PMID- 34267165
OWN - NLM
STAT- MEDLINE
DCOM- 20211125
LR  - 20230818
IS  - 1948-965X (Electronic)
IS  - 1682-3141 (Linking)
VI  - 29
IP  - 5
DP  - 2021 Jul 9
TI  - Quality of Life and Associated Factors in Older Adults With Heart Failure.
PG  - e166
LID - 10.1097/JNR.0000000000000445 [doi]
AB  - BACKGROUND: Although heart failure (HF) is negatively known to affect older 
      adults physically, psychologically, and socially, only a few studies have 
      explored the predictors of quality of life (QoL) in older adults with HF in 
      Taiwan. PURPOSE: This study was designed to determine the relationships among 
      depression, demographic characteristics, clinical characteristics, and QoL in 
      older patients with HF. METHODS: This was a cross-sectional study. From January 
      2013 to June 2014, convenience sampling was used to collect data from 175 older 
      adults with HF at two hospitals in Northern Taiwan. Participant data were 
      collected from medical records and researcher-administered structured 
      questionnaires in face-to-face interviews. RESULTS: The QoL of the participants 
      was found to be associated with clinical characteristics, including hospital 
      readmission for > 10 days with an increased level of HF-related symptom distress 
      (HFSD) and more-severe depression. Depression was found to have a mediating 
      effect, with the New York Heart Association (NYHA) functional class and HFSD both 
      affecting the QoL of the participants through this intermediary. 
      CONCLUSIONS/IMPLICATIONS FOR PRACTICE: HF is a chronic and debilitating disease 
      that often reduces QoL in older adults significantly. Interventions designed to 
      increase QoL by improving the NYHA functional class and alleviating HFSD are 
      valid treatment options only in cases with depressive symptoms. Nurses treating 
      older adults with HF should consider factors such as NYHA functional class and 
      HFSD to reduce HFSD and readmission rates and to enhance the QoL of these 
      patients. In addition, after both hospital admission and discharge, older adult 
      patients should be assessed regularly to monitor for and quickly address the 
      development of comorbid depression.
CI  - Copyright (c) 2021 The Authors. Published by Wolters Kluwer Health, Inc.
FAU - Yeh, Hsiang-Fen
AU  - Yeh HF
AD  - Doctoral Candidate, RN, Assistant Professor, Department of Nursing, Tzu Chi 
      University of Science and Technology, Taiwan.
FAU - Shao, Jung-Hua
AU  - Shao JH
AD  - PhD, RN, Associate Professor, School of Nursing, College of Medicine, Chang Gung 
      University, and Associate Professor, Department of Orthopedics, Chang Gung 
      Memorial Hospital, Linkou, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20210709
PL  - China (Republic : 1949- )
TA  - J Nurs Res
JT  - The journal of nursing research : JNR
JID - 101128757
SB  - IM
MH  - Aged
MH  - Cross-Sectional Studies
MH  - *Heart Failure/therapy
MH  - Humans
MH  - Patient Readmission
MH  - *Quality of Life
MH  - Surveys and Questionnaires
COIS- The authors declare no conflicts of interest.
EDAT- 2021/07/17 06:00
MHDA- 2021/11/26 06:00
CRDT- 2021/07/16 05:55
PHST- 2021/07/17 06:00 [pubmed]
PHST- 2021/11/26 06:00 [medline]
PHST- 2021/07/16 05:55 [entrez]
AID - 00134372-202110000-00002 [pii]
AID - 10.1097/JNR.0000000000000445 [doi]
PST - epublish
SO  - J Nurs Res. 2021 Jul 9;29(5):e166. doi: 10.1097/JNR.0000000000000445.