quality of life of patients with heart failure and assess any potential changes during a six-month period. METHOD This research is a follow-up study, and comprised 56 patients who were treated from September 1998 to August 1999 at the Institute for Cardiovascular Diseases of The Clinical Center of Serbia. During the first hospitalization, an initial baseline measurement of quality of life was conducted. The measurement was then repeated after three and six months, during check-ups. The measurement was conducted by using a special questionnaire for patients suffering from heart disorders, the "Minnesota Living with Heart Failure Questionnaire." RESULTS The results showed a ...
2021
Background: Given the debilitating nature of heart failure, all aspects of life including quality of life should be considered in the care of patients with this problem. This study aimed to assess the quality of life and related demographic characteristics in elderly patients with heart failure. Methods: The participants in this cross-sectional study were 135 elderly people aged 60 years and older with heart failure admitted to teaching hospitals of Guilan University of Medical Sciences in 2018. The patients were selected using convenience sampling. The data in this study were collected using a demographic information questionnaire and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). The collected data were analyzed using descriptive statistics and inferential statistics including independent samples t-test, Pearson correlation, and ANOVA at a significance level of less than 0.05 (P<0.05). Results: The results showed that the mean of the total quality of life in the...
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).