College of Nursing, Pusan National University, Yangsan-si, South Korea.
Department of Nursing, Pusan National University Yangsan Hospital, Yangsan-si, South Korea.
J Cardiovasc Pharmacol Ther. 2020 Jul;25(4):324-331. doi: 10.1177/1074248420916324. Epub 2020 Apr 1.
To assess heart failure (HF) knowledge, adherence to lifestyle recommendations, and quality of life (QOL) among Koreans with HF and identify factors influencing QOL.
A cross-sectional and correlational design was used and a total of 142 Koreans with HF were recruited between April 2012 and September 2013. Data were analyzed using multiple logistic regression with SPSS version 21.0.
The mean age of participants was 64.1 ± 7.4 years. A higher proportion of participants were male, married, unemployed, had a high education level, and class I New York Heart Association (NYHA) functional status. A higher proportion of participants had ≥2 comorbidities and the most prevalent comorbidity was diabetes. The mean score of HF knowledge was 6.9 (possible range 0-15) and the most frequent incorrect items were "proper actions to reduce thirst" and "causes of leg swelling" in both better and worse QOL groups. Among the recommended lifestyle, pneumococcal vaccination had the least adherence in both groups. Multiple logistic regression showed that patients in NYHA class I, with a higher left ventricular ejection fraction, who had knowledge of "amount of fluid intake a day" and consumed more than moderate alcohol tended to have better QOL. : More active interventions targeting HF knowledge in proper actions to reduce thirst, causes of leg swelling, and the amount of fluid intake per day are required. Patients with HF in more serious condition need special attention regarding the risk of worse QOL. The role of alcohol consumption in QOL among HF patients in Korea needs further exploration.
评估韩国心力衰竭（HF）患者的心力衰竭知识、生活方式建议的依从性和生活质量（QOL），并确定影响 QOL 的因素。
采用横断面相关性设计，于 2012 年 4 月至 2013 年 9 月共招募 142 名韩国心力衰竭患者。使用 SPSS 版本 21.0 的多逻辑回归对数据进行分析。
参与者的平均年龄为 64.1 ± 7.4 岁。男性、已婚、失业、受教育程度高和纽约心脏协会（NYHA）功能状态 I 级的患者比例较高。有更多的患者有≥2 种合并症，最常见的合并症是糖尿病。HF 知识的平均得分为 6.9（可能范围为 0-15），在 QOL 较好和较差的组中，“减少口渴的适当措施”和“腿部肿胀的原因”这两个项目的错误率最高。在推荐的生活方式中，两组中肺炎球菌疫苗接种的依从性最低。多逻辑回归显示，NYHA 分级 I 级、左心室射血分数较高、了解“每天液体摄入量”且饮酒量超过适量的患者，其 QOL 往往更好。
需要针对减少口渴、腿部肿胀和每天液体摄入量的适当措施以及每日液体摄入量等方面的 HF 知识，开展更积极的干预措施。病情更严重的 HF 患者需要特别注意 QOL 恶化的风险。韩国 HF 患者的酒精摄入对 QOL 的影响需要进一步探讨。
