Factors Influencing Functional Status among Heart Failure Patients
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Abstract
Background: Heart failure is a major health problem in Thailand. When severity increases, the functional status and activities may be reduced resulting in rehospitalization. Thus, factors affecting the functional status among heart failure patients would promote their functional status and quality of life.
Objectives: This research aimed to explore the functional status and factors influencing the functional status including fatigue, dyspnea, depression and nutrition status among heart failure patients.
Materials and methods: This was a descriptive predictive research. The sample consisted of 85 patients who had been diagnosed with heart failure that had received treatment at a cardio clinic in the Outpatient Department. The patients were randomly selected by a systematic random sampling technique between February to May 2018. The research instruments utilized for the collection of the data consisted of a demographic questionnaire, functional status questionnaire, fatigue, dyspnea and depression assessment status, and BNT nutrition status assessment form. Descriptive statistics and stepwise multiple regression were used to analyze the collected data.
Results: The results revealed that the heart failure patients had a moderately high level of functional status (M =3.2; SD=0.7), moderate fatigue (M = 4.5; SD = 1.8), mild dyspnea (M = 2.2; SD = 0.5), no depression (74.1%), and no malnutrition (62.3%). The factors influencing the functional status among heart failure patients were fatigue (Beta = -0.27), nutrition status (Beta = -0.25), dyspnea (Beta = -0.26), and depression (Beta= -0.19), which were likely to significantly predict the variance in the functional status (R2 = 0.48, p < 0.001)
Conclusion: This study found that the factors could predict the functional status among heart failure patients that included fatigue, nutrition status, dyspnea and depression. The results from this study could be used to develop an intervention that would aim to promote the functional status among heart failure patients’ management by focusing on fatigue, dyspnea, depression, and nutrition status.
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References
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