Article

Health related quality of life in patients awaiting heart transplantation.

Department of Physical Medicine and Rehabilitation, Ege University Medical Faculty, Izmir, Turkey.
The Tohoku Journal of Experimental Medicine (impact factor: 1.24). 02/2008; 214(1):17-25.
Source: PubMed

ABSTRACT Quality of life is an important outcome measure in patients with end-stage heart failure waiting for heart transplantation. The purpose of this study was to investigate the relationship between aspects of quality of life and physiological and psychosocial variables in patients with end-stage heart failure. A total of 123 patients participated in the study. The functional status was assessed with New York Heart Association (NYHA) functional classification, a 6-minute walk test (6 MWT) and peak oxygen uptake (pVO(2)). Health related quality of life (HRQOL) was measured with Medical Outcomes Study, 36-item Short Form Survey (SF-36), and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Beck Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI) were used to assess psychological symptoms. A significant relationship was found between HRQOL (SF-36 and MLHFQ) and functional status (NYHA, 6 MWT and pVO(2)) (p < 0.05). Psychological symptoms (BDI) were associated with HRQOL (p < 0.05). In addition to clinical derangements, functional limitation and psychological distress can lead to limitations in activities of daily life through impairment of quality of life. It would be helpful to evaluate psychological symptoms and quality of life in patients with end-stage heart failure besides routine clinical evaluations.

0 0
 · 
0 Bookmarks
 · 
60 Views
  • Source
    Article: Coping strategies, health-related quality of life and psychiatric history in patients with aneurysmal subarachnoid haemorrhage.
    Mathilde Hedlund, Elisabeth Ronne-Engström, Marianne Carlsson, Lisa Ekselius
    [show abstract] [hide abstract]
    ABSTRACT: Subarachnoid haemorrhage (SAH) reduces health-related quality of life (HRQoL) and increases the risk of psychiatric sequels such as depression and posttraumatic stress disorder. Especially those with a psychiatric history and those using maladaptive coping strategies are at risk for such sequels. The extent to which HRQoL after SAH was related to a history of psychiatric morbidity and to the use of various coping strategies was assessed. Patients admitted to the Uppsala University Hospital with aneurysmal SAH (n = 59) were investigated prospectively. Seven months after SAH, data were collected using the Structured Clinical Interview for DSM-IV axis I disorders, the Short Form-36 (SF-36) Health Survey and the Jalowiec Coping Scale. Patients with SAH had lower HRQoL than the general Swedish population in all eight domains of the SF-36. The lower HRQoL was almost entirely in the subgroup with a psychiatric history. HRQoL was also strongly correlated to the use of coping. Physical domains of SF-36 were less affected than mental domains. Those with a psychiatric history used more coping than the remainder with respect to all emotional coping scales. Coping and the presence of a psychiatric history were more strongly related to mental than to physical components of HRQoL. A psychiatric history and the use of maladaptive emotional coping were related to worse HRQoL, more to mental than to physical aspects.
    Acta Neurochirurgica 05/2010; 152(8):1375-82; discussion 1382. · 1.52 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

36-item Short Form Survey
 
6-minute walk test
 
aspects
 
BDI
 
Beck Depression Inventory
 
clinical derangements
 
end-stage heart failure
 
functional limitation
 
Heart Failure Questionnaire
 
limitations
 
Medical Outcomes Study
 
Minnesota Living
 
New York Heart Association
 
peak oxygen uptake
 
psychological distress
 
psychological symptoms
 
psychosocial variables
 
routine clinical evaluations
 
significant relationship
 
State-Trait Anxiety Inventory