Quality of life of patients suffering from chronic heart failure in Central Portugal

Detalhes bibliográficos
Autor(a) principal: Santiago, Luiz Miguel
Data de Publicação: 2024
Outros Autores: Fernandes, João Vitor, Pestana, João, Garcia, Raul
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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spelling 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
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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
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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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
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