Key result
Among adult patients with heart failure, 47.2% had poor health-related quality of life, which was significantly associated with older age (AOR 4.47), no formal education, higher NYHA class, and lack of social support.
Why the study?
Heart failure causes significant disability and poor health-related quality of life, but morbidity and debilitating symptoms remain high despite management improvements, prompting evaluation of health-related quality of life and associated factors in northern Ethiopia.
Cross-Sectional (n=301)
Yes
Odds Ratio: 4.47 (95% CI 1.87–10.68)
p-value: p=0.001
Almost half of adult heart failure patients in Northern Ethiopia experience poor health-related quality of life, which is strongly associated with older age, lack of formal education, advanced NYHA class, and absence of social support.
May inform holistic HF assessment; leaves open whether targeting modifiable factors improves outcomes.
Background Heart failure is a major public health issue for many countries in Sub-Saharan African which causes enormous public health relevance resulting in significant disability, loss of economic productivity, and poor health-related quality of life. Although there is a dated improvement in heart failure management, the morbidity and mortality remain unacceptably high, and a lot of patients are affected by debilitating symptoms which adversely influence their quality of life. Therefore, the main aim of this study was to assess health-related quality of life and associated factors among adult patients with heart failure in tertiary hospitals, Tigray region, Ethiopia, 2020.Methods An institutional-based cross-sectional study was conducted from March 01-April 30, 2020. A simple random sampling method was used to enroll the 301 participants. Data were collected using a structured questionnaire-based interview. The health-related quality of life measuring tool was adapted from the medical outcomes study. Data was entered to and cleaned by Epi-Data manager version 4.4.2.1 and exported to a statistical package of social science version 22 for analysis. Binary logistic regression model (Adjusted Odds ratio, 95% Confidence Interval, and P-value < 0.05) was used to determine the factors that influence health-related quality of life.Results This study showed that 142(47.2%) patients had a poor health-related quality of life. The overall mean score of health-related quality of life was 61.7±20.5 among patients. Age above 60 years (AOR; 4.47, 95% CI; 1.87-10.68), no formal education (AOR; 3.45, 95% CI; 1.31-9.12), New-York Heart Association class-ɪᴠ (AOR; 6.50, 95% CI; 2.62-16.13) and the absence of social support (AOR; 2.52, 95% CI; 1.33-4.79) were significantly associated with poor health‐related quality of life.ConclusionsHealth-related quality of life among heart failure patients was poor for almost half of the participants. Patients with older age, no formal education, and higher New York Heart Association class need special attention in each follow-up evaluation. Furthermore, health professionals and governments should inform the benefit of social support to family members and friends who are involved in the care process among heart failure patients.
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Shibeshy et al. (2021) conducted a cross-sectional in Heart failure (n=301). Age ≥60 years vs. Age 18-40 years was evaluated on Poor health-related quality of life (SF-36 score < 60) (AOR 4.47, 95% CI 1.87-10.68, p=0.001). Among adult patients with heart failure, 47.2% had poor health-related quality of life, which was significantly associated with older age (AOR 4.47), no formal education, higher NYHA class, and lack of social support.
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