Relationship of symptom stress, care needs, social support, and meaning in life to quality of life in patients with heart failure from the acute to chronic stages: a longitudinal study

Autor:	Mei-Hui Lin, Ai-Fu Chiou, Min-Hui Liu, Wen-Pin Yu, Chao-Hung Wang
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	Quality of life medicine.medical_specialty Longitudinal study Symptom Computer applications to medicine. Medical informatics R858-859.7 Heart failure Social support Surveys and Questionnaires Humans Medicine Decompensation In patient Longitudinal Studies Meaning (existential) Socioeconomic status business.industry Research Meaning in life Public Health Environmental and Occupational Health General Medicine medicine.disease humanities Physical therapy business Healthcare needs
Zdroj:	Health and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-11 (2021) Health and Quality of Life Outcomes
ISSN:	1477-7525
Popis:	Background Patients with heart failure (HF) experience continuous changes in symptom distress, care needs, social support, and meaning in life from acute decompensation to chronic phases. The longitudinal relationship between these four factors and quality of life (QOL) was not fully explored. Aims To simultaneously investigate the relationship between all factors and QOL from hospitalization to 6 months after discharge, and the impact of the changes in these factors on QOL at different time points. Methods A longitudinal design with panel research (4 time points) was used. From January 2017 to December 2019, patients hospitalized due to acute decompensated HF were consecutively enrolled and followed up for 6 months. Patients were interviewed with questionnaires assessing symptom distress, care needs, social support, meaning in life and QOL at hospitalization and 1, 3 and 6 months after discharge. Results A total of 184 patients completed 6 months of follow-up. From baseline to 6 months, QOL continuously improved along with decreases in symptoms and care needs, but increases in social support and meaning in life. Better QOL was associated with younger age, higher education level, economic independence, less symptom distress and care needs, and stronger meaning in life (p p p p Conclusions Although symptom distress is associated with QOL after acute decompensated HF, QOL cannot be improved only by improvement in symptoms. With differential duration of improvement in each factor, the integration of alleviation in care needs and strengthening in social support and meaning in life might provide additional benefits in QOL.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23d7fd7c38eab9fdf438e46f5f4631be https://doaj.org/article/014596dcd9714059b027d6c490b740a9 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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