Factors associated with health-related quality of life in Chinese patients with heart failure: a cross-sectional study

IF 1.7 4区医学 Q2 NURSING Collegian Pub Date : 2020-10-01 Epub Date: 2020-06-10 DOI:10.1016/j.colegn.2020.04.003

Guangpeng Wang , Qingmin Yang

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引用次数: 4

Abstract

Background

In order to develop effective interventions targeting improvement in poor HRQOL, it is necessary to understand the factors that influence HRQOL and the relationships in patients with heart failure.

Aim

The purpose of this study was to examine factors associated with HRQOL and the relationships in patients with heart failure.

Methods

A cross-sectional survey design was utilised to survey 301 heart failure patients in a hospital. Participants completed measures of social support, symptom status, functional status, HRQOL, demographic and disease characteristics. Structural equation modeling was used to test the hypothesised model.

Results

Structural equation modeling revealed that symptom status, functional status, NYHA, age, residence, marital status, monthly income, number of hospitalizations, LVEF, disease duration, and social support are factors that influence HRQOL. The hypothesised model showed reasonably adequate fit (χ² = 11.941 (df = 14, P = 0.611), RMSEA=0.000, CFI=1.000, AGFI=0.963; GFI=0.993, NFI=0.988). Functional status played a mediating role in the association between symptom status and HRQOL and Physical Component Summary (PCS).

Conclusions

To enhance HRQOL, doctors and caregivers should take these influential factors, especially symptom status and functional status, into account. Interventions focused on reinforcement of symptom management and assessment of functional status may promote HRQOL in patients with HF directly and indirectly.

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中国心力衰竭患者健康相关生活质量因素的横断面研究

背景为了制定有效的干预措施以改善心衰患者较差的HRQOL，有必要了解影响HRQOL的因素及其与心衰患者的关系。目的探讨心力衰竭患者HRQOL的相关因素及其与HRQOL的关系。方法采用横断面调查设计对某医院301例心力衰竭患者进行调查。参与者完成了社会支持、症状状态、功能状态、HRQOL、人口统计学和疾病特征的测量。采用结构方程模型对假设模型进行检验。结果结构方程模型显示，症状状态、功能状态、NYHA、年龄、居住地、婚姻状况、月收入、住院次数、LVEF、病程、社会支持是影响HRQOL的因素。假设模型拟合较好(χ2 = 11.941 (df = 14, P = 0.611)， RMSEA=0.000, CFI=1.000, AGFI=0.963;GFI = 0.993, NFI = 0.988)。功能状态在症状状态与HRQOL和Physical Component Summary (PCS)的关联中起中介作用。结论医生和护理人员应充分考虑这些影响因素，特别是症状状态和功能状态，以提高患者的HRQOL水平。加强症状管理和功能状态评估等干预措施可直接或间接提高心衰患者的HRQOL。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.