埃塞俄比亚南部沃莱塔地区政府医院成年心力衰竭患者的健康相关生活质量及其相关因素
Health-Related Quality of Life and Associated Factors Among Adult Patients with Heart Failure in Wolaita Zone Governmental Hospitals, Southern Ethiopia.
作者信息
Molla Simegn, Yitayal Mezgebu, Amare Getasew
机构信息
Department of Health Systems, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Risk Manag Healthc Policy. 2021 Jan 22;14:263-271. doi: 10.2147/RMHP.S288326. eCollection 2021.
BACKGROUND
Knowing how heart failure affects patients' quality of life and its associated factors are crucial for a better patient-centred approach and management. Therefore, this study aims to assess health-related quality of life and its associated factors among adult heart failure patients in southern Ethiopia hospitals.
METHODS
The facility-based cross-sectional study design was conducted in Wolaita zone governmental hospitals from March to April 2018. The population was all adult heart failure patients in the chronic illness follow-up clinic and inpatient department. All adult heart failure patients on follow-up clinic and inpatient departments who have at least a 6-month follow-up were included in the study. In contrast, patients who had chronic comorbidities were excluded from the study. Minnesota Living with Heart Failure Questionnaire (MLHFQ) tool was used to measure the outcome variable health-related quality of life (HRQoL). Interviews and client medical record reviews also collected socio-demographic, clinical and behavioural characteristics of participants. The data were analyzed using STATA version 14, and multiple linear regression analysis with P-value < 0.05 was used to measure the degree of association between HRQoL and independent variables.
RESULTS
A total of 372 patients participated in the study. The HRQoL score for the physical, emotional, and total were 22.2, 7.7, and 46.37, respectively. HRQoL was significantly associated with gender, age, family size, occupation, residency, and recent admission within the past six months, New York Heart Association (NYHA) functional class, department of treatment, salt intake, and health perception.
CONCLUSION
Generally, the HRQoL for patients with heart failure was found to be low. Besides the variables age and gender of participants, family size, occupation, residency, admission history, salt intake, and NYHA class were significant factors for the HRQoL of patients with heart failure.
背景
了解心力衰竭如何影响患者的生活质量及其相关因素，对于以患者为中心的更好治疗方法和管理至关重要。因此，本研究旨在评估埃塞俄比亚南部医院成年心力衰竭患者的健康相关生活质量及其相关因素。
方法
2018年3月至4月，在沃莱塔地区的政府医院进行了基于机构的横断面研究设计。研究对象为慢性病随访诊所和住院部的所有成年心力衰竭患者。所有在随访诊所和住院部且至少有6个月随访期的成年心力衰竭患者均纳入研究。相反，患有慢性合并症的患者被排除在研究之外。使用明尼苏达心力衰竭生活问卷（MLHFQ）工具来测量结果变量——健康相关生活质量（HRQoL）。通过访谈和查阅患者病历，还收集了参与者的社会人口学、临床和行为特征。使用STATA 14版对数据进行分析，并采用P值<0.05的多元线性回归分析来衡量HRQoL与自变量之间的关联程度。
结果
共有372名患者参与了研究。身体、情感和总分的HRQoL得分分别为22.2、7.7和46.37。HRQoL与性别、年龄、家庭规模、职业、居住情况、过去六个月内的近期住院情况、纽约心脏协会（NYHA）功能分级、治疗科室、盐摄入量和健康认知显著相关。
结论
总体而言，心力衰竭患者的HRQoL较低。除了参与者的年龄和性别变量外，家庭规模、职业、居住情况、住院史、盐摄入量和NYHA分级是心力衰竭患者HRQoL的重要影响因素。
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