In patients with atrial fibrillation, physical and mental health-related quality of life are significantly impacted by clinical factors like NYHA class and disease duration, as well as psychosocial factors including uncertainty, anxiety, and depression.
NYHA class and psychosocial factors warrant attention in AF; leaves open causal effects and intervention benefits.
PURPOSE: The purpose of this study was to investigate the factors that influence health-related quality of life in patients with atrial fibrillation.METHODS: The subjects were 150 outpatients with atrial fibrillation who visited the cardiology clinic of a university hospital in U city. The instruments used for this study were Mhel Uncertainty in Illness Scale (MUIS), Center for Epidemiologic Studies-Depression Scale (CES-D), State Trait Anxiety Inventory (STAI), and the Short-Form-36 Health Survey (SF-36) Korean version II. The date were analyzed by ANOVA, Pearson-correlation coefficient, and hierachial multiple regression using SPSS/WIN 18.0.RESULTS: The mean score of physical health-related quality of life (PCS) was 38.92 +/- 6.22 and mental health-related quality of life (MCS) was 41.49 +/- 5.71. Physical and Mental health-related quality of life had the significant correlations with uncertainty, anxiety and depression. In multiple regression analysis, physical health-related quality of life was significantly influenced by duration of disease, NYHA class, uncertainty. Mental health-related quality of life was significantly influenced by family income, NYHA class, anxiety and depression.CONCLUSION: These results suggest that these influencing factors should be consider in developing the nursing interventions to improve the health-related quality of life in patients with atrial fibrillation.
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Lee et al. (2013) studied this question.
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