Diversity of Predictors Effect of Health-Related Quality of Life in both Taiwanese and American Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/147609
Type:
Presentation
Title:
Diversity of Predictors Effect of Health-Related Quality of Life in both Taiwanese and American Heart Failure
Abstract:
Diversity of Predictors Effect of Health-Related Quality of Life in both Taiwanese and American Heart Failure
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Huang, Tsuey-Yuan, PhD, RN
P.I. Institution Name:Chang Gung Institute of Technology
Title:Lecturer
Co-Authors:Debra K. Moser, RN; Shiow-Li Hwang, RN
[Scientific Session Presentation] Introduction: Health-related quality of life (HRQOL) in patients with heart failure (HF) is a multidimensional construct perceived through the lens of culture. The HRQOL of patients with HF is well known in Western society, but little is known about HRQOL in Asian countries. It is important to examine the diversity of HRQOL in different countries in order to improve HF patients? outcomes.Specific Aims: To compare HRQOL between American and Taiwanese patients with HF and determine predictors of HRQOL in American and Taiwanese patients.Method: HRQOL was compared between 97 Taiwanese (66.1±12.1 age; 77% male; 37% NYHA III/IV) and 96 Americans with HF (61.6±11.7 age; 74% male; 42% NYHA III/IV). HRQOL was measured using the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and symptoms  using the Pulmonary Function Status and Dyspnea Questionnaire (PFSDQ-M). Hierarchical regression analyses with interaction were used to examine demographic (age, gender), disease severity (ejection fraction, NYHA), symptoms (dyspnea, fatigue), and psychological (depression) predictors of HRQOL.Result: The HRQOL of patients with HF in the U. S. (33.8±23.4) was poorer than in Taiwan (22.4±18.8, p< .05). In the final regression model for full sample, age, symptoms and depression had a significant impact on HRQOL, ultimately accounting for 48.1% (p<.05) of the variance of HRQOL. Symptoms and depression were powerful predictors affecting HRQOL, accounting for 18% and 5% of the variance in patients with HF from the two groups (Table 1).Conclusion: The HRQOL of American patients with heart failure is more impaired than Taiwanese. Age, symptoms of dyspnea, fatigue, and depression are dominant predictors of HRQOL in both groups. The predicting effects are the same in both Taiwanese and American without group difference.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDiversity of Predictors Effect of Health-Related Quality of Life in both Taiwanese and American Heart Failureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147609-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Diversity of Predictors Effect of Health-Related Quality of Life in both Taiwanese and American Heart Failure</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huang, Tsuey-Yuan, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chang Gung Institute of Technology</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Lecturer</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">d92426002@ntu.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Debra K. Moser, RN; Shiow-Li Hwang, RN</td></tr><tr><td colspan="2" class="item-abstract">[Scientific Session Presentation] Introduction: Health-related quality of life (HRQOL) in patients with heart failure (HF) is a multidimensional construct perceived through the lens of culture. The HRQOL of patients with HF is well known in Western society, but little is known about HRQOL in Asian countries. It is important to examine the diversity of HRQOL in different countries in order to improve HF patients? outcomes.Specific Aims: To compare HRQOL between American and Taiwanese patients with HF and determine predictors of HRQOL in American and Taiwanese patients.Method: HRQOL was compared between 97 Taiwanese (66.1&plusmn;12.1 age; 77% male; 37% NYHA III/IV) and 96 Americans with HF (61.6&plusmn;11.7 age; 74% male; 42% NYHA III/IV). HRQOL was measured using the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and symptoms &nbsp;using the Pulmonary Function Status and Dyspnea Questionnaire (PFSDQ-M). Hierarchical regression analyses with interaction were used to examine demographic (age, gender), disease severity (ejection fraction, NYHA), symptoms (dyspnea, fatigue), and psychological (depression) predictors of HRQOL.Result: The HRQOL of patients with HF in the U. S. (33.8&plusmn;23.4) was poorer than in Taiwan (22.4&plusmn;18.8, p&lt; .05). In the final regression model for full sample, age, symptoms and depression had a significant impact on HRQOL, ultimately accounting for 48.1% (p&lt;.05) of the variance of HRQOL. Symptoms and depression were powerful predictors affecting HRQOL, accounting for 18% and 5% of the variance in patients with HF from the two groups (Table 1).Conclusion: The HRQOL of American patients with heart failure is more impaired than Taiwanese. Age, symptoms of dyspnea, fatigue, and depression are dominant predictors of HRQOL in both groups. The predicting effects are the same in both Taiwanese and American without group difference.</td></tr></table>en_GB
dc.date.available2011-10-26T09:34:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:34:13Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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