Keywords
acceptance of the disease
NYHA
heart failure
How to Cite
Abstract
Background. Heart failure (HF) applies to almost 2% of the European population and is considered the epidemic of the XXI century. Despite advances in medicine HF is an important clinical problem and socioeconomical because it is linked with increasing prevalence, high costs of treatment and hospitalization and poor prognosis. Objectives. The aim of the study was to show an influence of the NYHA scale and acceptance of illness on quality of life in chronic heart failure. Material and methods. The study included 100 patients with HF (64 men, 36 women). To gather research material used the socio-demographic questionnaire and two standardized research tools: questionnaire SF-36 and the AIS scale. Patients were enrolled in a NYHA functional class based on data gathered from medical records. Considered statistically significant at p < 0.05 Resluts. There was a significant positive correlation between the NYHA scale, and the physical dimension (R = 0.406; p < 0.001) mental quality of life (R = 0.370; p < 0.001), and an index of quality of life (R = 0.410; p < 0.001) and significant inverse correlation between the scale values of acceptance of the disease and the physical dimension (R = -0.292; p = 0.003) and mental quality of life (R = -0.400; p < 0.001), and an index of quality of life (R = -0.323; p = 0.001). Multiple regression analysis showed that higher NYHA class and lower levels of AIS are independent determinants of decreased quality of life. Conclusions. Higher values NYHA scale and lower level of acceptance of the disease are independent determinants of lower quality of life. NYHA scale value exert a stronger influence on the physical dimension of quality of life and overall quality of life, and the degree of acceptance of the disease on the mental dimension of quality of life.References
Karasek D, Kubica A, Sinkiewicz W, et al. Epidemia niewydolności serca – problem zdrowotny i społeczny starzejących się społeczeństw Polski i Europy. Folia Cardiologica Excerpta 2008; 3(5): 242–248.
Bui AL, Horwich TB, Fonarow GC. Epidemiology and risk profile of heart failure. Nat Rev Cardiol 2011; 8(1): 30–41.
Ponikowski P, Anker SD, AlHabib KF, et al. Heart Failure: preventing disease and death worldwide. ESC Heart Failure 2014; 1(41): 4–25.
Cowie MR, Mosterd A, Wood DA, et al. The epidemiology of heart failure. Eur Heart J 1997; 18: 208–225.
Stewart S, Jenkins A, Buchan S, et al. The current cost of heart failure to the National Health Service in The UK. Eur J Heart Fail 2002; 4(3): 361–371.
Berry C, Murdoch DR, McMurray JJV, et al. Economics of chronic heart failure. Eur J Heart Fail 2001; 3: 283–291.
Wytyczne ESC rozpoznania oraz leczenia ostrej i przewlekłej niewydolności serca na 2012 rok. Kardiologia Polska 2012; 70(Supl. II): STRONY.
Obieglo M, Uchmanowicz I, Wleklik M, et al.: The effect of acceptance of illness on the quality of life in patients with chronic heart failure. Eur J Cardiovasc Nurs 2015; 8: 1–7.
Felton BJ, Revension TA, Hionrichsen GA, (adaptacja Juczyński Z). Skala akceptacji choroby AIS. W: Juczyński Z. Narzędzia pomiaru w promocji i psychoonkologii zdrowia. Warszawa: Pracownia Testów Psychologicznych; 2009: 162–166.
Tylka J, Piotrowicz R. Kwestionariusz oceny jakości życia SF-36 – wersja polska. Kardiol Pol 2009; 67: 1166–1169.
Ostrzyżek A. Jakość życia w chorobach przewlekłych. Probl Hig Epidemiol 2008; 89: 467–470.
Ekman I, Fagerberg B, Lundman B. Health-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart & Lung 2002; 31: 94–101.
Tjam EY, Heckman GA, Smith S, et al. Predicting heart failure mortality in frail seniors: Comparing the NYHA functional classification with the Resident Assessment Instrument (RAI) Int J Cardiol 2012; 155(1): 75–80.
Iqbal J. Francis L. Reid J. et al. Quality of life in patients with chronic heart failure and their carers: a 3 year follow-up study assessing hospitalization and mortality. J Heart Fail 2010; 12: 1002–1008.
Rohrbaugh MJ, Shoham V, Coyne JC. Effect of marital quality on eight-year survival of patients with heart failure. Am J Cardiol 2006; 98(8): 1069–1072.
Niedzielski A, Humeniuk E, Błaziak P, i wsp. Stopień akceptacji choroby w wybranych chorobach przewlekłych. Wiad Lek 2007; 5(6): 224–227.
Kurpas D, Mroczek B, Knap-Czechowska H, et al. Quality of life and Acceptance of Illness among Patients with Chronic Respiratory Diseases. Respir Physiol Neurobiol 2013; 1: 114–117.