Quality of life of patients suffering from chronic heart failure in Central Portugal
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.32385/rpmgf.v40i3.13711 |
Resumo: | Objectives: To evaluate chronic heart failure patient’s (PSCHF) quality of life (QoL) and to ascertain its relationship with context variables, comparing results between a generic and a specific QoL measurement tool. Methods: Observational cross-sectional study, in a convenience sample of PSCHF in 2022, applying in self-fulfilment, with the investigator’s help if requested, the Euro Quality of Life Instrument – 5D (EQ5D-3l), the Kansas City Cardiomyopathy Questionnaire (KCCQ) and context variables in the General Practice/Family setting, in random days. Good or bad QoL according to the median value. EQ5D-3l was studied according to the Portuguese norm. Results: A n=50 sample, n=29 (58%) women, mean age 74.1±8.9 years, was studied. Significant differences were found for the level of studies, inferior for women (p=0.019). For 40% of PSCHF, there was unfamiliarity of suffering from it. Spearman correlation, between the EQ-5D-3L score and the QoL-specific domain of KCCQ, was ρ=0.452, p=0.001, and between EQ-5D-3L score and the KCCQ Overall Summary Scale, ρ=0.556, p<0.001. For the arbitrary categories of the KCCQ Overall Summary Scale (p=0.189) and the EQ5D3l Portuguese norm (p=0.242), between genders, there was no difference, with females showing worse results. Discussion: Instruments for measuring the therapeutic results and health consequences in PSCHF can change the actual paradigm of CHF treatment, QoL in PSCHF being one of those changes, and doctors becoming aware of PSCHF’s personal and social determinants. Conclusion: Bad QoL was revealed for 70.0% of this sample and bad QoL for PSCHF for 50.0%, females with worse results. EQ-5D is easier to apply in a consultation ambiance, with only five questions, with KCCQ being more specific for PSCHF. |
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Quality of life of patients suffering from chronic heart failure in Central PortugalQualidade de vida em doentes com insuficiência cardíaca no Centro de PortugalChronic heart failureGeneral practiceQuality of lifeInsuficiência cardíaca crónicaMedicina geral e familiarQualidade de vidaObjectives: To evaluate chronic heart failure patient’s (PSCHF) quality of life (QoL) and to ascertain its relationship with context variables, comparing results between a generic and a specific QoL measurement tool. Methods: Observational cross-sectional study, in a convenience sample of PSCHF in 2022, applying in self-fulfilment, with the investigator’s help if requested, the Euro Quality of Life Instrument – 5D (EQ5D-3l), the Kansas City Cardiomyopathy Questionnaire (KCCQ) and context variables in the General Practice/Family setting, in random days. Good or bad QoL according to the median value. EQ5D-3l was studied according to the Portuguese norm. Results: A n=50 sample, n=29 (58%) women, mean age 74.1±8.9 years, was studied. Significant differences were found for the level of studies, inferior for women (p=0.019). For 40% of PSCHF, there was unfamiliarity of suffering from it. Spearman correlation, between the EQ-5D-3L score and the QoL-specific domain of KCCQ, was ρ=0.452, p=0.001, and between EQ-5D-3L score and the KCCQ Overall Summary Scale, ρ=0.556, p<0.001. For the arbitrary categories of the KCCQ Overall Summary Scale (p=0.189) and the EQ5D3l Portuguese norm (p=0.242), between genders, there was no difference, with females showing worse results. Discussion: Instruments for measuring the therapeutic results and health consequences in PSCHF can change the actual paradigm of CHF treatment, QoL in PSCHF being one of those changes, and doctors becoming aware of PSCHF’s personal and social determinants. Conclusion: Bad QoL was revealed for 70.0% of this sample and bad QoL for PSCHF for 50.0%, females with worse results. EQ-5D is easier to apply in a consultation ambiance, with only five questions, with KCCQ being more specific for PSCHF.Objetivo: Avaliar e comparar a qualidade de vida (QdV) genérica e específica de doentes sofrendo de insuficiência cardíaca (DIC) e verificar a sua relação com elementos sociodemográficos e de morbilidade. Métodos: Estudo observacional transversal em amostra de conveniência de DIC, em 2022, aplicando o Euro Quality of Life Instrument – 5D (EQ5D-3l) e o Kansas City Cardiomyopathy Questionnaire (KCCQ) e perguntas de contexto sociodemográfico e de morbilidade, em dias selecionados, em autopreenchimento com ajuda de investigador, se solicitado, em ambiente de medicina geral e familiar. A QdV genérica foi tratada de acordo com a norma para a população portuguesa e a específica para DIC segundo a mediana. Resultados: Em amostra de 50 DIC, 29 (58,0%) eram mulheres; a idade média foi de 74,1±8,9 anos. O sexo feminino tinha menor nível de instrução (p=0,019). Para 20 DIC (40,0%) havia desconhecimento de ser DIC, em ambos os sexos. Verificou-se moderada e significativa correlação entre o score EQ-5D-3L e o domínio específico da QdV de KCCQ (ρ=0,452; p=0,001) e entre o score EQ-5D-3L e o KCCQ Overall Summary Scale (ρ=0,556; p<0,001). A distribuição por sexos das classes arbitrárias KCCQ e da distribuição EQ-5D-3l pela norma portuguesa foi não significativa, tendo a mulher sempre pior QdV. Discussão: O uso periódico de instrumentos que avaliam as consequências em saúde da terapêutica em DICs pode transformar o paradigma atual da terapêutica da insuficiência cardíaca (IC), sendo um deles a QdV, estando os médicos atentos a variáveis pessoais e sociais. Conclusão: Nesta amostra de 50 DICs, 70,0% apresentou má QdV genérica e 50,0% má QdV específica na IC, com piores resultados no sexo feminino.Associação Portuguesa de Medicina Geral e Familiar2024-07-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.32385/rpmgf.v40i3.13711https://doi.org/10.32385/rpmgf.v40i3.13711Portuguese Journal of Family Medicine and General Practice; Vol. 40 No. 3 (2024): Revista Portuguesa de Medicina Geral e Familiar; 210-8Revista Portuguesa de Medicina Geral e Familiar; Vol. 40 Núm. 3 (2024): Revista Portuguesa de Medicina Geral e Familiar; 210-8Revista Portuguesa de Medicina Geral e Familiar; Vol. 40 N.º 3 (2024): Revista Portuguesa de Medicina Geral e Familiar; 210-82182-51812182-517310.32385/rpmgf.v40i3reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://rpmgf.pt/ojs/index.php/rpmgf/article/view/13711https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13711/11956Direitos de Autor (c) 2024 Revista Portuguesa de Medicina Geral e Familiarhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessSantiago, Luiz MiguelSantiago, Luiz MiguelFernandes, João VitorPestana, JoãoGarcia, Raul2024-09-17T12:00:43Zoai:ojs.rpmgf.pt:article/13711Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-17T12:00:43Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Quality of life of patients suffering from chronic heart failure in Central Portugal Qualidade de vida em doentes com insuficiência cardíaca no Centro de Portugal |
title |
Quality of life of patients suffering from chronic heart failure in Central Portugal |
spellingShingle |
Quality of life of patients suffering from chronic heart failure in Central Portugal Santiago, Luiz Miguel Chronic heart failure General practice Quality of life Insuficiência cardíaca crónica Medicina geral e familiar Qualidade de vida |
title_short |
Quality of life of patients suffering from chronic heart failure in Central Portugal |
title_full |
Quality of life of patients suffering from chronic heart failure in Central Portugal |
title_fullStr |
Quality of life of patients suffering from chronic heart failure in Central Portugal |
title_full_unstemmed |
Quality of life of patients suffering from chronic heart failure in Central Portugal |
title_sort |
Quality of life of patients suffering from chronic heart failure in Central Portugal |
author |
Santiago, Luiz Miguel |
author_facet |
Santiago, Luiz Miguel Fernandes, João Vitor Pestana, João Garcia, Raul |
author_role |
author |
author2 |
Fernandes, João Vitor Pestana, João Garcia, Raul |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santiago, Luiz Miguel Santiago, Luiz Miguel Fernandes, João Vitor Pestana, João Garcia, Raul |
dc.subject.por.fl_str_mv |
Chronic heart failure General practice Quality of life Insuficiência cardíaca crónica Medicina geral e familiar Qualidade de vida |
topic |
Chronic heart failure General practice Quality of life Insuficiência cardíaca crónica Medicina geral e familiar Qualidade de vida |
description |
Objectives: To evaluate chronic heart failure patient’s (PSCHF) quality of life (QoL) and to ascertain its relationship with context variables, comparing results between a generic and a specific QoL measurement tool. Methods: Observational cross-sectional study, in a convenience sample of PSCHF in 2022, applying in self-fulfilment, with the investigator’s help if requested, the Euro Quality of Life Instrument – 5D (EQ5D-3l), the Kansas City Cardiomyopathy Questionnaire (KCCQ) and context variables in the General Practice/Family setting, in random days. Good or bad QoL according to the median value. EQ5D-3l was studied according to the Portuguese norm. Results: A n=50 sample, n=29 (58%) women, mean age 74.1±8.9 years, was studied. Significant differences were found for the level of studies, inferior for women (p=0.019). For 40% of PSCHF, there was unfamiliarity of suffering from it. Spearman correlation, between the EQ-5D-3L score and the QoL-specific domain of KCCQ, was ρ=0.452, p=0.001, and between EQ-5D-3L score and the KCCQ Overall Summary Scale, ρ=0.556, p<0.001. For the arbitrary categories of the KCCQ Overall Summary Scale (p=0.189) and the EQ5D3l Portuguese norm (p=0.242), between genders, there was no difference, with females showing worse results. Discussion: Instruments for measuring the therapeutic results and health consequences in PSCHF can change the actual paradigm of CHF treatment, QoL in PSCHF being one of those changes, and doctors becoming aware of PSCHF’s personal and social determinants. Conclusion: Bad QoL was revealed for 70.0% of this sample and bad QoL for PSCHF for 50.0%, females with worse results. EQ-5D is easier to apply in a consultation ambiance, with only five questions, with KCCQ being more specific for PSCHF. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-07-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.32385/rpmgf.v40i3.13711 https://doi.org/10.32385/rpmgf.v40i3.13711 |
url |
https://doi.org/10.32385/rpmgf.v40i3.13711 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13711 https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13711/11956 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2024 Revista Portuguesa de Medicina Geral e Familiar http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2024 Revista Portuguesa de Medicina Geral e Familiar http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Associação Portuguesa de Medicina Geral e Familiar |
publisher.none.fl_str_mv |
Associação Portuguesa de Medicina Geral e Familiar |
dc.source.none.fl_str_mv |
Portuguese Journal of Family Medicine and General Practice; Vol. 40 No. 3 (2024): Revista Portuguesa de Medicina Geral e Familiar; 210-8 Revista Portuguesa de Medicina Geral e Familiar; Vol. 40 Núm. 3 (2024): Revista Portuguesa de Medicina Geral e Familiar; 210-8 Revista Portuguesa de Medicina Geral e Familiar; Vol. 40 N.º 3 (2024): Revista Portuguesa de Medicina Geral e Familiar; 210-8 2182-5181 2182-5173 10.32385/rpmgf.v40i3 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817547201266581504 |