The Relationship Between Functional Capacity, Cardiac Function, and Quality of Life in Heart Failure Patients

Purpose. The aim of this study was to compare the effects of supervised combined physical training and unsupervised physician-prescribed regular exercise on the functional capacity and quality of life of heart failure patients. Methods. This is a longitudinal prospective study composed of 28 consecutive heart failure with reduced ejection fraction patients randomly divided into two age- and gender-matched groups: trained group (n = 17) and nontrained group (n = 11). All patients were submitted to clinical evaluation, transthoracic echocardiography, the Cooper walk test, and a Quality of Life questionnaire before and after a 12-week study protocol. Categorical variables were expressed as proportions and compared with the chi-square test. Two-way ANOVA was performed to compare the continuous variables considering the cofactor groups and time of intervention, and Pearson correlation tests were conducted for the associations in the same group. Results. No significant differences between groups were found at baseline. At the end of the protocol, there were improvements in the functional capacity and ejection fraction of the trained group in relation to the nontrained group (p<0.05). There was time and group interaction for improvement in the quality of life in the trained group. Conclusions. In patients with heart failure with reduced ejection fraction, supervised combined physical training improved exercise tolerance and quality of life compared with the unsupervised regular exercise prescribed in routine medical consultations. Left ventricular systolic function was improved with supervised physical training.

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Hubungan Self Caredan Motivasi dengan Kualitas Hidup Pasien Gagal Jantung

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v2i2.73 ◽

1970 ◽

Vol 2 (2) ◽

Author(s):

Aria Wahyuni ◽

Ovta Sari Kurnia

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Self Care ◽

Cross Sectional ◽

Purposive Sampling ◽

Heart Failure Patients ◽

Failure Index ◽

Heart Failure Questionnaire ◽

The Relationship

Kualitas hidup secara umum bersifat subjektif dan bervariasi sesuai dengan persepsi individu terhadap kesehatan dan kemampuan untuk mempertahankannya. Adanya perubahan fisiologis dan kondisi kronis terhadap kesehatan sangat berpengaruh terhadap kualitas hidup seseorang khususnya pasien gagal jantung. Penelitian ini bertujuan untuk mengidentifikasi hubungan self caredan motivasi terhadap kualitas hidup pasien gagal jantung. Penelitian ini menggunakan metode analitis dengan desain studi potong lintang. Jumlah sampel penelitian sebanyak 73 sampel yang diambil secara purposive sampling. Self carediukur dengan self care of heart failure index (SCHFI), motivasi diukur dengan kuesioner yang dimodifikasi, dan kualitas hidup menggunakan minnesota living with heart failure questionnaire (MLHFQ). Uji statistik dilakukan dengan chi squaresehingga dihasilkan nilai p<0.05. Hasil penelitian didapatkan bahwa 41 (56,2%) responden memiliki self care yang kurang baik. Sebanyak 42 (57,5%) responden mempunyai motivasi yang rendah dan sebanyak 40 (54,8%) responden memiliki kualitas hidup pasien jantung yang kurang baik. Pada penelitian ini terdapat hubungan yang bermakna antara self caredan motivasi terhadap kualitas hidup pasien jantung. Hubungan yang signifikan antara self caredan kualitas hidup (p=0.001;) dan OR=6,000. Hubungan yang signifikan antara motivasi dan kualitas hidup (p=0.009) dan OR=4,056. Penelitian ini dapat disimpulkan bahwa self caredan motivasi berhubungan dengan kualitas hidup pasien jantung. Dapat disarankan untuk pasien gagal jantung untuk lebih memperhatikan kesehatan dan meningkatkan kualitas hidup melalui perawatan diri, dukungan, dan motivasi.Kata kunci:Gagal jantung, kualitas hidup, motivasi, self care AbstractIn general, the quality of life is subjective. It based on individual perceptions related to the ability of individual to keep their body healthy. The changes of physiological and chronical health conditions have influenced to the quality of life especially in heart failure patients. This study aimed to identify the relationship of self-care, motivation, and quality of life in heart failure patients. This study applied a cross sectional design. The samples were 73 subjects recruited by purposive sampling. Self-care was measured by self care of heart failure index (SCHFI), motivation was measured using a questionnaire. Quality o life (QoL) was assessed using minnesota living with heart failure questionnaire (MLHFQ). The data were analyzed using chi square test and set at p<0.05. The findings have shown that 41 (56.2%) of subjects performed a poor self-care, 42 (57.5%) of subjects had low motivation, and 40 (54.8%) of cardiac patient’s quality of life were poor. There were significant relationships among self-care, motivation, and the quality of life of heart failure patients. There were significant relationship between practices of self-care and QoL (p=0,001) and OR=6.00. The relationship between motivation and QoL were significant (p=0.009) and OR=4.056 . This research can be concluded that the self-care and motivation had contribute positively to QoL in heart failure patients. It can be suggested that cardiac patients should pay attention to their health condition and improving QoL through self care, support and motivation.Key words: Heart failure, motivation, quality of life, self care

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Anemia and Iron Deficiency in Heart Failure — Clinical Update

Journal of Interdisciplinary Medicine ◽

10.1515/jim-2017-0092 ◽

2017 ◽

Vol 2 (4) ◽

pp. 308-311 ◽

Cited By ~ 1

Author(s):

András Mester ◽

Adriana Mitre ◽

Erzsébet Lázár ◽

István Benedek ◽

Johanna Kéri ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Chronic Heart Failure ◽

Iron Deficiency ◽

Oral Administration ◽

Functional Capacity ◽

Intravenous Iron ◽

Hospitalization Rate ◽

Heart Failure Patients

AbstractIron deficiency and anemia affect approximately half of the chronic heart failure patients and they are associated with increased hospitalization rate, lower functional capacity, lower quality of life, and higher mortality. The exact mechanism of iron deficiency in heart failure patients is still not fully understood. Current guidelines recommend ferritin as the most accurate serum biomarker for the diagnosis of iron deficiency. The use of erythropoiesis-stimulating agents is no longer recommended because of the lack of improvement on mortality or hospital readmission rate, and it was associated with a higher rate of thromboembolic events. Intravenous iron replacement therapy is safe and generally well tolerated, with fewer side effects compared to oral administration. Large randomized studies with ferric carboxymaltose demonstrated its effectiveness and superiority to oral administration, and it was associated with a decreased rate of hospitalization rate and worsening heart failure, and improvement of functional capacity and quality of life. Intravenous iron supplementation for chronic heart failure is strongly recommended by European guidelines. Further studies are needed for a better knowledge of this complex pathology and determination of the long-term safety and effectiveness of iron administration in chronic heart failure patients. .

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