Symptom perception, health-related quality of life and predicted survival in heart failure patients

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Prima Jenevive Jyothi D'Souza , Linu Sara George , Ganesh Paramasivam , Tom Devasia , N. Ravishankar , Baby S. Nayak , Judith A. Noronha , Kusumavathi P. , Anice George
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引用次数: 0

Abstract

Background

Heart failure (HF) is a chronic and progressive condition that significantly impacts patients’ lives, necessitating a comprehensive understanding of the factors influencing their health outcomes. Among these factors, symptom perception, health-related quality of life (HRQoL), and predicted survival are paramount. This study aimed to assess symptom perception, HRQoL and predictive survival among HF patients.

Methods

A baseline analysis was carried out in a randomized controlled trial involving patients with HF. Heart Failure Somatic Perception Scale to assess symptom perception, Kansas City Cardiomyopathy Questionnaire-12 to assess HRQoL and Seattle Heart Failure Model to assess predicted survival were used.

Results

Among the 160 patients, 62.5 % were between 36 and 59 years of age and were married (88 %). Hypertension and diabetes were reported in 104 and 94 participants respectively, and among them, 65 participants had both hypertension and diabetes. The mean left ventricular ejection fraction was 33(%), and 56.5 % of the participants were in New York Heart Association functional class III and IV. The average symptom perception score was 27.4 ± 18.3, while the mean HRQoL score was 37.2 ± 14.2. The predicted one-year survival score was 80 ± 11.5, and the predicted five-year survival score was 38.5 ± 21.3. HRQoL showed a significant negative correlation with symptom perception (r = −0.75; p = 0.001) and a positive correlation with one-year survival (r = 0.53; p = 0.001), and five-year survival (r = 0.56; p = 0.001).

Conclusion

Patients with HF experience persistent symptoms and poor HRQoL. Symptom severity decreases HRQoL. Understanding HRQoL and symptom perception is crucial for developing effective self-care interventions, which are vital for improving patient outcomes and managing HF effectively.

心力衰竭患者的症状感知、健康相关生活质量和预测生存率
背景心力衰竭(HF)是一种慢性进展性疾病,对患者的生活有很大影响,因此有必要全面了解影响其健康状况的因素。在这些因素中,症状感知、健康相关生活质量(HRQoL)和预测生存率至关重要。本研究旨在评估高血压患者的症状感知、健康相关生活质量(HRQoL)和预测生存率。采用心力衰竭躯体感知量表评估症状感知,堪萨斯城心肌病问卷调查-12评估心率质生活,西雅图心力衰竭模型评估预测生存率。结果160名患者中,62.5%年龄在36至59岁之间,已婚(88%)。104人患有高血压,94人患有糖尿病,其中65人同时患有高血压和糖尿病。平均左心室射血分数为 33%,56.5% 的参与者属于纽约心脏协会功能分级 III 级和 IV 级。平均症状感知评分为(27.4 ± 18.3)分,平均 HRQoL 评分为(37.2 ± 14.2)分。预测的一年生存率为(80 ± 11.5)分,预测的五年生存率为(38.5 ± 21.3)分。HRQoL 与症状感知呈显著负相关(r = -0.75;p = 0.001),与一年生存率(r = 0.53;p = 0.001)和五年生存率(r = 0.56;p = 0.001)呈正相关。症状严重程度会降低患者的 HRQoL。了解患者的 HRQoL 和症状感知对于制定有效的自我护理干预措施至关重要,这对于改善患者预后和有效管理 HF 至关重要。
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来源期刊
Clinical Epidemiology and Global Health
Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
7.70%
发文量
218
审稿时长
66 days
期刊介绍: Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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