Factors predicting quality of life among patients with heart failure

Authors

  • Autchariya Poungkaew Department of Medical Nursing, Faculty of Nursing, Mahidol University
  • Pannipa Boontein Department of Medical Nursing, Faculty of Nursing, Mahidol University
  • Sasima Tongsai Faculty of Medicine Siriraj hospital, Mahidol University
  • Noppawan Charoenyos Cardiologist, Chaophraya Yommaraj Hospital
  • Lanpattra Tanutpokeenun Nakhon Pathom Hospital

Keywords:

quality of life, patients with heart failure, predicting factors

Abstract

          This cross-sectional analytical study was aimed at examining the factors predicting quality of life among patients with heart failure. The sample was composed of 237 heart failure patients receiving health services in the outpatient departments of general medicine clinics, heart clinics and heart failure clinics for a total of 6 clinics and with 6 nurses assigned to those clinics at 2 tertiary hospitals in Thailand’s central region. Data were collected between January and September 2019 with questionnaires, interviews and data records.  Descriptive and inferential statistics were used to study the factors predicting quality of life with simple linear regression analysis and multiple linear regression analysis. 

          According to the findings, the sample’s mean overall quality of life was moderate (median score = 24, IQR = 15-40) with low, moderate and good levels at 48.1, 22.8 and 29.1%, respectively. The factors predicting quality of life among patients with heart failure in this study were age (β = 0.126, p < 0.01), severity of co-morbidities (β = 0.172, p < 0.01) and depression (β = 0.629, p < 0.001) at 54.7%  (R2= 0.547, p < 0.001). The depression factor was the highest predictor at 62.9%. 

          Recommendations from this study suggest that should design health services and develop the program to promote quality of life among patients with heart failure aimed preventing and reducing depression with consideration given to differences in the ages and severity of co-morbidities.

References

1. Braunwald E. The war against heart failure: Lancet. 2015; 385(9970): 812-24.

2. Lee AA, Aikens JE, Janevic MR, Rosland A-M, Piette JD. Functional support and burden among out-of-home supporters of heart failure patients with and without depression. Health Psychol. 2020; 39(1): 29-36.

3. Heidenreich PA, Albert NM, Allen LA, Bluemke DA, Butler J, Fonarow GC, et al. Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ Heart Fail. 2013; 6(3): 606-19.

4. Laothavorn P, Hengrussamee K, Kanjanavanit R, Moleerergpoom W, Laorakpongse D, Pachirat O, et al. Thai acute decompensated heart failure registry (Thai ADHERE). CVD Prevention and Control. 2010; 5(3): 89-95.

5. Sousa MM de, Oliveira JS, Soares MJGO, Araújo A de, Oliveira HS. Quality of life of patients with heart failure: integrative review. Journal of Nursing UFPE on line. 2017; 11(3): 1289-98.

6. Hwang SL, Liao WC, Huang TY. Predictors of quality of life in patients with heart failure. Japan Journal of Nursing Science. 2014; 11(4): 290-8.

7. Theofilou P. Quality of Life: Definition and measurement. Eur J Psychol. 2013; 9(1):1-13.

8. Aggelopoulou Z, Fotos NV, Chatziefstratiou AA, Giakoumidakis K, Elefsiniotis I, Brokalaki H. The level of anxiety, depression and quality of life among patients with heart failure in Greece. Appl Nurs Res. 2017; 34: 52-6.

9. Suetrong A, Choowattanapakorn T. Factors predicting quality of life in older persons with heart failure. Thai Journal of Cardio-Thoracic Nursing. 2016; 27(2): 58-70. (in Thai).

10. Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Colvin MM, et al. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Am Coll Cardiol. 2017; 70(6): 776-803.

11. Buakhamsri A, Chirakarnjanakorn S, Sanguanwong S, Porapakkham P, Kanjanavanich R. Heart Failure council of Thailand (HFCT) 2019 heart failure guideline: pharmacologic treatment of chronic heart failure-part I. J Med Assoc Thai. 2019; 102: 240-4. (in Thai)

12. Andersen RM. Revisiting the behavioral model and access to medical care: Does it matter. J Health Soc Behav. 1995; 36(1): 1-10.

13. Loo DW, Jiang Y, Koh KW, Lim FP, Wang W. Self-efficacy and depression predicting the health-related quality of life of outpatients with chronic heart failure in Singapore. Appl Nurs Res. 2016; 32: 148-55.

14. Toback M, Clark N. Strategies to improve self-management in heart failure patients.Contemp Nurse. 2017; 53(1): 105-20.

15. Jonkman NH, Westland H, Groenwold RH, Ågren S, Atienza F, Blue L, et al. Do self-management interventions work in patients with heart failure? An individual patient data meta-analysis. Circulation. 2016; 133(12):1189-98.

16. Kaewkanya C, Preechawong S, Chimluang J. Selected factors predicting depression in person with chronic heart failure. Journal of The Royal Thai Army Nurses. 2017: 18:66-73. (in Thai).

17. Chung ML, Moser DK, Lennie TA, Frazier SK. Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms. Qual Life Res. 2013; 22(7): 1555-63.

18. Oldland E, Driscoll A, Currey J. High complexity chronic heart failure management programmes: Programme characteristics and 12-month patient outcomes. Collegian. 2014; 21(4): 319-26.

19. Poungkaew A, Sindhu S, Pinyopasakul W, Tresukosol D, Viwatwongkasem C. evaluation of a health service system for heart failure management in Thailand. Suranaree Journal of Science and Technology. 2018; 25(3): 295-306. (in Thai).

20. Comín-Colet J, Anguita M, Formiga F, Almenar L, Crespo-Leiro MG, Manzano L, et al. Health-related quality of life of patients with chronic systolic heart failure in Spain: results of the VIDA-IC study. Rev Esp Cardiol (Engl Ed). 2016; 69(3): 256-71. doi:10.1016/j.rec.2015.07.030.

21. Wongpakaran N, Wongpakaran T. A Revised Thai multi-dimensional scale of perceived social support. Span J Psychol. 2012; 15(3): 1503-9. doi:10.5209/ rev_sjop.2012.v15.n3.39434.

22. Kongsuk T, Arunpongpaisal S, Janthong S, Prukkanone B, Sukhawaha S, Leejongpermpoon J. Criterion-related validity of the 9 questions depression rating scale revised for Thai central dialect. Journal of the Psychiatric Association of Thailand. 2018; 63(4): 321-34. (in Thai).

23. Jaarsma T, Arestedt KF, Mårtensson J, Dracup K, Strömberg A. The European heart failure self-care behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. Eur J Heart Fail. 2009; 11(1): 99-105.

24. Wagenaar KP, Broekhuizen BD, Rutten FH, Strömberg A, Van Stel HF, Hoes AW, et al. Interpretability of the European heart failure self-care behaviour scale. Patient Prefer Adherence. 2017; 11: 1841-9.

25. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987; 40(5): 373-83.

26. Riegel B, Lee Christopher S, Sochalski J.Developing an instrument to measure heart failure disease management program intensity and complexity. Circulation: Cardiovascular Quality and Outcomes 2010; 3(3): 324-30.

27. Tangsatitkiat W, Sakthong P. The content improvements of the Thai version of the minnesota living with heart failure questionnaire using cognitive Interview.Thai Pharmaceutical and Health Science Journal. 2009; 4(2): 227-35.

28. Polikandrioti M, Panoutsopoulos G, Tsami A, Gerogianni G, Saroglou S, Thomai E, et al. Assessment of quality of life and anxiety in heart failure outpatients. Arch Med Sci: Atherosclerotic Diseases. 2019; 4: e38-e46.

29. Kenchaiah S, Vasan RS. Heart Failure in Women - Insights from the Framingham heart study. Cardiovasc Drugs Ther. 2015; 29(4): 377-390. doi: 10.1007/s10557-015-6599-0.

30. Hawkins NM, Jhund PS, McMurray JJV, Capewell S. Heart failure and socioeconomic status: accumulating evidence of inequality. Eur J Heart Fail. 2012; 14(2): 138-46.

31. Kim J, Hwang SY, Heo S, Shin M-S, Kim SH. Predicted relationships between cognitive function, depressive symptoms, self-care adequacy, and health-related quality of life and major events among patients with heart failure. Eur J Cardiovasc Nurs. 2019; 18(5): 418-26.

Downloads

Published

2020-08-09

How to Cite

1.
Poungkaew A, Boontein P, Tongsai S, Charoenyos N, Tanutpokeenun L. Factors predicting quality of life among patients with heart failure. Thai J Cardio-Thorac Nurs. [Internet]. 2020 Aug. 9 [cited 2024 Nov. 5];31(1):179-97. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/243988

Issue

Section

Research Articles