Escola Paulista de Enfermagem, Universidade Federal de São Paulo (EPE-UNIFESP), São Paulo/SP, Brazil.
Hospital São Paulo, São Paulo/SP, Brazil.
West J Nurs Res. 2023 May;45(5):416-424. doi: 10.1177/01939459221142163. Epub 2022 Dec 8.
This analytical, cross-sectional study aimed to analyze the relationship between depressive symptoms, appetite, and quality of life (QoL) in 86 patients hospitalized with heart failure. Patients were assessed for depressive symptoms, appetite, and QoL using the Beck Depression Inventory-II, the Simplified Nutritional Appetite Questionnaire, and the Minnesota Living with Heart Failure Questionnaire, respectively. Relationships between sociodemographic and clinical variables, depressive symptoms, appetite, and QoL were analyzed using bivariate tests and linear regression models, with < .05 considered significant. The factors associated with QoL were dependence for four activities of daily living (ADLs) (estimate = 15.4, 95% CI = 0.23 to 30.64, = .046), minor depressive symptoms (estimate = -20.0, 95% CI = -28.3 to -11.73, < .001), and appetite (estimate = -11.08, 95% CI = -20.5 to -1.62, = .022). These results can support multi-professional assessment and development of interventions to promote better QoL, including addressing impaired appetite and food intake, the presence or increased intensity of depressive symptoms, especially in patients dependent for ADLs.
这项分析性、横断面研究旨在分析 86 例心力衰竭住院患者的抑郁症状、食欲和生活质量(QoL)之间的关系。使用贝克抑郁量表二、简化营养食欲问卷和明尼苏达州心力衰竭生活质量问卷分别评估患者的抑郁症状、食欲和 QoL。使用双变量检验和线性回归模型分析社会人口统计学和临床变量、抑郁症状、食欲和 QoL 之间的关系, < .05 被认为具有统计学意义。与 QoL 相关的因素包括四项日常生活活动(ADL)的依赖(估计值 = 15.4,95%置信区间 = 0.23 至 30.64, = .046)、轻度抑郁症状(估计值 = -20.0,95%置信区间 = -28.3 至 -11.73, < .001)和食欲(估计值 = -11.08,95%置信区间 = -20.5 至 -1.62, = .022)。这些结果可以支持多专业评估和干预措施的制定,以促进更好的 QoL,包括解决食欲和食物摄入受损、抑郁症状的存在或强度增加的问题,尤其是在依赖 ADL 的患者中。