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Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses: a comparative study
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Linköping University.
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2005 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 7, no 4, p. 583-589Article in journal (Refereed) Published
Abstract [en]

Background:

Little is known about the factors that influence the health outcome of elderly patients suffering from heart failure or the health of their spouses. The aim of this comparative study was to determine if older patients suffering from heart failure and their spouses experience similar levels of health-related quality of life (HRQOL) and depression. The aim was also to identify those factors that contribute to HRQOL and depression in patient-spouse pairs.

Methods:

Data were collected from 47 couples, using the Short Form 36 (SF-36) and Zung Self-rating Depression Scale (SDS) questionnaires.

Results:

Patients suffering from heart failure and their spouses differed significantly in their experience of the physical, but not the mental, health-related quality of life, with patients experiencing significantly worse physical functioning. Physical symptoms of heart failure seemed to dominate the experience of the patient and was positively related to mental health and inversely related to the New York Heart Association classification (NYHA class) and patients' depression. Depressive symptoms as reflected in SDS showed no significant difference between patients and spouses. Patients' depression was positively related to high NYHA class, while spouse depression was positively related with higher age of the patient.

Conclusion:

Physical symptoms seem to dominate the experience of heart failure.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2005. Vol. 7, no 4, p. 583-589
Keywords [en]
Depression, Heart failure, Health-related quality of life, Patient-spouse pairs
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-3490DOI: 10.1016/j.ejheart.2004.07.016ISI: 000229723900022PubMedID: 15921798Scopus ID: 2-s2.0-19544391782OAI: oai:DiVA.org:hh-3490DiVA, id: diva2:291052
Available from: 2010-01-29 Created: 2009-12-01 Last updated: 2018-03-23Bibliographically approved
In thesis
1. The Couples' Experiences of Patients' Physical Limitation in Daily Life Activities and Effects of Physical Exercise in Primary Care when having Chronic Heart Failure
Open this publication in new window or tab >>The Couples' Experiences of Patients' Physical Limitation in Daily Life Activities and Effects of Physical Exercise in Primary Care when having Chronic Heart Failure
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to explore and describe couples’ experiences of patients’ physical limitation in activities of daily life and evaluate the effects of an exercise programme in primary care when having chronic heart failure (CHF). In Study I, a comparison between patients with CHF and their spouses was made regarding health-related quality of life and depression. Inthe thesis a comparison was also made between patients, spouses and specific age and gender matched norms. There were statistically significant differences in health-related quality of life between patients and spouses as well as between patients and their norms as in SF-36 scores. The deteriorated health-related quality of life in patients was most present in the physical component but also in social function in the mental component. There were no differences between patients and spouses in depression symptoms. In Study II, patients with CHF described their conceptions of physical limitation in daily life activities. A phenomenographic approach made it possible to identify variations of the conceptions and the referential aspects that emerged were: need of finding practical solutions in daily life, having realistic expectations about the future, not believing in one’s own ability and losing one’s social role in daily life. In Study III, spouses’ conceptions about the physical limitation in daily life activities in a loved one with CHF andthe impact these limitations had on their daily life were examined. The phenomenographic approach resulted in different referential aspects. These were: losing self-containment, missing communality, accommodating to the situation and finding satisfaction in life. Study IV aimed at determining effects of an exercise programme in primary care in elderly patients with CHF. The intervention period was 12 months with continuous exercise in the primary care centre and in the patients’ homes. Tests of physical capacity showed significant consistent improvement in the exercise group in arms and shoulders during the intervention and in the 6 minute walk test at 3 months compared to the control group. The physical dimension of Minnesota living with heart failure was significantly improved at 3 months and Euroqol5DVAS was significantly improved at 3 and 12 months in the exercise group compared to the control group. The thesis shows that patients and spouses conceive a variety of issues of physical limitation in daily life and the physical component of health-related quality of life is the most affected. The physical capacity in patients is possible to affect with an exercise programme in primary care and patient homes. The exercise programme is beneficial interms of physical capacity in the upper body and walked distance in 6 minutes.

Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, 2010. p. 122
Series
Dissertation Series. School of Health Sciences, ISSN 1654-3602 ; 12
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-16235 (URN)978-91-85835-11-9 (ISBN)
Public defence
2010-10-22, R4312, Halmstad Högskola, Halmstad, 11:51 (Swedish)
Opponent
Supervisors
Available from: 2011-09-14 Created: 2011-09-14 Last updated: 2018-03-22Bibliographically approved

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Pihl, EmmaJacobsson, AnnaFridlund, BengtMårtensson, Jan

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