scholarly journals Health-Related Quality of Life and Associated Factors in Patients with Atrial Fibrillation: An Integrative Literature Review

2019 ◽  
Vol 16 (17) ◽  
pp. 3042 ◽  
Author(s):  
Youn-Jung Son ◽  
Kyoung-Hwa Baek ◽  
Suk Jeong Lee ◽  
Eun Ji Seo
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
New York ◽  
Common Factor ◽  
Heart Association ◽  
Functional Class ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Atrial fibrillation (AF) is a common cardiac arrhythmia associated with poor health-related quality of life (HRQoL). However, the factors influencing HRQoL in patients with AF are not well understood. The purpose of integrative review was to investigate the factors affecting HRQoL in patients with AF based on the six domains of Ferrans and colleagues’ HRQoL model. A total of 23 relevant articles published between January 2000 and March 2018 were identified using four databases and analyzed in this study. Our review showed that the HRQoL in patients with AF was consistently lower than both healthy individuals and patients with other cardiovascular diseases. The most common factor associated with HRQoL in patients with AF was anxiety-specific to AF in the symptoms domain, followed by frequency and severity of symptoms and the New York Heart Association functional class. This study highlights that monitoring and assessing patients’ symptoms is vital for improving HRQoL in patients with AF. Disease-specific and cross-culturally validated tools can allow healthcare professionals to provide tailored interventions for patients with AF.

scholarly journals Health-Related Quality of Life and Associated Factors Among Adult Patients With Heart Failure in Tertiary Hospitals, Tigray Region, Northern Ethiopia, 2020.

2021 ◽  
Author(s):  
Abrhaley Belay Shibeshy ◽  
Weyzer Tilahun ◽  
Hagos Tsegabirhan ◽  
Mebrahtom Haftu ◽  
Kiros Belay
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
New York ◽  
Formal Education ◽  
Heart Association ◽  
Poor Health ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Background Heart failure is a major public health issue for many countries in Sub-Saharan African which causes enormous public health relevance resulting in significant disability, loss of economic productivity, and poor health-related quality of life. Although there is a dated improvement in heart failure management, the morbidity and mortality remain unacceptably high, and a lot of patients are affected by debilitating symptoms which adversely influence their quality of life. Therefore, the main aim of this study was to assess health-related quality of life and associated factors among adult patients with heart failure in tertiary hospitals, Tigray region, Ethiopia, 2020.Methods An institutional-based cross-sectional study was conducted from March 01-April 30, 2020. A simple random sampling method was used to enroll the 301 participants. Data were collected using a structured questionnaire-based interview. The health-related quality of life measuring tool was adapted from the medical outcomes study. Data was entered to and cleaned by Epi-Data manager version 4.4.2.1 and exported to a statistical package of social science version 22 for analysis. Binary logistic regression model (Adjusted Odds ratio, 95% Confidence Interval, and P-value < 0.05) was used to determine the factors that influence health-related quality of life.Results This study showed that 142(47.2%) patients had a poor health-related quality of life. The overall mean score of health-related quality of life was 61.7±20.5 among patients. Age above 60 years (AOR; 4.47, 95% CI; 1.87-10.68), no formal education (AOR; 3.45, 95% CI; 1.31-9.12), New-York Heart Association class-ɪᴠ (AOR; 6.50, 95% CI; 2.62-16.13) and the absence of social support (AOR; 2.52, 95% CI; 1.33-4.79) were significantly associated with poor health‐related quality of life.ConclusionsHealth-related quality of life among heart failure patients was poor for almost half of the participants. Patients with older age, no formal education, and higher New York Heart Association class need special attention in each follow-up evaluation. Furthermore, health professionals and governments should inform the benefit of social support to family members and friends who are involved in the care process among heart failure patients.

scholarly journals B-PO03-068 HEALTH RELATED QUALITY OF LIFE IN PATIENTS WITH ATRIAL FIBRILLATION AND HYPERTROPHIC CARDIOMYOPATHY

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S216
Author(s):  
Mohita Singh ◽  
Lisa R. Salberg ◽  
Ellen Kornkven ◽  
Aslan Turer ◽  
Khadyoth Nanneboyina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Hypertrophic Cardiomyopathy ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Effects of Pharmacologic Therapy on Health-Related Quality of Life in Elderly patients with Atrial Fibrillation: A systematic Review of Randomized and Nonrandomized Trials

2013 ◽  
Vol 7 ◽  
pp. CMC.S10628 ◽  
Author(s):  
Carl J. Pepine
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Systematic Review ◽  
Elderly Patients ◽  
Randomized Trials ◽  
Rhythm Control ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

This systematic review assessed the impact of atrial fibrillation (AF) and pharmacotherapy on health-related quality of life (HRQOL) in elderly patients. Highly prevalent in the elderly, AF is associated with morbidity and symptoms affecting HRQOL. A PubMed and EMBASE search (1999-2010) was conducted using the terms atrial fibrillation, elderly, quality of life, Medicare, and Medicaid. In all, 504 articles were identified and 15 were selected (studies examining pharmacotherapy [rate or rhythm control] and HRQOL in AF patients with a mean age > 65 years). Information, including study design, cohort size, and HRQOL instruments utilized, was extracted. Five observational studies, 5 randomized trials comparing rate and rhythm control, 3 randomized trials investigating pharmacologic agents, and 2 trials examining HRQOL, depression, and anxiety were identified. Elderly AF patients had reduced HRQOL versus patients in normal sinus rhythm, particularly in domains related to physical functioning. HRQOL may be particularly affected in older AF patients. Although data do not indicate whether a pharmacologic intervention or single treatment strategy—namely rate versus rhythm control—is better at improving HRQOL, either of these strategies and many pharmacologic interventions may improve HRQOL in elderly AF patients. Based on reviewed data, an algorithm is suggested to optimize HRQOL among elderly patients.

scholarly journals MediYoga as a part of a self-management programme among patients with paroxysmal atrial fibrillation – a randomised study

2019 ◽  
Vol 19 (1) ◽  
pp. 74-82 ◽  
Author(s):  
Maria Wahlström ◽  
Mårten Rosenqvist ◽  
Jörgen Medin ◽  
Ulla Walfridsson ◽  
Monica Rydell-Karlsson
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Blood Pressure ◽  
Heart Rate ◽  
Paroxysmal Atrial Fibrillation ◽  
Control Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background: Paroxysmal atrial fibrillation is associated with impaired health-related quality of life. Yoga has been suggested to improve health-related quality of life among patients with heart failure and hypertension. Aim: The aim of the study was to evaluate the effects of MediYoga, in respect of health-related quality of life, blood pressure, heart rate, as well as N-terminal pro b-type natriuretic peptide, among patients with symptomatic paroxysmal atrial fibrillation, compared with standard therapy or relaxation. Methods: Patients with symptomatic paroxysmal atrial fibrillation, n=132, were stratified for gender and randomised to MediYoga, a relaxation group or a control group, 44 patients per group with a 12-week follow-up. Health-related quality of life, blood pressure, heart rate and N-terminal pro b-type natriuretic peptide were assessed. Results: After 12 weeks, there were no differences in health-related quality of life between the groups. There were improvements in Short-Form Health Survey bodily pain, general health, social function, mental health and mental component summary scores within the MediYoga group ( p=0.014, p=0.037, p=0.029, p=0.030, p=0.019, respectively). No change was seen in the relaxation and control groups. Systolic blood pressure decreased in the MediYoga group (134±18 to 127±13) compared with the control group (126±17 to 127±15, p=0.041); no difference compared with the relaxation group (131±17 to 125±12). Diastolic blood pressure decreased in the MediYoga group (79±9 to 74 ±9) compared with the control group (76±9 to 79±8, p=0.005); no difference compared with the relaxation group (76±9 to 77±8). There were no differences in heart rate and N-terminal pro b-type natriuretic peptide between the groups after 12 weeks. Conclusions: MediYoga improves health-related quality of life and decreases blood pressure in patients with paroxysmal atrial fibrillation. MediYoga may be used as a part of a self-management programme among patients with paroxysmal atrial fibrillation.

scholarly journals Health-related quality of life in nonvalvular atrial fibrillation patients with controlled or uncontrolled anticoagulation status

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
José Felipe Varona ◽  
◽  
José Miguel Seguí-Ripoll ◽  
Cristina Lozano-Duran ◽  
Luis Miguel Cuadrado-Gómez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Social Network ◽  
Treatment Satisfaction ◽  
Daily Hassles ◽  
Health Related Quality ◽  
Nonvalvular Atrial Fibrillation ◽  
Related Quality ◽  
Health Related

Abstract Background There is a dearth of evidence regarding Health-Related Quality of Life (HRQoL) in nonvalvular atrial fibrillation (NVAF) patients undergoing oral anticoagulation therapy. Our objective was to describe HRQoL in NVAF patients on oral anticoagulation, focusing on uncontrolled patients on vitamin K antagonists (VKAs) versus controlled patients on VKAs or non-vitamin K antagonist oral anticoagulants (NOACs), in a real-world setting. Additionally, we assessed the clinical characteristics of patients with uncontrolled anticoagulation. Methods An observational, multicentre, and cross-sectional study, enrolling 38 Spanish Hospitals' Internal Medicine Departments. HRQoL was assessed using the validated Spanish version of the Sawicki questionnaire. High self-perceived HRQoL was indicated by high scores in the general treatment satisfaction and self-efficacy dimensions, and by low scores in the strained social network, daily hassles and distress dimensions. Results Five hundred and one patients were included for assessment. Mean scores ± SD were closer to a high perceived HRQoL in controlled than uncontrolled patients for the five dimensions of the questionnaire: 4.9 ± 1.0 versus 3.6 ± 1.3 for general treatment satisfaction; 4.3 ± 1.0 versus 3.6 ± 1.0 for self-efficacy, 3.1 ± 0.9 versus 3.9 ± 1.1 for strained social network, 2.1 ± 0.8 versus 3.0 ± 1.0 for daily hassles and 1.8 ± 0.9 versus 2.6 ± 1.2 for distress. Conclusions HRQoL in patients with controlled anticoagulant status treated with NOACs or VKAs was better than in patients with uncontrolled anticoagulant status. This seems to indicate that anticoagulation control status influences perception of HRQoL, highlighting the importance of its evaluation when assessing HRQoL in NVAF patients.

Bio-social determinants of health-related quality of life of middle aged (45–59 years) population in India

2020 ◽  
Vol 26 (1) ◽  
pp. 19-25
Author(s):  
Aarti Nagarkar ◽  
Snehal Kulkarni ◽  
Rashmi Gadkari
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Short Form ◽  
Common Factor ◽  
Health Related Quality ◽  
Middle Aged ◽  
Related Quality ◽  
Health Related ◽  
Component Scores

Purpose Inadequate research on midlife health-related quality of life particularly in low-and-middle-income countries has often led to poor recognition of the issues in health programmes and policy. To address these concerns, this study was aimed at examining health-related quality of life and its determinants in middle-aged (45–59 years) men and women in low-resource settings in India. Methods Data on health-related quality of life and other relevant parameters were collected from 1112 individuals between 45 and 59 years of age from an urban agglomeration of Pune, India. Independent t-test was used to determine the association between means of Short Form-12 and other variables. Multilinear regression analyses were conducted to study the direction of these associations. Results The mean physical and mental component scores were 45.33 (±8.88) and 51.48 (±9.87), respectively. After adjusting for other variables, functional impairment emerged as a common factor that was negatively associated with physical and mental component scores of men (PCS: −5.557, 95%CI = −6.793 to −4.322; MCS:−1.816, 95% CI = −3.443 to −0.189) and women (PCS: −7.985, 95%CI = −9.782 to −6.188; MCS;  = −2.289, 95% CI = −4.160–0.419). Good life satisfaction was positively associated with physical scores in men (2.300, 95%CI =  1.180 to 3.421) and mental scores in women (3.066, 95%CI  =  1.333 to 4.798). Unemployment, sitting hours (>3) and no physical activity affected men, while lower education, marital status, body mass index and chronic illness affected health-related quality of life of women at midlife. Conclusions Functional decline, level of life satisfaction and stress affected health-related quality of life of middle-aged individuals in India.

scholarly journals Atrial fibrillation, oral anticoagulants and health related quality of life

Cor et Vasa ◽  
2018 ◽  
Vol 60 (6) ◽  
pp. e597-e602 ◽  
Author(s):  
Ketija Apsite ◽  
Baiba Lurina ◽  
Andris Tupahins ◽  
Vladimirs Voicehovskis ◽  
Tarass Ivascenko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Oral Anticoagulants ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related
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