Heo Seongkum, Moser Debra K, Lennie Terry A, Zambroski Cheryl Hoyt, Chung Misook L
University of Kentucky, College of Nursing, Lexington, Kentucky 40536-0232, USA.
Heart Lung. 2007 Jan-Feb;36(1):16-24. doi: 10.1016/j.hrtlng.2006.06.003.
Health-related quality of life (HRQOL) in older adults with heart failure may be affected by a variety of variables including aging. It is important to determine the unique impact of heart failure to more effectively improve HRQOL in this population.
The purpose of this study was to compare HRQOL and physical, psychologic, clinical, and sociodemographic status in older adults with and without heart failure.
The HRQOL of 90 older adults with heart failure and 116 healthy older adults was compared. The factors best associated with HRQOL in each group were determined using multiple regression model.
HRQOL was substantially worse among older adults with heart failure than among healthy older adults. Older adults with heart failure had more severe physical and emotional symptoms, poorer functional status, and worse health perceptions. Physical symptom status was the strongest predictor of HRQOL in both groups. In addition, in older adults with heart failure, physical symptom status, age, and anxiety were related to HRQOL.
The poor HRQOL seen in patients with heart failure is not just a reflection of aging. Comprehensive interventions targeted toward the factors that specifically negatively impact HRQOL are essential in older adults with heart failure.
老年心力衰竭患者的健康相关生活质量（HRQOL）可能受到包括衰老在内的多种变量的影响。确定心力衰竭的独特影响对于更有效地改善该人群的HRQOL很重要。
本研究的目的是比较有和没有心力衰竭的老年人的HRQOL以及身体、心理、临床和社会人口学状况。
比较了90名老年心力衰竭患者和116名健康老年人的HRQOL。使用多元回归模型确定每组中与HRQOL最相关的因素。
老年心力衰竭患者的HRQOL明显比健康老年人差。老年心力衰竭患者有更严重的身体和情绪症状、更差的功能状态以及更差的健康认知。身体症状状态是两组中HRQOL的最强预测因素。此外，在老年心力衰竭患者中，身体症状状态、年龄和焦虑与HRQOL有关。
心力衰竭患者中观察到的较差的HRQOL不仅仅是衰老的反映。针对对HRQOL有特别负面影响的因素进行综合干预对老年心力衰竭患者至关重要。
