Indiana University, School of Nursing, Indianapolis, IN 46202, United States.
Eur J Cardiovasc Nurs. 2012 Jun;11(2):141-9. doi: 10.1016/j.ejcnurse.2010.10.003. Epub 2012 Mar 13.
Social status may impact health-related quality of life (HRQOL), hospitalization, and mortality in patients with heart failure (HF).
To determine if social status was associated with HRQOL and event-free survival.
Higher social status (quality of perceived support, emotional support, marital status, and economic status) is related to better HRQOL and event-free survival after controlling covariates (New York Heart Association [NYHA] functional class, comorbidity status, and age).
Patients (N = 147, 61 ± 11 years old, 70% male, 62% NYHA class III/IV) provided data on HRQOL (measured by the Minnesota Living with Heart Failure questionnaire) and social status. Event-free survival data were collected by medical record reviews and patient or family interviews. Hierarchical regression analysis and survival analysis were used to test the hypothesis.
Better quality of perceived support, better economic status, better functional status, older age, and less comorbidity were related to better HRQOL (R2 = .365, p = <.001). Only economic status predicted event-free survival.
Attention should be given to those who have lower social support to improve HRQOL and those who have lower economic status to improve event-free survival.
社会地位可能会影响心力衰竭（HF）患者的健康相关生活质量（HRQOL）、住院和死亡率。
确定社会地位是否与 HRQOL 和无事件生存相关。
更高的社会地位（感知支持的质量、情感支持、婚姻状况和经济状况）与更好的 HRQOL 和无事件生存相关，在控制协变量（纽约心脏协会 [NYHA] 功能分级、合并症状况和年龄）后。
患者（N=147，61±11 岁，70%为男性，62%为 NYHA 分级 III/IV）提供了 HRQOL（通过明尼苏达心力衰竭生活质量问卷测量）和社会地位的数据。无事件生存数据通过病历审查和患者或家属访谈收集。使用层次回归分析和生存分析来检验假设。
更好的感知支持质量、更好的经济状况、更好的功能状态、年龄较大和合并症较少与更好的 HRQOL 相关（R2=.365，p<.001）。只有经济状况预测了无事件生存。
应关注那些社会支持较低的人，以提高 HRQOL，以及那些经济状况较低的人，以提高无事件生存。
