Assistant Professor of Medical Surgical Nursing department, Faculty of Nursing, Port-Said University Egypt
Assistant Professor of Medical-surgical Nursing department, Nursing College, Qassim University, KSA
Email: s.elgazzar@qu.edu.sa, https://orcid.org/0000-0002-9820-7813
Abstract
Background: Chronic disorders such as heart failure, which have a high impact on QoL, have become more common in recent decades. This study aimed to assess the quality of life in relation to degree of illness in patients with congestive heart failure. Design: A descriptive cross-sectional study was carried out among conveniently the governmental and health insurance hospitals in Port Said n=90. Methods: Quality of life (Qol) was evaluated by the Short Form-36 (SF-36) questionnaire, while severity of disease was measured by the New York Heart Association (NYHA) functional class I, II, III. Data were collected from June to August, 2021. Results: The mean of overall % score of QOL was 69.62±3.60. There was a moderate negative correlation between vitality domains quality of life, weak significant correlation in mental health domain P=0.022, overall QOL scores p=0.008 and severity NYHA heart disease. Multiple regression procedures found significant predictors of worst quality of life, including body mass index (BMI) p =0.001, β =-0.355, severity NYHA functional class p <0.001, β =-2.782, concomitant disease as hypertension p =0.015, β =2.594, anemia p =0.002, β =4.593. These findings suggest that Vitality domains may have a greater impact on quality of life in HF patients than mental health domain or other quality of life domains. Conclusions: The results show that Quality of life in heart failure deteriorates with disease severity, BMI, concomitant disease as hypertension and, anemia with age. These data show a relationship between HRQL and disease severity obtained by NYHA functional status.
Keywords:
:New York Heart Association, Short form (SF-36), Heart Failure, Quality Of Life
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