Key result
Higher LVEF, NYHA class I, and fluid intake knowledge link to better HF quality of life.
Why the study?
To assess heart failure knowledge, adherence to lifestyle recommendations, and quality of life among Koreans with heart failure, and to identify factors influencing quality of life.
Cross-Sectional (n=142)
Among Korean patients with heart failure, better quality of life was associated with lower NYHA class, higher LVEF, specific HF knowledge, and alcohol consumption, highlighting areas for targeted patient education.
Hypothesis-generating for fluid-intake education in Korean HF; prospective trials needed before changing practice.
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.
No takes yet. Share an insight, caveat, or question.
Lee et al. (2020) conducted a cross-sectional in Heart failure (n=142). Among 142 Koreans with heart failure, the mean HF knowledge score was 6.9 out of 15, and better quality of life was associated with NYHA class I, higher LVEF, and knowledge of daily fluid intake.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: