Participation of the nurse in the prevention of patients with CVD through health education and monitoring of health related quality of life

Abstract Funding Acknowledgements Type of funding sources: None. Introduction. Cardiovascular Disease is the most common cause of mortality worldwide and causes major social and economic problems to society. Despite significant progress in prevention, satisfactory results are still being reported. The education of nurses in Bulgaria includes preparation for promotional, preventive, and health-educational activities, which can be performed in a medical team and independently. Nurses resources could be used effectively to prevent Ischemic Heart Disease. Purpose. The aim of the study is to establish the quality of life in patients with IHD and to promote nursing interventions, including health counseling to address certain behavioral risk factors and monitoring. Methods. The study was conducted in two stages. A case-control study was performed in 146 patients with chronic ischemic heart disease and the same number of controls. The two groups are equal in gender. For the purposes of the research, a standardized questionnaire for the study of health-related quality of life was used (EQ-5D-3L, an adapted Bulgarian version). The experimental part included 52 patients with IHD, who are monitored in Primary medical care. Health education was provided by a nurse to reduce behavioral risk factors and monitor indicators. The study covers adults who have given informed consent to participate, in compliance with the ethical principles outlined in the Helsinki Declaration. Results. The results of the quality of life test EQ-5D-3L show more problems in the group of patients in the field of mobility (41.1%) (U = 5.58; p <0.05). There was a significant difference in the relative proportions of patients and controls with problems in the field of self-care, usual routine and pain/discomfort (U = 3.13; p <0.05), which is reflected in a lower self-assessment of quality of life. There is a statistically significant difference in the mean values between patients and controls (t = 13.5, p = 0.001). Short health sessions were conducted with 52 patients to correct behavioral risk factors: guidelines for physical activity, diet, creating an appropriate daily routine, patient diary for blood pressure control, weight reduction, smoking cessation and others. Conclusions. The nurse can contribute to improving the prevention of CVD by educating patients in a healthy lifestyle, self-management and reducing behavioral risk factors. The delegation of preventive activities within the competence of the nurse can improve the health services and quality of life of patients with coronary heart disease.

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Cervical kyphosis in asymptomatic populations: incidence, risk factors, and its relationship with health-related quality of life

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-019-1351-2 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 1

Author(s):

Shuang Ao ◽

Yu Liu ◽

Yu Wang ◽

Hao Zhang ◽

Hui Leng

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Cervical Lordosis ◽

Health Related Quality ◽

Cervical Kyphosis ◽

T1 Slope ◽

Significant Difference ◽

Related Quality ◽

Health Related

Abstract Background Cervical kyphosis has been pointed out in asymptomatic populations. The purposes of this study were (1) to investigate the incidence of cervical kyphosis in asymptomatic populations, (2) to identify risk factors related to cervical kyphosis, and (3) to assess the relationship between cervical kyphosis and health-related quality of life (HRQOL). Methods A cohort of 235 asymptomatic volunteers’ records was retrospectively analyzed. Radiographic parameters of the coronal and sagittal planes were measured in the full-length spine x-ray. All patients were classified into two groups based on the cervical lordosis angle: cervical lordosis (CL) and cervical kyphosis (CK). HRQOL was evaluated by EQ-5D and SF-36 (PCS and MCS) questionnaires. Results CK was observed in 90 of 235 (38.3%) participants. There was a significant difference with regard to age between volunteers with CK and CL (32.23 ± 8.12 vs. 42.12 ± 6.14, p < 0.05). Several parameters had a significant relationship with CK, including TK, T1 slope, TIA, SVA, and CT. Logistic regression analysis identified age, TK, T1 slope, and SVA as independent risk factors of CK. In addition, there was a negative correlation between CK and the parameters of HRQOL (EQ-5D, − 0.63; PCS, − 0.68; MCS, − 0.59). Conclusions The incidence of CK in normal populations is 38.3%. Some spinal parameters are related to CK. CK is associated with the HRQOL.

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Return to work and associations with psychosocial well-being and health-related quality of life in coronary heart disease patients: Results from EUROASPIRE IV

European Journal of Preventive Cardiology ◽

10.1177/2047487319843079 ◽

2019 ◽

Vol 26 (13) ◽

pp. 1386-1395 ◽

Cited By ~ 7

Author(s):

Joy Van de Cauter ◽

Dirk De Bacquer ◽

Els Clays ◽

Delphine De Smedt ◽

Kornelia Kotseva ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Coronary Heart Disease ◽

Heart Disease ◽

Return To Work ◽

Well Being ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Background Coronary heart disease (CHD) can lead to loss of workability and early retirement. We aimed to investigate return to work (RTW) and its relationship towards psychosocial well-being and health-related quality of life (HRQoL). Design Secondary analyses were applied to cross-sectional data from the EUROASPIRE IV survey (European Action on Secondary and Primary prevention through Intervention to Reduce Events). Methods Participants were examined and interviewed at 6–36 months following the recruiting event. Psychosocial well-being and HRQoL were evaluated by completing the ‘Hospital Anxiety and Depression Scale’ and ‘HeartQoL’ questionnaire. Using generalised mixed models, we calculated the odds ratios for RTW. Depression, anxiety and adjusted means of HeartQoL were estimated accounting for RTW. Results Out of 3291 employed patients, the majority (76.0%) returned to work, of which 85.6% were men, but there was a general underrepresentation of women. Young ( p < 0.001), high-educated ( p < 0.001) patients without prior cardiovascular events ( p < 0.05) were better off regarding RTW. No significant associations with CHD risk factors and cardiac rehabilitation were established. Those that rejoined the workforce were less susceptible to psychosocial distress (anxiety/depression, p < 0.001) and experienced a better quality of life ( p < 0.001). Conclusion These findings provide evidence that non-modifiable factors (sociodemographic factors, cardiovascular history), more than classical risk factors, are associated with RTW, and that patients who resume work display better psychosocial well-being and HRQoL. Our results illustrate a need for tailored cardiac rehabilitation with a focus on work-related aspects, mental health and HRQoL indicators to reach sustainable RTW, especially in vulnerable groups like less educated and elderly patients.

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Influecence of cardiovascular risk factors on health related quality of life in patients with chronic obstructive pulmonary disease. Differences between frequent and infrequent exacerbator phenotype

Pneumologie ◽

10.1055/s-0037-1619362 ◽

2018 ◽

Vol 72 (S 01) ◽

pp. S92-S92

Author(s):

EJ Soto Hurtado ◽

P Gutiérrez Castaño ◽

A Doménech del Rio

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Chronic Obstructive Pulmonary Disease ◽

Cardiovascular Risk ◽

Chronic Obstructive ◽

Health Related Quality ◽

Obstructive Pulmonary Disease ◽

Related Quality ◽

Health Related

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Health-Related Quality of Life and Congenital Heart Disease in Australia

Heart Lung and Circulation ◽

10.1016/j.hlc.2012.05.719 ◽

2012 ◽

Vol 21 ◽

pp. S293

Author(s):

K. Eagleson ◽

R. Justo ◽

F. Boyle ◽

R. Ware ◽

S. Johnson

Keyword(s):

Quality Of Life ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Preference-Based Health-Related Quality Of Life For Heart Disease Patients In Japan

Value in Health ◽

10.1016/j.jval.2018.07.241 ◽

2018 ◽

Vol 21 ◽

pp. S31

Author(s):

S Noto ◽

T Fukuda ◽

S Saito ◽

K Shimozuma ◽

S Ikeda ◽

...

Keyword(s):

Quality Of Life ◽

Heart Disease ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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MO822POLYPHARMACY NEGATIVELY AFFECTS HEALTH-RELATED QUALITY OF LIFE IN DIALYSIS PATIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab098.0014 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Julia Colombijn ◽

Anna Bonenkamp ◽

Anita Van Eck van der Sluijs ◽

Alferso C Abrahams ◽

Joost Bijlsma ◽

...

Keyword(s):

Quality Of Life ◽

Health Related Quality ◽

Dialysis Patients ◽

Self Rated Health ◽

Therapeutic Benefits ◽

Significant Difference ◽

Related Quality ◽

Health Related ◽

The Mean

Abstract Background and Aims Dialysis patients are often prescribed a large number of medications to improve metabolic control and manage co-existing comorbidities. However, several studies suggest that a large number of medications can also detrimentally affect their health-related quality of life (HRQoL). Therefore, this study aims to provide insight in the association between the number of medications and various aspects of HRQoL in dialysis patients. Method A multicentre study was conducted among dialysis patients from Dutch dialysis centres three months after initiation of dialysis as part of the ongoing prospective DOMESTICO study. The number of medications, defined as the number of concomitantly prescribed types of drugs, was obtained from electronic patient records. Primary outcome was HRQoL measured with the Physical Component Summary (PCS) score and Mental Component Summary (MCS) score (range 0-100) of the Short Form 12. Secondary outcomes were number of symptoms (range 0-30) measured with the Dialysis Symptoms Index and self-rated health (range 0-100) measured with the visual analogue scale of the EuroQol-5D-5L. Data were analysed using linear regression and adjusted for possible confounders, including age, sex, dialysis modality, and comorbidity. Analyses for MCS and number of symptoms were performed after categorising patients in tertiles according to their number of medications because assumptions of linearity were violated for these outcomes. Results A total of 162 patients were included. Mean age of patients was 58 ± 17 years, 35% were female, and 80% underwent haemodialysis. The mean number of medications was 12.2 ± 4.5. Mean PCS and MCS were 36.6 ± 10.2 and 46.8 ± 10.0, respectively. The mean number of symptoms was 12.3 ± 6.9 and mean self-rated health 60.1 ± 20.6. In adjusted analyses, PCS was 0.6 point lower for each additional medication (95%CI -0.9 – -0.2; p=0.002). MCS was 4.9 point lower (95%CI -8.8 – -1.0; p=0.01) and 1.0 point lower (95%CI -5.1 – 3.1; p=0.63) for the highest and middle tertiles of medications, respectively, compared to the lowest tertile. Patients in the highest tertile of medications reported 4.1 more symptoms compared to the lowest tertile (95%CI 1.5 – 6.6; p=0.002) but no significant difference in the number of symptoms was observed between the middle and lowest tertile. Self-rated health was 1.5 point lower for each medication (95%CI -2.2 – -0.7; p<0.001). Conclusion After adjustment for comorbidity and other confounders, a higher number of medications was associated with a lower PCS, MCS, and self-rated health in dialysis patients and with more symptoms. This suggests that it may be relevant to weigh expected therapeutic benefits of medication against their possible harmful effects on HRQoL. An unfavourable balance between expected benefits and impact on HRQoL might be ground to deviate from clinical guidelines, especially for patients with a limited life-expectancy and for whom a kidney transplant is unattainable.

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