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Health-related quality of life determinants in outpatients with heart failure Translated title: Determinantes de la calidad de vida relacionada a la salud en pacientes atendidos en ambulatorios con insuficiencia cardíaca Translated title: Determinantes da qualidade de vida relacionada à saúde em pacientes ambulatoriais com insuficiência cardíaca

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      Abstract

      This descriptive and exploratory study analyzed variables associated with health-related quality of life among 130 outpatients. Health-related quality of life was measured through the Minnesota Living with Heart Failure Questionnaire. Significant associations were found between patients’ health-related quality of life and their age (r=-0.177; p=0.044), vitality (r=-0.625; p=<0.001) as well as mental health (r=-0.672; p=<0.001), which are both SF-36 domains. The linear regression showed that heart failure symptom severity, vitality and mental health explained 54% of HRQOL measurement variation. To control symptoms and preserve good mental well-being are important to maintain health-related quality of life and to deliver effective heart failure care.

      Translated abstract

      Trata-se de estudo descritivo e exploratório que analisou as variáveis associadas à qualidade de vida relacionada à saúde (QVRS), de 130 pacientes com insuficiência cardíaca, em seguimento ambulatorial. A QVRS foi avaliada pelo Minnesota Living with Heart Failure e realizada análise de regressão linear. A média da QVRS foi de 34,9 (dp=24,8; intervalo de 0 a 99). Foram encontradas associações significantes entre a medida da QVRS e idade (r=-0,177; p=0,044), vitalidade (r=-0,625; p=<0,001) e saúde mental (r=-0,672; p=<0,001), domínios do SF-36. A regressão linear mostrou que a gravidade dos sintomas da insuficiência cardíaca, e dois domínios do SF-36, vitalidade e saúde mental, explicaram 54% da variação da medida da QVRS. Controlar os sintomas e manter bem-estar mental é essencial para a manutenção da QVRS e são essenciais para o cuidado eficaz da insuficiência cardíaca.

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      Most cited references 24

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      The association between disease severity, functional status, depression and daily quality of life in congestive heart failure patients.

       Robert Carels (2004)
      Congestive heart failure significantly compromises quality of life by contributing to severe physical, role, and social functioning impairment as well as increased psychological distress. Previous research examining quality of life in CHF patients has typically been conducted using global self-report instruments that may exceed a patient's ability to accurately recall their experiences. This investigation examines the impact of disease severity, functional status, and level of depression on daily quality of life (i.e., mean level and variability) in CHF patients during a 2-week monitoring period. Indices of quality of life included emotional and physical quality of life, social support and conflict, positive and negative mood, and coping responses. Fifty-eight patients with CHF participated in the investigation. Depressive symptoms were positively associated with a number of quality of life indices (i.e., physical and emotional quality of life, social support and conflict, mood, and coping behaviours). Left ventricular ejection fraction and functional impairment had a much weaker association with quality of life. These findings suggest that depressive symptoms may have a greater impact on quality of life in CHF patients than severity of cardiac dysfunction or functional impairment.
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        Brazilian-Portuguese version of the SF-36: A reliable and valid quality of life outcome measure

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          The future of heart failure disease management programs

           AM Clark,  DR Thompson (2008)
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            Author and article information

            Affiliations
            [1 ] Universidade de São Paulo Brasil
            [2 ] Universidade de São Paulo Brazil
            [3 ] University of Alberta Canada
            Contributors
            Role: ND
            Role: ND
            Role: ND
            Journal
            rlae
            Revista Latino-Americana de Enfermagem
            Rev. Latino-Am. Enfermagem
            Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
            1518-8345
            June 2011
            : 19
            : 3
            : 451-457
            S0104-11692011000300002

            This work is licensed under a Creative Commons Attribution 4.0 International License.

            Product
            Product Information: SciELO RevOdonto
            Categories
            NURSING

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