Asadi Parvane, Ahmadi Sharare, Abdi Alireza, Shareef Omar Hussein, Mohamadyari Toraj, Miri Javad
Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Student Research Committee, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Heliyon. 2019 Sep 23;5(9):e02493. doi: 10.1016/j.heliyon.2019.e02493. eCollection 2019 Sep.
It has been generally agreed that cardiac failure is one of the common and devastating diseases due to its morbidity, mortality and rates of disability. Moreover, it has negative impacts on quality of life among sufferers. Meanwhile, improving quality of life among heart failure patients is essential. It can be suggested that people with self-care ability have a better quality of life. However, this issue may be affected by some cultural issues. Regarding a paucity of information on this aspect in Iran, this study aims to explore the relationship between self-care behaviors and quality of life in patients with heart failure.
This study is carried out using a descriptive - analytical method. The sample size consists of 77 patients who consented to participate in the study and had ejection fraction <40%. The tools were demographic checklist, European heart failure self-care behavior scale, and SF-36 quality of life questionnaire. Data was gathered from the heart center of Imam Ali in Kermanshah-Iran. Data analysis was done using independent t-test, Mann Whitney, ANOVA, and Kruskal-Wallis tests by SPSS-24 software.
The study sample was 77 participants, of which 45 were female and 51 lived in an urban area. The mean of self-care score was 39.42 ± 7.04, and most of the patients (67.5%) were in moderate level. The mean and SD of quality of life was estimated as 38.45 ± 17.28. The spearman correlation test showed no correlation between self-care and quality of life. However there was a correlation between marital status and self-care ability, in which it shows the higher scores in unmarried people (K2 = 7.75, P = 0.021), and the results indicated better quality of life in male (t = 2.68, P = 0.009), educated patients at the level of university (F = 7.60, P < 0.001), free job (F = 6.21, P < 0.001) and lived in the urban area (Z = 2.05, P = 0.04).
In this study, there is no correlation between self-care behaviors and quality of life in which, this may be attributed to Iranian cultures and perspectives such as valuing live with the children and importance of their attention to elderly patients, which demanded more studies.
心力衰竭因其发病率、死亡率和致残率，已被公认为是常见且具有破坏性的疾病之一。此外，它还会对患者的生活质量产生负面影响。同时，提高心力衰竭患者的生活质量至关重要。可以认为，具有自我护理能力的人生活质量更好。然而，这个问题可能会受到一些文化因素的影响。鉴于伊朗在这方面的信息匮乏，本研究旨在探讨心力衰竭患者自我护理行为与生活质量之间的关系。
本研究采用描述性分析方法。样本量包括77名同意参与研究且射血分数<40%的患者。使用的工具有人口统计学清单、欧洲心力衰竭自我护理行为量表和SF-36生活质量问卷。数据收集自伊朗克尔曼沙赫的伊玛目阿里心脏中心。数据分析使用SPSS-24软件进行独立t检验、曼-惠特尼检验、方差分析和克鲁斯卡尔-沃利斯检验。
研究样本为77名参与者，其中45名女性，51名居住在城市地区。自我护理得分的平均值为39.42±7.04，大多数患者（67.5%）处于中等水平。生活质量的平均值和标准差估计为38.45±17.28。斯皮尔曼相关性检验显示自我护理与生活质量之间无相关性。然而，婚姻状况与自我护理能力之间存在相关性，其中未婚者得分较高（K2 = 7.75，P = 0.021），结果表明男性（t = 2.68，P = 0.009）、大学学历患者（F = 7.60，P < 0.001）、有固定工作者（F = 6.21，P < 0.001）以及居住在城市地区者（Z = 2.05，P = 0.04）的生活质量更好。
在本研究中，自我护理行为与生活质量之间无相关性，这可能归因于伊朗文化和观念，如重视与子女同住以及子女对老年患者照顾的重要性等，这需要更多研究。
