Evaluation of Illness Related Worries in Heart Failure Patients

Authors

  • Hossein Bagheri
  • Faride Yaghmaei
  • Tahere Ashktorab
  • Farid Zayeri

DOI:

https://doi.org/10.22100/jkh.v9i2.356

Keywords:

Illness related worries, Heart failure, Disease, Patient with heart failure

Abstract

Introduction: Heart failure is a major growing problem that affects not only patients but also their families and social networks and reduces the functional capacity of patients and impaires their social life. This study was conducted to investigate the illness related worries in heart failure patients.

Methods: In this descriptive, cross-sectional study, 130 patients with class II to IV heart failure were selected upon to researcher characteristics and in non randomized sampling from patients of Hazrate Rasoolakram, Imam Hossein and Shariati Hospital of Tehran in 2013. They completed demographic questionnaire and illness related worries questionnaire (IRWQ) and data were analyzed, using Statistical Package for Social Sciences (SPSS) version 19.

Results: Average age was 62± 13.9 year, 51.5% of them were illiterate and the average of their monthly income was less than one million toman per month (92.3 percent). The mean score of social dignity was 3.9± 1.1. The highest mean score were obtained for physical-psychological complications dimension and the lowest mean score, were obtained for worry about the future of the disease. ANOVA test revealed a significant difference in the mean of illness related worries in Patients, especially between physical-psychological complications and the future of the disease. Pearson statistic test showed significant correlation between age and illness related worries score and between disease severity and illness related worries score.

Conclusion: The results should be useful for planning of patients support, improving their care and treatment.

 

References

Yu DSF, Lee DTF, Kwong ANT, Thompson DR, Woo J. Living with chronic heart failure: A review of qualitative studies of older people. Journal of Advanced Nursing 2008;61(5):474-483.

Faith Pratt H, Nancy T, Lindsey M. The lived experience of heart failure at the end of life: A systematic literature review. Health & Social Work 2010;35(2):109-117.

Loyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G. Executive summary: heart disease and stroke statistics-2010 update: a report from the American Heart Association. Circulation 2010;121(7):948-954.

Gardetto NJ. Self-management in heart failure: where have we been and where should we go?. Journal of Multidisciplinary Healthcare 2011;4:39-51.

Wingate S, Wiegand DLM. End-of-life care in the critical care unit for patients with heart failure. Critical Care Nurse 2008;28(2):84-96.

Malek-Afzali H, Mehrabi Y. Population & health in Iran in future decades. Journal of Pejouhesh dar Pezeshki 2001;26(3):41-47.[Persian].

Hekmatpou D, Mohammadi E, Ahmadi F, Arefi S. The effectiveness of applying “making sensitivity to re-admission caring model" on controlling congestive heart failure complications among hospitalized patients in Tehran cardiovascular centers. Journal of Iran University of Medical Sciences 2009;17(75):33-50.[Persian].

Rahnavard Z, Zolfaghari M, Kazemnejad A, Hatamipour Kh. An investigation of quality of life and factors affecting it in the patients with congestive heart failure. HAYAT: The Journal of Tehran Faculty of Nursing and Midwifery 2006;12(1):77-86.[Persian].

Khawaja NG, Chapman D. Cognitive predictors of worry in a non-clinical population. Clinical Psychologist 2007;11(1):24-32.

Chochinov HM, Hack T, McClement S, Kristjanson L, Harlos M. Dignity in the terminally ill: An empirical model. Social & Science Medicine 2002;54(3):433-443.

Horne G, Payne Sh. Removing the boundaries: palliative care for patients with heart failure. Palliative Medicine 2004;18(4):291-296.

Ryana M, Farrelly M. Living with an unfixable heart: A qualitative study exploring the experience of living with advanced heart failure. European Journal of Cardiovascular Nursing 2009;8(3): 223-231

Zambroski CH, Kenticky L. Qualitative analysis of living HF. Heart & Lung 2003;32(1):32-40.

Dunderdale K, Thompson DR, Miles JN, Beer SF, Furze G. Quality of life measurement in chronic heart failure: Do we take account of the patient perspective?. European Journal Heart Failure 2005;7(4):572-582.

Pihl E, Fridlund B, Martensson J. Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure; A phenomenographic analysis. Scandinavian Journal of Caring Sciences 2010;25(1):3-11.

Song EK, Moser DK, Lennie TA. Relationship of depressive symptoms to the impact of physical symptoms on functional status in women with heart failure. American Journal of Critical Care 2010;18(4):348-356.

Molly GY, Jhonston DW, Witham MD. Familly care giving and CHF. Review and analysis. The Europian Journal of Heart Failure 2005;7(4):592-603.

Stromberg A, Jaarsma T. Thoughts about death and perceived health status in elderly patients with heart failure. European Journal of Heart Failure 2010;10(6):608-613.

Cortis JD, Williams A. Palliative and supportive needs of older adults with heart failure. International Nursing Review 2007;54(3):263-270.

Haghdoost A. Do you want understanding deeper the concept of sample size and power of statistical tests. Iranian Journal of Epidemiology 2009;5(1):57-63.[Persian].

Naing L, Winn T, Rusli BN. Practical issues in calculating the sample size for prevalence studies. Archives of Orofacial Sciences 2006;1:9-14.

Raphael C, Briscoe C, Davies J, Ian Whinnett Z, Manisty C, Sutton R, et al. Limitations of the New York heart association functional classification system and self-reported walking distances in chronic heart failure. Heart 2007;93(4):476-482.

Bagheri H, Yaghmaei F, Ashktorab T, Zayeri F. Factors associated with dignity in heart failure patients: Psychometric properties of dignity instruments and test of "Dignity Preserving Model". Thesis for PhD Degree in Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Science 2013.[Persian].

Bosworth HB, Steinhauser KE, Orr M, Lindquist JH, Grambow SC, Oddone EZ. Congestive heart failure patients' perceptions of quality of life: the integration of physical and psychosocial factors. Aging & Mental Health 2004;8(1):83-91.

Anderson H, Ward C, Eardley A, Gomm SA, Connolly M, Coppinger T, et al. The concerns of patients under palliative care and a heart failure clinic are not being met. Palliative Medicine 2001;15(4):279-286.

Sundin K, Bruce E, Barremo AS. Elderly women's experiences of support when living with congestive heart failure. International Journal of Qualitative Studies Health & Well-being 2010;5(2):5064.

Chochinov HM, Krisjanson LJ, Hack TF, Hassard T, McClement S, Harlos M. Dignity in the terminally ill: Revisited. Journal of Palliative Medicine 2006;9(3):666-672.

Salehitali Sh, Hasanpour-Dehkordi A, Hoseini-Hafshejani SM, Jafarei A. The effect of continuous home visits and health education on the rate of readmissions, referrals, and health care costs among discharged patients with heart failure. HAYAT: The Journal of Tehran Faculty of Nursing and Midwifery 2009;15(4):43-49.[Persian].

Blue L, Lang E, McMurray JJ, Davie AP, McDonagh TA, Murdoch DR, et al. Randomised controlled trial of specialist nurse intervention in heart failure. BMJ 2001;323(7315):715-718.

Abedi H, Yasaman-Alipour M, Abdeyazdan G. Quality of Life in heart failure patients referred to the Kerman outpatient centers. Journal of Shahrekord University of Medical Sciences 2011;13(5):55-63.[Persian].

Moser DK. Psychosocial factors and their association with clinical outcomes in patients with heart failure: Why clinicians do not seem to care. European Journal of Cardiovascular Nursing 2002;1(3):183-188.

Oleary N, Murphy NF, Oloughlin C, Tiernan E, McDonald K. A comparative study of the palliative care needs of heart failure and cancer patients. European Journal of Heart Failure 2009;11(4):406-412.

Chattoo S, Atkin KM. Extending specialist palliative care to people with heart failure: Semantic, historical and practical limitations to policy guidelines. Social Science & Medicine 2009;69(2):147-153.

Published

2014-03-20

Issue

Section

Original Article(s)

How to Cite

Evaluation of Illness Related Worries in Heart Failure Patients. (2014). Knowledge and Health in Basic Medical Sciences, 9(2), Page:40-46. https://doi.org/10.22100/jkh.v9i2.356