Factors influencing the quality of life of patients with heart failure
Authors:
K. Bobčíková; R. Bužgová
Authors‘ workplace:
Vedoucí: prof. PhDr. Darja Jarošová, Ph. D.
; Lékařská fakulta
; Ústav ošetřovatelství a porodní asistence
; Ostravská univerzita v Ostravě
Published in:
Prakt. Lék. 2020; 100(6): 309-314
Category:
Of different specialties
Overview
Objective: The aim of this review is to analyze studies that focus on assessing the quality of life of patients with heart failure in terms of various factors that might have an influence on it and thus are an important source of knowledge having clinically relevant value to general practitioners.
Methods: Pubmed, Cinahl and Medline databases were used for the search. The studies searched for the aim of this review were those published from 2014–2019 in Czech and English, available in full-text and evaluating the quality of life of patients with heart failure by using a tool designed to assess the quality of life. This review includes studies which assess the quality of life in relation to the factors that might have an influence on the quality of life of these patients. Study protocols and qualitative studies were excluded from this review. Studies focusing on other diseases apart from heart failure were excluded as well.
Results: This review includes 10 studies that may be thematically classified into 3 categories: studies relating to the frailty, socio-demographic factors, and psychosocial aspects. Variables such as anxiety, depression, and frailty frequently appeared in presented studies. Kansas City Cardiomyopathy Questionnaire (KCCQ) was the most frequent tool used for assessing quality of life.
Conclusion: Heart failure is significantly associated with impairment of all the aspects of the quality of life. Therefore, it is important to identify problem areas that might potentially impair the quality of life of patients with heart failure. It is important to look for methods that could improve the quality of life of these patients, too. Knowledge of the factors affecting the quality of life of these patients is crucial for general practitioners, since they are the first to be contacted by the patient seeking health care and they are responsible for sending them to other specialized departments.
Keywords:
Quality of life – heart failure – psychosocial factor – socio-demographic factor – frailty
Sources
1. AbuRuz ME. Anxiety and depression predicted quality of life among patients with heart failure. J Multidiscip Healthc 2018; 11: 367–373.
2. Bekfani T, Pellicori P, Morris DA, et al. Sarcopenia in patients with heart failure with preserved ejection fraction: Impact on muscle strength, exercise capacity and quality of life. Int J Cardiol 2016; 222: 41–46.
3. Benjamin EJ, Blaha MJ, Chiuve SE, et al. Heart disease and stroke statistics – 2017 update. A report from the American Heart Association. Circulation 2017; 135(10): 146–603.
4. Cleland JG, Swedberg K, Follath F, et al. The EuroHeart Failure survey programme – a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. Eur Heart J 2003; 24(5): 442–463.
5. Coulter A, Entwistle VA, Eccles A, et al. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev 2015; 3(3): CD010523.
6. Ezekowitz JA, O‘Meara E, McDonald MA, et al. 2017 Comprehensive update of the Canadian Cardiovascular Society Guidelines for the management of heart failure. Can J Cardiol 2017; 33(11): 1342–1433.
7. Figueiredo JHC, Oliveira GMM, Pereira BB, et al. Synergistic effect of disease severity, anxiety symptoms and elderly age on the quality of life of outpatients with heart failure. Arq Bras Cardiol 2019; 114(1): 25–32.
8. Gastelurrutia P, Lupón J, Moliner P, et al. Comorbidities, fragility, and quality of life in heart failure patients with midrange ejection fraction. Mayo Clin Proc Inn Qual Outcomes 2018; 2(2): 176–185.
9. Gheorghiade M, Vaduganathan M, Fonarow GC, et al. Rehospitalization for heart failure: problems and perspectives. J Am Coll Cardiol 2013; 61(4): 391–403.
10. Hobbs FD, Kenkre JE, Roalfe AK, et al. Impact of heart failure and left ventricular systolic dysfunction on quality of life: a cross-sectional study comparing common chronic cardiac and medical disorders and a representative adult population. Eur Heart J 2002; 23(23): 1867–1876.
11. Kalvach Z. Involuční změny a vybrané geriatrické choroby kosterních svalů. In: Kalvach Z, Zadák Z, Jirák R, a kol. Geriatrie a gerontologie. Praha: Grada Publishing 2004; 621–623.
12. Kalvach Z. Posuzování zdravotního a funkčního stavu ve stáří. In: Kalvach Z, Zadák Z, Jirák R, a kol. Geriatrie a gerontologie. Praha: Grada Publishing 2004; 124–125.
13. Ketilsdottir A, Ingadottir B, Jaarsma T. Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. ESC Heart Failure 2019; 6: 111–121.
14. Luo N, Teng THK, Tay WT, et al. Multi-national and multi-ethnic variations in health-related quality of life in patients with chronic heart failure. Am Heart J 2017; 191: 75–81.
15. Nieminen MS, Dickstein K, Fonseca C, et al. The patient perspective: Quality of life in advanced heart failure with frequent hospitalisations. Int J Cardiol 2015; 191: 256–264.
16. Polikandrioti M, Panoutsopoulos G, Tsami A, et al. Assessment of quality of life and anxiety in heart failure outpatients. Arch Med Sci Atheroscler Dis 2019; 4: e38–e46.
17. Ponikowski P, Anker SD, AlHabib KF, et al. Heart failure: preventing disease and death worldwide. ESC Heart Fail 2014; 1(1): 4–25.
18. Samartzis L, Dimopoulos S, Manetos C, et al. Neuroticism personality trait is associated with quality of life in patients with chronic heart failure. World J Cardiol 2014; 6(10): 1113–1121.
19. Uchmanowicz I, Gobbens RJJ. The relationship between frailty, anxiety and depression, and health-related quality of life in elderly patients with heart failure. Clin Interv Aging 2015; 10: 1595–1600.
20. Warraich HJ, Kitzman DW, Whellan DJ, et al. Physical function, frailty, cognition, depression and quality-of-life in hospitalized adults ≥ 60 years with acute decompensated heart failure with preserved versus reduced ejection fraction: Insights from the REHAB-HF trial. Circ Heart Fail 2018; 11(11): e005254.
21. Whellan DJ, Goodlin SJ, Dickinson MG, et al. End-of-life care in patients with heart failure. J Card Fail 2014; 20(2): 121–134.
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