Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, Amhara Region, Ethiopia.
School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
Sci Rep. 2023 Nov 19;13(1):20241. doi: 10.1038/s41598-023-47567-x.
Heart failure is a challenging public health problem associated with poor health-related quality of life (HRQoL). Data on the quality of life of people with heart failure are limited in Ethiopia. This study aimed to assess the HRQoL and its influencing factors in people with heart failure in Ethiopia. A hospital-based, cross-sectional study design was conducted in the cardiac outpatient clinics of two tertiary-level hospitals in Addis Ababa, Ethiopia. Data were collected from people with heart failure who met the inclusion criteria using an interviewer-administered questionnaire. The HRQoL was measured using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). A multiple linear regression model was fitted to identify factors that influenced HRQoL. All statistical analyses were conducted using STATA version 17 software. A total of 383 people with heart failure participated in the study. The mean age of the participants was 55 years. The MLHFQ score was 48.03±19.73, and 54% of participants had poor HRQoL. Multiple linear regression analysis revealed that age (β= 0.12, 95% CI 0.11, 0.28), diabetes mellitus comorbidity (β= 4.47, 95% CI 1.41, 7.54), social support score (β= - 1.48, 95% CI - 1.93, - 1.03), and depression score (β = 1.74, 95% CI 1.52, 1.96) were significant factors influencing overall HRQoL (p < 0.05). This study found that people in Ethiopia with heart failure had poor HRQoL, influenced by several factors. The findings can help health professionals identify appropriate interventions to improve the HRQoL of people with heart failure.
心力衰竭是一个具有挑战性的公共卫生问题，与较差的健康相关生活质量（HRQoL）有关。在埃塞俄比亚，有关心力衰竭患者生活质量的数据有限。本研究旨在评估埃塞俄比亚心力衰竭患者的 HRQoL 及其影响因素。采用横断面研究设计，在埃塞俄比亚亚的斯亚贝巴的两家三级医院的心脏门诊进行。使用访谈者管理的问卷从符合纳入标准的心力衰竭患者中收集数据。使用明尼苏达州心力衰竭生活质量问卷（MLHFQ）测量 HRQoL。使用多元线性回归模型来确定影响 HRQoL 的因素。所有统计分析均使用 STATA 版本 17 软件进行。共有 383 名心力衰竭患者参与了这项研究。参与者的平均年龄为 55 岁。MLHFQ 评分为 48.03±19.73，54%的参与者 HRQoL 较差。多元线性回归分析显示，年龄（β=0.12，95%CI 0.11，0.28）、糖尿病合并症（β=4.47，95%CI 1.41，7.54）、社会支持评分（β=-1.48，95%CI -1.93，-1.03）和抑郁评分（β=1.74，95%CI 1.52，1.96）是影响整体 HRQoL 的显著因素（p<0.05）。本研究发现，埃塞俄比亚心力衰竭患者的 HRQoL 较差，受多种因素影响。研究结果可以帮助卫生专业人员确定适当的干预措施，以提高心力衰竭患者的 HRQoL。
