Polikandrioti Maria, Panoutsopoulos Georgios, Tsami Athanasia, Gerogianni Georgia, Saroglou Sofia, Thomai Efthalia, Leventzonis Ioannis
Nursing Department, University of West Attica, Athens, Greece.
Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Lakonia, Greece.
Arch Med Sci Atheroscler Dis. 2019 Apr 12;4:e38-e46. doi: 10.5114/amsad.2019.84444. eCollection 2019.
Heart failure (HF) is a chronic disease associated with increased morbidity and mortality. HF prevalence is expected to expand enormously, largely due to population ageing, rising incidence of HF risk factors and increased survival after cardiovascular events. The aim of the study was to assess levels of quality of life (QOL) and anxiety in HF outpatients and the associated factors as well as to explore the impact of anxiety on QOL.
One hundred HF outpatients were enrolled in the study. Data collection was performed by completion of the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Self-rating Anxiety Scale (SAS) and a questionnaire including patients' characteristics.
Of the 100 HF outpatients, 64% were men and 66% above 70 years old. Regarding QOL, at least 50% of patients scored above 68 (median) in the total score of MLHFQ and in terms of anxiety, 50% scored above 46 (median) in the SAS. These values indicate a large impact of HF on QOL and a moderate impact of HF on anxiety. Furthermore, a statistically significant correlation was observed between QOL and anxiety in HF outpatients (rho > 0.6, < 0.001). An increase in anxiety score by one unit implies a statistically significant increase in QOL by 1.22 points (95% CI: 0.91-1.52, < 0.001), after adjustment for potential confounders.
The present findings emphasize the importance of alleviating the emotional burden of anxiety, thus improving patients' QOL.
心力衰竭（HF）是一种与发病率和死亡率增加相关的慢性疾病。预计HF的患病率将大幅上升，这主要归因于人口老龄化、HF危险因素发病率上升以及心血管事件后生存率提高。本研究的目的是评估HF门诊患者的生活质量（QOL）和焦虑水平及其相关因素，并探讨焦虑对QOL的影响。
100名HF门诊患者纳入本研究。通过完成明尼苏达心力衰竭生活问卷（MLHFQ）、自评焦虑量表（SAS）以及一份包含患者特征的问卷来收集数据。
100名HF门诊患者中，64%为男性，66%年龄在70岁以上。关于QOL，至少50%的患者在MLHFQ总分中得分高于68（中位数），而就焦虑而言，50%的患者在SAS中得分高于46（中位数）。这些值表明HF对QOL有较大影响，对焦虑有中度影响。此外，在HF门诊患者中观察到QOL与焦虑之间存在统计学显著相关性（rho>0.6，<0.001）。在对潜在混杂因素进行调整后，焦虑评分每增加一个单位意味着QOL在统计学上显著增加1.22分（95%CI：0.91 - 1.52，<0.001）。
本研究结果强调了减轻焦虑情绪负担从而改善患者QOL的重要性。
