PMID- 32233801 OWN - NLM STAT- MEDLINE DCOM- 20201026 LR - 20221207 IS - 1940-4034 (Electronic) IS - 1074-2484 (Linking) VI - 25 IP - 4 DP - 2020 Jul TI - Knowledge, Adherence to Lifestyle Recommendations, and Quality of Life Among Koreans With Heart Failure. PG - 324-331 LID - 10.1177/1074248420916324 [doi] AB - OBJECTIVE: To assess heart failure (HF) knowledge, adherence to lifestyle recommendations, and quality of life (QOL) among Koreans with HF and identify factors influencing QOL. METHODS: A cross-sectional and correlational design was used and a total of 142 Koreans with HF were recruited between April 2012 and September 2013. Data were analyzed using multiple logistic regression with SPSS version 21.0. RESULTS: The mean age of participants was 64.1 +/- 7.4 years. A higher proportion of participants were male, married, unemployed, had a high education level, and class I New York Heart Association (NYHA) functional status. A higher proportion of participants had >/=2 comorbidities and the most prevalent comorbidity was diabetes. The mean score of HF knowledge was 6.9 (possible range 0-15) and the most frequent incorrect items were "proper actions to reduce thirst" and "causes of leg swelling" in both better and worse QOL groups. Among the recommended lifestyle, pneumococcal vaccination had the least adherence in both groups. Multiple logistic regression showed that patients in NYHA class I, with a higher left ventricular ejection fraction, who had knowledge of "amount of fluid intake a day" and consumed more than moderate alcohol tended to have better QOL. Conclusion: More active interventions targeting HF knowledge in proper actions to reduce thirst, causes of leg swelling, and the amount of fluid intake per day are required. Patients with HF in more serious condition need special attention regarding the risk of worse QOL. The role of alcohol consumption in QOL among HF patients in Korea needs further exploration. FAU - Lee, Haejung AU - Lee H AUID- ORCID: 0000-0003-0291-9945 AD - College of Nursing, Pusan National University, Yangsan-si, South Korea. FAU - Park, Gaeun AU - Park G AUID- ORCID: 0000-0003-0923-4340 AD - Department of Nursing, Pusan National University Yangsan Hospital, Yangsan-si, South Korea. FAU - Lee, Kyoung Suk AU - Lee KS AD - College of Nursing, Seoul National University, Gwanak-gu, Seoul, Korea. FAU - Jin, HyeKyung AU - Jin H AD - College of Nursing, Kaya University, Gimhae-si, South Korea. FAU - Chun, Kook-Jin AU - Chun KJ AD - Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan-si, South Korea. FAU - Kim, Jong Hyun AU - Kim JH AD - Department of Internal Medicine, BHC Hanseo Hospital, Busan, South Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200401 PL - United States TA - J Cardiovasc Pharmacol Ther JT - Journal of cardiovascular pharmacology and therapeutics JID - 9602617 SB - IM MH - Aged MH - Asian People/*psychology MH - Comorbidity MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice/*ethnology MH - Health Status MH - *Healthy Lifestyle MH - Heart Failure/diagnosis/ethnology/*therapy MH - Humans MH - Male MH - Middle Aged MH - *Patient Compliance MH - Prevalence MH - Protective Factors MH - *Quality of Life MH - Republic of Korea/epidemiology MH - Risk Assessment MH - Risk Factors MH - *Risk Reduction Behavior MH - Treatment Outcome OTO - NOTNLM OT - heart failure OT - knowledge OT - lifestyle OT - quality of life EDAT- 2020/04/03 06:00 MHDA- 2020/10/27 06:00 CRDT- 2020/04/03 06:00 PHST- 2020/04/03 06:00 [pubmed] PHST- 2020/10/27 06:00 [medline] PHST- 2020/04/03 06:00 [entrez] AID - 10.1177/1074248420916324 [doi] PST - ppublish SO - J Cardiovasc Pharmacol Ther. 2020 Jul;25(4):324-331. doi: 10.1177/1074248420916324. Epub 2020 Apr 1.