Chu Sang Hui, Lee Won Hee, Yoo Ji Soo, Kim So Sun, Ko Il Sun, Oh Eui Geum, Lee JuHee, Choi Mona, Cheon Joo Young, Shim Chi Young, Kang Seok-Min
Nursing Policy and Research Institute, Biobehavioral Research Center, Division of Clinical Nursing Science, Yonsei University College of Nursing, Seoul, Korea.
Jpn J Nurs Sci. 2014 Jan;11(1):54-64. doi: 10.1111/jjns.12002. Epub 2012 Nov 21.
Poor health-related quality of life (HRQOL) in patients with chronic heart failure (CHF) may be one of the most common predictors of mortality and rehospitalization. This study was conducted to identify factors affecting HRQOL in Korean patients with CHF using two HRQOL measurements.
The study included a sample of 114 patients. HRQOL was measured by the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and the World Health Organization's Quality of Life Instrument - Short Version (WHOQOL-BREF). Multiple regression analyses were performed to analyze the relationship between the factors and HRQOL.
Significant correlations were found between MLHFQ and WHOQOL-BREF in total and component scores, with the two exceptions of WHOQOL-BREF psychological and MLHFQ physical or total. The perceived economic status, functional status, and sex were factors identified as having an effect on HRQOL.
The MLHFQ was better able to differentiate sex, comorbidity, and functional status. Further studies are needed to implement cost-effective nursing interventions for patients with CHF to improve their HRQOL.
慢性心力衰竭（CHF）患者健康相关生活质量（HRQOL）较差可能是死亡率和再住院最常见的预测因素之一。本研究旨在使用两种HRQOL测量方法确定影响韩国CHF患者HRQOL的因素。
该研究纳入了114例患者样本。HRQOL通过明尼苏达心力衰竭生活问卷（MLHFQ）和世界卫生组织生活质量量表简表（WHOQOL-BREF）进行测量。进行多元回归分析以分析这些因素与HRQOL之间的关系。
MLHFQ与WHOQOL-BREF在总分和各分量表得分之间存在显著相关性，但WHOQOL-BREF心理维度以及MLHFQ身体维度或总分这两个维度除外。感知经济状况、功能状态和性别被确定为影响HRQOL的因素。
MLHFQ在区分性别、合并症和功能状态方面表现更佳。需要进一步开展研究，为CHF患者实施具有成本效益的护理干预措施，以改善他们的HRQOL。
