Quality of Life in patients with Chronic Cardiac Failure
Section: Health and quality of life
How to quote
Gutiérrez Velasco L, Rodríguez García MA, Iglesias Gárriz I, Alonso Rodríguez D, Verduras de la Varga T. Calidad de vida en pacientes con insuficiencia cardiaca crónica. Metas Enferm feb 2015; 18(1): 54-60.
Authors
1Laura Gutiérrez Velasco, 2Miguel Ángel Rodríguez García, 2Ignacio Iglesias Gárriz, 2David Alonso Rodríguez, 3Trinidad Verduras de la Varga
Position
1Enfermera. Universidad de León. Campus de Vegazana. Policlínica Santa-Ana (León).2Medico, especialista en Cardiología. Complejo Asistencial Universitario de León. Policlínica Santa-Ana (León).3Enfermera. Complejo Asistencial Universitario de León.
Contact address
Laura Gutiérrez Velasco. C/ Villar de Acero, 40 (Residencial La Candamia). 24195 Villaobispo de las Regueras (León).
Contact email: laugutv@gmail.com
Abstract
Objective: to assess the Quality of Life (QoL) in patients with Chronic Cardiac Failure (CCF) within a Cardiac Failure Unit (CFU), and to assess any association with clinical factors.
Method: transversal descriptive study with 87 CCF patients from the CFU in the “Complejo Asistencial Universitario de León”. In order to measure QoL, the 36-item Short-Form Health Survey (SF-36) Questionnaire was used. Comparison of variables was conducted with t-Student test. In order to assess the independent association between different dimensions and variables, multiple linear regression models were built.
Results: the mean age of the studied subjects was 71.3 years, with a prevalence of male patients (70.6%), non-ischemic etiology (57.6%), New York Heart Association (NYHA) functional classes III-IV (52.9%), and systolic CF (82.4%). The mean QoL score in the Physical Summary Component (PSC) was 33.2, and 48.9 in the Mental Summary Component (MSC). In multivariate analysis: for PSC, a NYHA III-IV functional class and a non-ischemic etiology worsened QoL in its physical component; the mental component of QoL got worse with diastolic CF and non-ischemic etiology.
Conclusions: the perception of QoL in CCF patients is significantly altered in all dimensions. A worse functional class and non-ischemic etiology were independently associated with a higher deterioration of QoL in its physical dimensions, and diastolic CF and non-ischemic etiology were associated with a higher deterioration in emotional dimensions. Etiology is the variable with a higher impact in all domains.
Keywords:
Cardiac Failure; quality of life; 36-Item Short-Form Health Survey; research; transversal descriptive study
Versión en Español
Título:
Calidad de vida en pacientes con insuficiencia cardiaca crónica
