Department of Cardiology, Aarhus University Hospital, Denmark.
Danish Center for Clinical Health Services Research, Department of Clinical Medicine, Aalborg University Hospital and Aalborg University, Denmark.
Eur J Cardiovasc Nurs. 2020 Dec;19(8):748-756. doi: 10.1177/1474515120902390. Epub 2020 Jun 3.
It is well-established that heart failure has a negative impact on quality of life. However, little is known about patient-related predictors of health-related quality of life, anxiety and depression, symptoms and illness perception among patients with heart failure.
To study the association between patient-related predictors and patient-reported outcome measures at discharge from hospital in a cohort of patients with heart failure.
We used data from 1506 patients with heart failure, participating in the national DenHeart Survey of patient-reported outcome measures in patients with heart disease. The potential patient-related predictors included demographic, administrative, clinical and socioeconomic factors. The patient-reported outcome measures included six questionnaires: the Short Form-12, the Hospital Anxiety and Depression Scale, the EuroQol five-dimensional, five-level questionnaire, the HeartQoL, the Brief Illness Perception Questionnaire and the Edmonton Symptom Assessment Scale. Data were linked to national patient registry data and medical records. We performed multivariable linear and logistic regression analyses.
In adjusted linear regression analyses we found that a length of hospital stay of >2 days was associated with worse scores across questionnaires, except for the Brief Illness Perception Questionnaire. Higher comorbidity level was associated with worse scores across all questionnaires, whereas low social support was associated with worse scores across questionnaires, except for the physical domain of the Short Form-12 and the HeartQoL global score.
This study identified length of hospital stay > 2 days, a higher comorbidity level and low social support to be associated with worse scores across questionnaires at discharge from a cardiac-related hospitalisation in patients with heart failure.
心力衰竭对生活质量有负面影响，这已得到充分证实。然而，对于心力衰竭患者的健康相关生活质量、焦虑和抑郁、症状和疾病认知的患者相关预测因素知之甚少。
研究心力衰竭患者出院时患者相关预测因素与患者报告的结局测量之间的关联。
我们使用了来自参加全国 DenHeart 调查的 1506 例心力衰竭患者的数据，该调查涉及心脏病患者的患者报告结局测量。潜在的患者相关预测因素包括人口统计学、行政、临床和社会经济因素。患者报告的结局测量包括六个问卷：简短表格-12、医院焦虑和抑郁量表、EuroQol 五维五分问卷、心脏生活质量问卷、简要疾病感知问卷和埃德蒙顿症状评估量表。数据与全国患者登记数据和病历相关联。我们进行了多变量线性和逻辑回归分析。
在调整后的线性回归分析中，我们发现住院时间>2 天与所有问卷的评分较差相关，除了简要疾病感知问卷。较高的合并症水平与所有问卷的评分较差相关，而低社会支持与除了简短表格-12 的生理领域和心脏生活质量的总体评分之外的所有问卷的评分较差相关。
这项研究确定了住院时间>2 天、更高的合并症水平和低社会支持与心力衰竭患者心脏相关住院出院时所有问卷的评分较差相关。
