Gender Differences in Health-Related Quality of Life of Heart Failure Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/152153
Type:
Presentation
Title:
Gender Differences in Health-Related Quality of Life of Heart Failure Patients
Abstract:
Gender Differences in Health-Related Quality of Life of Heart Failure Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Pozehl, Bunny J., PhD, APRN
P.I. Institution Name:University of Nebraska Medical Center
Title:Associate Professor
Co-Authors:Kathleen Duncan, PhD, RN and Melody Hertzog, PhD
[Research Presentation] Heart failure (HF) is a chronic disease with an enormous impact on patient's health-related quality of life. The purpose of this study was to explore gender differences in health-related quality of life for patients with heart failure. Baseline data was analyzed from a randomized clinical trial with 42 HF patients. Twenty-four subjects were male and 18 were female. Fifty percent of the subjects had ischemic HF and 50% were non-ischemic. Mean age was 61.24 +/- 14.35 years and mean left ventricular ejection fraction (LVEF) was 32.86 +/- 6.16%. There were no significant differences by gender in age, LVEF or functional status as measured by the 6-minute walk test. The Kansas City Cardiomyopathy Questionnaire (KCCQ) was utilized to measure health-related quality of life. The KCCQ has eight domains each ranging from 0 to 100 with lower scores indicating greater impairment. Independent t-test results showed women had significantly greater impairment [t (df=38) = 2.20, p = .034] in the total symptom score (65.3 +/- 23.6) as compared to men (79.2 +/- 16.1). Women also had significantly greater impairment [t (df=38) = 2.28, p = .029] in the KCCQ symptom frequency domain (63.0 +/- 22.9) as compared to men (77.7 +/- 17.8). The only two domain scores of the KCCQ that showed women to have less impairment than men were the quality of life domain [t (df=38) = -.22, p = .826] and the self-efficacy domain [t (df=38) = -1.68, p = .102] and these differences were non-significant. Findings from this study suggest that interventions to improve quality of life in heart failure may need to be gender specific.áFurther study is needed to explore differences in health-related quality of life and the symptom experience for men and women with HF.
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.titleGender Differences in Health-Related Quality of Life of Heart Failure Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152153-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Gender Differences in Health-Related Quality of Life of Heart Failure Patients</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pozehl, Bunny J., PhD, APRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bpozehl@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathleen Duncan, PhD, RN and Melody Hertzog, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Heart failure (HF) is a chronic disease with an enormous impact on patient's health-related quality of life. The purpose of this study was to explore gender differences in health-related quality of life for patients with heart failure. Baseline data was analyzed from a randomized clinical trial with 42 HF patients. Twenty-four subjects were male and 18 were female. Fifty percent of the subjects had ischemic HF and 50% were non-ischemic. Mean age was 61.24 +/- 14.35 years and mean left ventricular ejection fraction (LVEF) was 32.86 +/- 6.16%. There were no significant differences by gender in age, LVEF or functional status as measured by the 6-minute walk test. The Kansas City Cardiomyopathy Questionnaire (KCCQ) was utilized to measure health-related quality of life. The KCCQ has eight domains each ranging from 0 to 100 with lower scores indicating greater impairment. Independent t-test results showed women had significantly greater impairment [t (df=38) = 2.20, p = .034] in the total symptom score (65.3 +/- 23.6) as compared to men (79.2 +/- 16.1). Women also had significantly greater impairment [t (df=38) = 2.28, p = .029] in the KCCQ symptom frequency domain (63.0 +/- 22.9) as compared to men (77.7 +/- 17.8). The only two domain scores of the KCCQ that showed women to have less impairment than men were the quality of life domain [t (df=38) = -.22, p = .826] and the self-efficacy domain [t (df=38) = -1.68, p = .102] and these differences were non-significant. Findings from this study suggest that interventions to improve quality of life in heart failure may need to be gender specific.&aacute;Further study is needed to explore differences in health-related quality of life and the symptom experience for men and women with HF.</td></tr></table>en_GB
dc.date.available2011-10-26T11:25:54Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:25:54Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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