Shih Meng-Ling, Tsai Shian-Ting, Chen Hsing-Mei, Chou Fan-Hao, Liu Yi
Department of Nursing and Cardiovascular Surgery Intensive Care Unit, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan, R.O.C.
College of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan, R.O.C.
Women Health. 2020 Apr;60(4):382-395. doi: 10.1080/03630242.2019.1662868. Epub 2019 Sep 10.
Heart failure (HF) is a chronic, progressive disease that substantially decreases patients' quality of life. Few studies have compared quality of life and its related factors across genders in patients with HF. To explore gender differences in quality of life and related factors among adult patients with HF. A comparative study was conducted with 245 HF patients recruited from a medical center and a regional teaching hospital in Taiwan from February 2009 to February 2011. Descriptive and inferential statistics were used, including stepwise multiple regressions. The mean quality of life scores of males were significantly higher than those of females (87.78 ± 13.99 vs. 84.49 ± 11.85). The factors significantly related to quality of life for the male HF patients, in descending order of strength of association were depressive symptoms, physical symptoms, and monthly family income-less than USD 1,000; for the females, the significantly related factors were physical symptoms, depressive symptoms, and monthly family income-less than USD 1,000. The amount variance for which quality of life accounted for male and female HF patients was similar (60% vs. 64%). The results could be used for health professionals to provide more appropriate assessments and care according to gender in the future.
心力衰竭(HF)是一种慢性进行性疾病,会显著降低患者的生活质量。很少有研究比较过心力衰竭患者不同性别之间的生活质量及其相关因素。为了探究成年心力衰竭患者生活质量的性别差异及其相关因素,我们进行了一项比较研究,从2009年2月至2011年2月在台湾的一家医学中心和一家区域教学医院招募了245名心力衰竭患者。使用了描述性和推断性统计方法,包括逐步多元回归。男性的平均生活质量得分显著高于女性(87.78±13.99对84.49±11.85)。与男性心力衰竭患者生活质量显著相关的因素,按关联强度降序排列为抑郁症状、身体症状和月家庭收入低于1000美元;对于女性,显著相关因素为身体症状、抑郁症状和月家庭收入低于1000美元。男性和女性心力衰竭患者生活质量所解释的方差量相似(60%对64%)。这些结果可供医疗专业人员未来根据性别提供更合适的评估和护理。