Social status, health-related quality of life, and event-free survival in patients with heart failure

被引:34
作者
Heo, Seongkum [1 ]
Moser, Debra K. [2 ]
Chung, Misook L. [2 ]
Lennie, Terry A. [2 ]
机构
[1] Indiana Univ, Sch Nursing, Bloomington, IN 47405 USA
[2] Univ Kentucky, Coll Nursing, Lexington, KY 40506 USA
关键词
Heart failure; outcomes; quality of life; social status; LEFT-VENTRICULAR DYSFUNCTION; MULTIDIMENSIONAL SCALE; PSYCHOMETRIC PROPERTIES; HOSPITAL READMISSION; SOCIOECONOMIC-STATUS; MEDICAL-TREATMENT; SELF-CARE; DRUG-USE; SUPPORT; QUESTIONNAIRE;
D O I
10.1016/j.ejcnurse.2010.10.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Social status may impact health-related quality of life (HRQOL), hospitalization, and mortality in patients with heart failure (HF). Purpose: To determine if social status was associated with HRQOL and event-free survival. Hypotheses: Higher social status (quality of perceived support, emotional support, marital status, and economic status) is related to better HRQOL and event-free survival after controlling covariates (New York Heart Association [NYHA] functional class, comorbidity status, and age). Methods: Patients (N = 147, 61 +/- 11 years old, 70% male, 62% NYHA class III/IV) provided data on HRQOL (measured by the Minnesota Living with Heart Failure questionnaire) and social status. Event-free survival data were collected by medical record reviews and patient or family interviews. Hierarchical regression analysis and survival analysis were used to test the hypothesis. Results: Better quality of perceived support, better economic status, better functional status, older age, and less comorbidity were related to better HRQOL (R2 = .365, p = <.001). Only economic status predicted event-free survival. Conclusion: Attention should be given to those who have lower social support to improve HRQOL and those who have lower economic status to improve event-free survival.
引用
收藏
页码:141 / 149
页数:9
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