Volume 30, Issue 105 (April 2017)                   IJN 2017, 30(105): 23-33 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bahador R, Nouhi E, Jahani Y. Quality of Life and its Related Factors in Patients with CHF, Referring to Jiroft Imam Khomeini Hospital. IJN. 2017; 30 (105) :23-33
URL: http://ijn.iums.ac.ir/article-1-2408-en.html

Assistant Professor, Physiology Research Center, Department of Med- surge Nursing Razi, School of Nursing & Midwifery, Kerman University of Medical Sciences. (Corresponding Author) TEL:09133407727 Email: e_nuhi@kmu.ac.ir
Abstract:   (849 Views)

Abstract

Background & Aim: Chronic heart failure, as a progressive and life-limiting illness, is a rampant problem which affects the quality of life of patients. Hence, this study was carried out to investigate the relationship between quality of life and related factors in patients with chronic heart failure.

Material & Methods: This is a cross-sectional study with a descriptive-correlational design. In this research, 100 patients with chronic heart failure were selected from Jiroft Imam Khomeini Hospital in 2015. Minnesota Living With Heart Failure Questionnaire (MLHFQ) and demographic questionnaires were used to collect data. The questionnaires were completed in three stages (admission time, discharge time, and one month after discharge). The obtained results were analyzed, using parametric statistical tests including, Pearson correlation coefficient (r), t-test, repeated measure ANOVA, and multivariate regression. The data were analyzed using SPSS (V. 21), with the significance level set at (P<0.05).

Results: The results showed that the quality of life at the beginning of patients admission, at discharge time, and one month after discharge were 77.4± 15.08, 66.96 ± 15.66, 42.87±22.08, respectively. The parametric statistical test in repeated measures over different time points showed significant difference in quality of life. It means that the quality of life was much better a month after discharge in comparison with the quality of life at admission and discharge time. Moreover, a significant relationship was observed between the quality of life and demographic data.

Conclusion: Quality of life in patients with chronic heart failure has a relationship with factors such as education, disease  background, duration of the disease ,age , smoking, marital status and obesity. The last three factors have been more effective on the quality of life a month after discharge. Thus, regarding the importance of these factors, education and follow-up care are highly emphasized.

Full-Text [PDF 735 kb]   (361 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2017/01/7 | Accepted: 2017/04/12 | Published: 2017/04/12

References
1. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Heart disease and stroke statistics-2014 update. Circulation. 2014;129(3): e28–e292.
2. Howlett JG. Palliative care in heart failure: addressing the largest care gap. Curr Opin Cardiol. 2011;26(2):144-8.
3. Comin-Colet J, Lainscak M, Dickstein K, Filippatos GS, Johnson P, Lüscher TF, et al. The effect of intravenous ferric carboxymaltose on health-related quality of life in patients with chronic heart failure and iron deficiency: a subanalysis of the FAIR-HF study. Eur Heart J. 2013;34(1):30-8.
4. Trotte LC, Lima CFdM, Lima VCdS, Cunha CV, Caldas CP. Palliative care in heart failure: integrative review. Journal of Nursing UFPE on line. 2014;8(2):442-9.
5. Metzger M, Norton SA, Quinn JR, Gramling R. Patient and family members' perceptions of palliative care in heart failure. Heart & Lung: The Journal of Acute and Critical Care. 2013;42(2):112-9.
6. Rector TS, Anand IS, Cohn JN. Relationships between clinical assessments and patients' perceptions of the effects of heart failure on their quality of life. J Card Fail. 2006;12(2):87-92.
7. Sanders JJ, Robinson MT, Block SD. Factors impacting advance care planning among African Americans: results of a systematic integrated review. J Palliat Med. 2016;19(2):202-27.
8. Havik OE, Sivertsen B, Relbo A, Hellesvik M, Grov I, Geiran O, et al. Depressive symptoms and all-cause mortality after heart transplantation. Transplantation. 2007;84(1):97-103.
9. Shahrbabaki PM, Nouhi E, Kazemi M, Ahmadi F. [Defective support network: a major obstacle to coping for patients with heart failure: a qualitative study]. Global health action. 2016;9. Persian
10. Bahador RS, Nouhi E, Jahani Y. [The study of palliative care and its relationship with quality of life in patients with chronic heart failure. in 2014-2015]. Journal of Clinical Nursing and Midwifery. 2016;5(4):35-46. Persian
11. Ferrans C, Powers M. Quality of life index: development and psychometric properties. Rech Soins Infirm. 2007 (88):32-7.
12. Shahrbabaki PM, Nouhi E, Kazemi M, Ahmadi F. [Family Support as a Reliable Resource for Coping in Patients with Heart Failure]. Acta Medica Mediterranea. 2016;32:873-8. Persian
13. Chang LR. Patients' perspectives in following hypertensive guidelines on sodium intake and lifestyle modifications in panama. Msc thesis in public Health. Tampa: College of Public Health, University of South Florida 2013.
14. Shahrbabaki PM, Nouhi S, Kazemi M, Ahmadi F. Evaluation of Preventive Self-care Behaviors and Its Related Factors in Patients with Heart Failure. Br J Med Med Res. 2016;12(6):1-8.
15. Goldman L, Ausiello DA. Cecil medicine: Saunders Elsevier Philadelphia^ ePA PA; 2008.
16. King CR, Hinds PS. Quality of life: from nursing and patient perspectives: Jones & Bartlett Publishers; 2011.
17. Abbas A, Naseeri H. [Dedicated tools for quality of life in patients with chronic heart failure]. Journal of School of Nursing and Midwifery, Gorgan University; 2006;2: 41-5.Persian.
18. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol. 2000;35(5):1245-55.
19. Behlouli H, Feldman DE, Ducharme A, Frenette M, Giannetti N, Grondin F, et al. Identifying relative cut-off scores with neural networks for interpretation of the Minnesota Living with Heart Failure questionnaire. Conf Proc IEEE Eng Med Biol Soc. 2009;2009:6242-6. doi: 10.1109/IEMBS.2009.5334659.
20. Evangelista LS, Lombardo D, Malik S, Ballard-Hernandez J, Motie M, Liao S. Examining the effects of an outpatient palliative care consultation on symptom burden, depression, and quality of life in patients with symptomatic heart failure. J Card Fail. 2012;18(12):894-9.
21. Johansson P, Dahlström U, Broström A. Factors and interventions influencing health-related quality of life in patients with heart failure: a review of the literature. Eur J Cardiovasc Nurs. 2006;5(1):5-15.
22. Heidarzadeh M , Hasani P, Rahimzadeh A, Ghahramanian A, Kolahdouzi Pour J, Yousefi I. [Quality of life and social support in congestive heart failure patients‌‌ and healthy‎ people]. Journal of Holistic Nursing And Midwifery. 2013;23(1):13-21. Persian
23. Yousefi P, Sabzevari Q, Mohammad S, Haghdoost AS. [Quality of life in patients with heart failure admitted to university]. Nursing Research .2011;6(21): 59-67.Persian.
24. Abbasi A, Asayesh H, Hosseini A, Ghorbani A, Rohi GH, Rahmani H, et al. [The relation of functional ability of patients affected with heart failure and quality of life. Iran South Med J. 2010; 1: 31-40. Persian.
25. Masoudi FA, Rumsfeld JS, Havranek EP, House JA, Peterson ED, Krumholz HM, et al. Age, functional capacity, and health-related quality of life in patients with heart failure. J Card Fail. 2004;10(5):368-73.
26. Rahnavard Z, Zolfaghari M, Kazemnejad A, Hatamipour K. [An investigation of quality of life and factors affecting it in the patients with congestive heart failure]. Journal of hayat. 2006;12(1):77-86. Persian.
27. Shojaei F. [Quality of Life in Patients with Heart Failure]. Journal of Faculty of Nursing and Midwifery, 2008; 14(2):5-13. Persian.
28. Arnold R, Ranchor AV, Koeter GH, de Jongste MJ, Sanderman R. Consequences of chronic obstructive pulmonary disease and chronic heart failure: the relationship between objective and subjective health. Soc Sci Med. 2005 Nov; 61(10): 2144-54
29. Hwang SL, Liao WC, Huang TY. Predictors of quality of life in patients with heart failure. Jpn J Nurs Sci. 2014;11(4):290-8.
30. Johansson P, Broström A, Dahlström U, Alehagen U. Global perceived health and health-related quality of life in elderly primary care patients with symptoms of heart failure. Eur J Cardiovasc Nurs. 2008;7(4):269-76.
31. Parajón T, Lupón J, González B, Urrutia A, Altimir S, Coll R, et al. Use of the “Minnesota Living With Heart Failure” quality of life questionnaire in Spain. Revista Española de Cardiología (English Edition). 2004;57(2):155-60.
32. Carson P, Tam SW, Ghali JK, Archambault WT, Taylor A, Cohn JN, et al. Relationship of quality of life scores with baseline characteristics and outcomes in the African-American heart failure trial. J Card Fail. 2009;15(10):835-42.
33. Mariotti R, Castrogiovanni F, Canale ML, Borelli G, Rondinini L. Weight loss and quality of life in chronic heart failure patients. J Cardiovasc Med. 2008;9(6):576-80.
34. Verma AK, Schulte PJ, Bittner V, Keteyian SJ, Fleg JL, Piña IL, et al. Socioeconomic and partner status in chronic heart failure: Relationship to exercise capacity, quality of life, and clinical outcomes. Am Heart J. 2017;183:54-61.
35. Barbareschi G, Sanderman R, Leegte IL, Van Veldhuisen DJ, Jaarsma T. Educational level and the quality of life of heart failure patients: a longitudinal study. J Card Fail. 2011;17(1):47-53.
36. Abedi HA, Yasaman AM, Abdeyazdan GH. [Quality of life in heart failure patients referred to the Kerman outpatient centers, 2010]. J Sharekord Univ Med Sci. 2011; 13(5): 55-63. Persian

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb