2.50
Hdl Handle:
http://hdl.handle.net/10755/160878
Type:
Presentation
Title:
Symptoms and Quality of Life in Heart Failure
Abstract:
Symptoms and Quality of Life in Heart Failure
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Pozehl, Bunny, PhD, APRN
P.I. Institution Name:University of Nebraska Medical Center
Title:Associate Professor
Contact Address:CON - PO Box 880220, 1230 O Street, Suite 131, Lincoln, NE, 68588-0220, USA
Contact Telephone:402-472-7352
Co-Authors:Kathleen Duncan, PhD, RN, Associate Professor
The purpose of this study was to describe the symptoms and health related quality of life experienced by patients with heart failure (HF). Symptoms were assessed by an investigator developed HF Symptom Survey (HFSS). This instrument measured the frequency of 14 symptoms of HF experienced by patients in the past seven days on a 0-10 scale (0 = never, 10 = very frequently). Demographic factors included age, gender, NYHA classification, type of HF, and ejection fraction EF). Health related quality of life was measured using the Kansas City Cardiomyopathy Questionnaire (KCCQ). The sample consisted of 138 subjects (33 women and 105 men) from a midwestern HF clinic. Mean age of subjects was 70.6 +/- 9.7 years and mean EF was 34 +/- 10.9%. The majority were NYHA Class II (38.1%) and Class III (51.8%) with 66.2% having ischemic HF and 33.8% with nonischemic HF. The most frequently reported symptoms were fatigue (73.2%) and dyspnea on exertion (65.9%). Forgetfulness or difficulty concentrating was reported by 42% of the subjects and feelings of depression were reported by 34.8%. Mean scores for the KCCQ domains were as follows: Physical limitation 70.7 +/- 24.4; Symptoms 74.9 +/- 21.4; Quality of Life 69.0 +/- 23.6; Social limitation 72.7 +/- 26.5; Self-efficacy 87.7 +/- 13.7; and KCCQ clinical summary score 72.5 +/- 21.7. Forward regression analysis using the 14 symptoms to predict the clinical summary score of the KCCQ resulted in a significant model [F (3,116) = 111.1, p < .00] with three symptoms as predictor variables. This model with the symptoms of fatigue, dyspnea on exertion and peripheral edema as predictors resulted in an R2 = .74. These findings implicate the importance of patient symptoms on health related quality of life in HF.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSymptoms and Quality of Life in Heart Failureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160878-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Symptoms and Quality of Life in Heart Failure</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pozehl, Bunny, 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-address"><td class="label">Contact Address:</td><td class="value">CON - PO Box 880220, 1230 O Street, Suite 131, Lincoln, NE, 68588-0220, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">402-472-7352</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, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to describe the symptoms and health related quality of life experienced by patients with heart failure (HF). Symptoms were assessed by an investigator developed HF Symptom Survey (HFSS). This instrument measured the frequency of 14 symptoms of HF experienced by patients in the past seven days on a 0-10 scale (0 = never, 10 = very frequently). Demographic factors included age, gender, NYHA classification, type of HF, and ejection fraction EF). Health related quality of life was measured using the Kansas City Cardiomyopathy Questionnaire (KCCQ). The sample consisted of 138 subjects (33 women and 105 men) from a midwestern HF clinic. Mean age of subjects was 70.6 +/- 9.7 years and mean EF was 34 +/- 10.9%. The majority were NYHA Class II (38.1%) and Class III (51.8%) with 66.2% having ischemic HF and 33.8% with nonischemic HF. The most frequently reported symptoms were fatigue (73.2%) and dyspnea on exertion (65.9%). Forgetfulness or difficulty concentrating was reported by 42% of the subjects and feelings of depression were reported by 34.8%. Mean scores for the KCCQ domains were as follows: Physical limitation 70.7 +/- 24.4; Symptoms 74.9 +/- 21.4; Quality of Life 69.0 +/- 23.6; Social limitation 72.7 +/- 26.5; Self-efficacy 87.7 +/- 13.7; and KCCQ clinical summary score 72.5 +/- 21.7. Forward regression analysis using the 14 symptoms to predict the clinical summary score of the KCCQ resulted in a significant model [F (3,116) = 111.1, p &lt; .00] with three symptoms as predictor variables. This model with the symptoms of fatigue, dyspnea on exertion and peripheral edema as predictors resulted in an R2 = .74. These findings implicate the importance of patient symptoms on health related quality of life in HF.</td></tr></table>en_GB
dc.date.available2011-10-26T23:12:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:12:12Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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