Impact of Symptom Prevalence and Symptom Burden on Quality of Life in Patients with Heart Failure

2005 ◽  
Vol 4 (3) ◽  
pp. 198-206 ◽  
Author(s):  
Cheryl Hoyt Zambroski ◽  
Debra K. Moser ◽  
Geetha Bhat ◽  
Craig Ziegler
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Symptom Burden ◽  
Symptom Assessment ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Heart Failure Patients ◽  
Patients With Heart Failure ◽  
Symptom Prevalence

Background: Heart failure is an escalating health problem around the world. Despite significant scientific advances, heart failure patients experience multiple physical and psychological symptoms that can impact the quality of life. Aims: To determine the (1) symptom prevalence, severity, distress and symptom burden in patients with heart failure; (2) impact of age and gender on symptom prevalence, severity, distress and symptom burden; and (3) impact of symptom prevalence and symptom burden on health-related quality of life (HRQOL) in patients with heart failure. Methods: A convenience sample of 53 heart failure patients participated in this descriptive, cross-sectional design. Symptoms and HRQOL were measured using the Memorial Symptom Assessment Scale—Heart Failure and the Minnesota Living with Heart Failure Questionnaire. Results: Patients experienced a mean of 15.1 ± 8.0 symptoms. Shortness of breath and lack of energy were the most prevalent. Difficulty sleeping was the most burdensome symptom. Lower age, worse functional status, total symptom prevalence and total symptom burden predicted 67% of the variance in HRQOL. Conclusion: Patients with heart failure experience a high level of symptoms and symptom burden. Nurses should target interventions to decrease frequency, severity, distress and overall symptom burden and improve HRQOL.

scholarly journals The Correlation between Tri Hita Karana's Implementation and Life Quality of Heart Failure Patients

2021 ◽  
Vol 2 (1) ◽  
pp. 1-7
Author(s):  
Ida Ayu Agung Laksmi ◽  
Putu Wira Kusuma Putra ◽  
Ayu Made Budihartini
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Life Quality ◽  
Regional Hospital ◽  
Rank Test ◽  
P Value ◽  
Cross Sectional ◽  
Heart Failure Patients ◽  
Patients With Heart Failure

Introduction: The quality of life of patients with heart failure is influenced by several factors, one of which is spiritual factors. Tri Hita Karana (THK) is one of the concepts of the life order of the Balinese people, which basically teaches about maintaining harmony between humans and God (prahyangan), humans and humans (pawongan), humans with the environment (palemahan). This study aimed to determine the relationship between THK implementation on the quality of life of heart failure patients at Regional Hospital of Mangusada. Methods: A cross-sectional design study was used. In total 41 heart failure patients who visited Mangusada Hospital between April to May 2020, selected using a purposive sampling technique. The research instrument used was the attitude and behavior implementation of THK and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). The Spearman rank test was used in this study. Results: There were a significant correlation between Tri Hita Karana's Implementation and Life Quality of Heart Failure Patients in Mangusada Regional Hospital with p-value (0.001), where p < α (0.05). Conclusion: The better the implementation of THK, the better the quality of life for patients with heart failure. The results of this study were expected to be used in providing education to patients by implementing THK to improve the quality of life for patients with heart failure.

scholarly journals Tobacco use in the Myeloproliferative neoplasms: symptom burden, patient opinions, and care

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah F. Christensen ◽  
Robyn M. Scherber ◽  
Gina L. Mazza ◽  
Amylou C. Dueck ◽  
Nana Brochmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Tobacco Use ◽  
Myeloproliferative Neoplasms ◽  
Myeloproliferative Neoplasm ◽  
Symptom Burden ◽  
Symptom Assessment ◽  
Cross Sectional ◽  
Former Smokers ◽  
Never Smokers

Abstract Background Patients with Philadelphia-negative Myeloproliferative Neoplasms (MPN) suffer from numerous symptoms and decreased quality of life. Smoking is associated with an increased symptom burden in several malignancies. The aim of this study was to analyze the association between smoking and MPN-related symptom burden and explore MPN patients’ opinions on smoking. Methods A total of 435 patients with MPN participated in a cross-sectional internet-based survey developed by the Mayo Clinic and the Myeloproliferative Neoplasm Quality of Life Group. Patients reported their demographics, disease characteristics, tobacco use, and opinions on tobacco use. In addition, MPN-related symptoms were reported via the validated 10-item version of the Myeloproliferative Neoplasms Symptom Assessment Form. Results Current/former smokers reported worse fatigue (mean severity 5.6 vs. 5.0, p = 0.02) and inactivity (mean severity 4.0 vs. 3.4, p = 0.03) than never smokers. Moreover, current/former smokers more frequently experienced early satiety (68.5% vs. 58.3%, p = 0.03), inactivity (79.9% vs. 71.1%, p = 0.04), and concentration difficulties (82.1% vs. 73.1%, p = 0.04). Although not significant, a higher total symptom burden was observed for current/former smokers (mean 30.4 vs. 27.0, p = 0.07). Accordingly, overall quality of life was significantly better among never smokers than current/former smokers (mean 3.5 vs. 3.9, p = 0.03). Only 43.2% of the current/former smokers reported having discussed tobacco use with their physician, and 17.5% did not believe smoking increased the risk of thrombosis. Conclusion The current study suggests that smoking may be associated with increased prevalence and severity of MPN symptoms and underscores the need to enhance patient education and address tobacco use in the care of MPN patients.

scholarly journals Association between quality of life and prognosis of candidate patients for heart transplantation: a cross-sectional study

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Vanessa Silveira Faria ◽  
Ligia Neres Matos ◽  
Liana Amorim Correa Trotte ◽  
Helena Cramer Veiga Rey ◽  
Tereza Cristina Felippe Guimarães
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Heart Transplantation ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Prognostic Scores ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample

ABSTRACT Objective: to verify the association between the prognostic scores and the quality of life of candidates for heart transplantation. Method: a descriptive cross-sectional study with a convenience sample of 32 outpatients applying to heart transplantation. The prognosis was rated by the Heart Failure Survival Score (HFSS) and the Seattle Heart Failure Model (SHFM); and the quality of life by the Minnesota Living With Heart Failure Questionnaire (MLHFQ) and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The Pearson correlation test was applied. Results: the correlations found between general quality of life scores and prognostic scores were (HFSS/MLHFQ r = 0.21), (SHFM/MLHFQ r = 0.09), (HFSS/KCCQ r = -0.02), (SHFM/KCCQ r = -0.20). Conclusion: the weak correlation between the prognostic and quality of life scores suggests a lack of association between the measures, i.e., worse prognosis does not mean worse quality of life and the same statement is true in the opposite direction.

scholarly journals PELAYANAN KESEHATAN VIRTUAL PADA PASIEN GAGAL JANTUNG SELAMA PANDEMI COVID-19; SEBUAH TINJAUAN LITERATUR

2020 ◽  
Vol 2 (2) ◽  
pp. 1-7
Author(s):  
Bambang Aditya nugraha
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Health Services ◽  
Patient Needs ◽  
Inclusion Criteria ◽  
Alternative Health ◽  
Heart Failure Patients ◽  
Search Results ◽  
Patients With Heart Failure

ABSTRACT Heart failure is a chronic disease whose therapeutic regimen must be carried out continuously in order to maintain circulation and minimize deterioration. The covid-19 pandemic has prevented heart failure patients from getting health services directly. Remote or virtual health services can be carried out for patients with heart failure in order to prevent the spread and transmission of Covid 19 and maintain quality of life. The purpose of this literature is to explain that health care for patients with heart failure can be done virtually. The research method used is narrative review using Google Scholar and pubmed as the database of articles. Article inclusion criteria are published during the COVID-19 pandemic, in Indonesian and in English, and a complete manuscript is available. The keywords used virtual care and heart failure and covid-19. The search results showed 1392 articles, but only 5 articles that matched the predetermined criteria and it was found that virtual health services for heart failure patients were recommended to be carried out in order to meet patient needs and prevent the spread and transmission of covid 19. The search results were expected to become information related to alternative health services for patients with heart failure during the pandemic and improve quality of life. Key Words — care, covid-19, heart failure, virtual health service

scholarly journals Quality of Life for Saudi Patients With Heart Failure: A Cross-Sectional Correlational Study

2015 ◽  
Vol 8 (3) ◽  
pp. 49 ◽  
Author(s):  
Mohannad Eid AbuRuz ◽  
Fawwaz Alaloul ◽  
Ahmed Saifan ◽  
Rami Masa'deh ◽  
Said Abusalem
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Saudi Arabia ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Cross Sectional ◽  
Ventricular Ejection Fraction ◽  
Patients With Heart Failure ◽  
Saudi Patients

<p><strong>INTRODUCTION:</strong> Heart failure is a major public health issue and a growing concern in developing countries, including Saudi Arabia. Most related research was conducted in Western cultures and may have limited applicability for individuals in Saudi Arabia. Thus, this study assesses the quality of life of Saudi patients with heart failure.</p> <p><strong>MATERIALS &amp; METHODS:</strong><em> </em>A cross-sectional correlational design was used on a convenient sample of 103 patients with heart failure. Data were collected using the Short Form-36 and the Medical Outcomes Study-Social Support Survey.</p> <p><strong>RESULTS:</strong> Overall, the patients’ scores were low for all domains of Quality of Life. The Physical Component Summary and Mental Component Summary mean scores and SDs were (36.7±12.4, 48.8±6.5) respectively, indicating poor Quality of Life. Left ventricular ejection fraction was the strongest predictor of both physical and mental summaries.</p> <p><strong>CONCLUSION:</strong> Identifying factors that impact quality of life for Saudi heart failure patients is important in identifying and meeting their physical and psychosocial needs.</p>

Abstract 16304: Readiness for Physical Activity in Patients With Heart Failure

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Elena Marques-Sule ◽  
Luis Almenar ◽  
Pallav Deka ◽  
Dola Pathak ◽  
Raquel López-Vilella ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Heart Failure ◽  
Self Efficacy ◽  
Nyha Class ◽  
Analysis Of Covariance ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Patients With Heart Failure

Introduction: Little attention has been given to assessing the physical readiness and psychological readiness (motivation & self-efficacy) in patients with heart failure (HF). The aim of this study is to explore the readiness for PA (physical and psychological) in patients with HF and factors related. Method: A cross-sectional study with 163 patients included (mean age 66±16, 50% female, 63% NYHA I, 37% NYHA II) assessing background and clinical data, physical activity (IPAQ-s), depression and anxiety (HADs), quality of life (SF36). Readiness for PA was assessed with physical readiness based on the PA Readiness Questionnaire (PAR-Q) and psychological readiness was measured with the Exercise Self-efficacy Scale (ESES) and motivation with the Motivation for PA and Exercise/ Working Out questionnaire (RM 4-FM). Correlational analyses were done to explore the relationship between physical readiness and psychological readiness and factors related. A multivariate analysis of covariance was done to test the effect of categorical variables on readiness for PA. Results: Of the patients, 64% were not physically ready in becoming more physically active (n=105), 80% of the patients reported low self-efficacy (n=129), 45% (n=74) were extrinsically motivated for change and 55% (n=89) had primarily internal factors that motivated. Physical readiness and psychological readiness were highly correlated with each other. There was a statistically significant higher readiness for PA based on lower age (p < 0.01), male gender (p < 0.01), lower time since diagnose (p < 0.01), being married (p < 0.01), higher educational level (p < 0.01), lower NYHA-class (p = 0.04), lower BMI (p < 0.01), not having COPD (p < 0.01), higher quality of life (p < 0.01) and lower experience of anxiety symptoms (p = 0.03). Conclusions: A prudent first step in fitness assessments and exercise prescription process is the determination of readiness for PA. Along with screening for any physical limitations, it is also important to screen for psychological readiness for engaging in PA. Our findings may assist healthcare providers who are dealing with patients with HF to modify current and develop new practices related to risk reduction as screening readiness for PA before entering PA programs.

scholarly journals Meditation interventions among heart failure patients: An integrative review

2019 ◽  
Vol 18 (8) ◽  
pp. 720-728 ◽  
Author(s):  
Jennifer Viveiros ◽  
Brianna Chamberlain ◽  
Aminda O’Hare ◽  
Kristen A Sethares
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Symptom Burden ◽  
The United States ◽  
Future Research ◽  
Meditation Practice ◽  
Heart Failure Patients ◽  
Heart Failure Symptom ◽  
Definition Of

Background: There has been growing interest in meditation techniques as an intervention in chronic disease populations. Little is known of the effect meditation practice has on outcomes among patients with heart failure. Purpose: To identify and examine current literature on meditation interventions on heart failure outcomes. Method: The review utilized methods described by Whittemore and Knafl. Three electronic databases were searched through March 2018. Terms used were “mindfulness OR meditation” and “heart failure” in combination, generating 58 articles after duplicates were removed. After inclusion and exclusion criteria were applied, six studies qualified for review, including four articles with samples from the United States and two with samples from Brazil and Sweden, respectively. Results: Among the six studies in the final sample, the total number of participants was 320 heart failure patients. Interventional design and length varied among the studies, and 20 different dependent variables were identified. This study distinguished four categories of outcome measures with significant findings: psychosocial, biophysical, quality of life and heart failure symptom burden. Compared with controls meditation practice significantly improved depression ( p<.05), social support ( p<.05), biophysical factors and quality of life ( p<.05), in addition to reducing heart failure symptom burden. Across-study comparisons were limited due to variation in intervention definitions and designs. Additionally, the intervention dose and reporting method varied, limiting comparisons. The sample size in five out of six studies was fewer than 50 participants. Over 20 different measures were used across the six studies to measure outcome variables. Conclusion: Meditation may offer a patient-driven practice to reduce heart failure symptoms as well as improve psychosocial wellness and quality of life. Future research among heart failure patients should include the following: rigorous definition of meditation interventions, consistency in intervention characteristics, larger controlled trials, and standardized outcome instruments.

Associated factors and impacts of sedentary behaviour in patients with heart failure: A longitudinal study

2020 ◽  
Vol 19 (7) ◽  
pp. 609-618
Author(s):  
Mei-Fang Chen ◽  
Shin-Rong Ke ◽  
Chih-Ling Liu ◽  
Tao-Cheng Wu ◽  
Ya-Mei Yu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Heart Failure ◽  
Social Support ◽  
Sedentary Behaviour ◽  
Self Efficacy ◽  
Associated Factors ◽  
Heart Failure Patients ◽  
Patients With Heart Failure

Background: Sedentary behaviours may be related to factors such as self-efficacy, mood and social support. However, there is a paucity of longitudinal follow-up studies examining factors related to sedentary behaviour from physical-psychosocial perspectives in patients with heart failure. Aims: The purpose of this study was to explore the multidimensional associated factors and impacts of sedentary behaviour in heart failure patients. Methods: A longitudinal design was used. A convenience sample of 128 heart failure patients recruited from two large medical centres in northern Taiwan was obtained. Patients were interviewed with structured questionnaires to assess physical activity, symptom distress, exercise self-efficacy, anxiety and depression, social support, sleep quality and quality of life before discharge and at 3 and 6 months after discharge. Results: Heart failure patients reported low physical activity and tended to be sedentary. Sedentary behaviour was gradually reduced from hospitalization to 6 months after discharge. Sleep quality, quality of life, analgesic use, symptom distress and exercise self-efficacy were significant associated factors that explained 42.1–51% of the variance in sedentary behaviour. Patients with high sedentary behaviour had significantly greater depression and poorer sleep and quality of life than those with low sedentary behaviour at hospitalization and showed a significant improvement in depression at 3 and 6 months after discharge. Conclusion: Sedentary behaviour is common in heart failure patients and has impacts on depression and quality of life. An appropriate physical activity programme focusing on disease self-management and enhancing self-efficacy is needed for heart failure patients to improve their sedentary behaviour and quality of life.

Sign in / Sign up

Export Citation Format

Share Document