<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Objective</h3>
<p>To determine factors that affect the health-related quality of life (HRQOL) of congestive heart failure (CHF) patients with preserved and reduced ejection fraction.</p>
</sec>
<sec>
<h3>Methods</h3>
<p>A cross-sectional study design was used for this study. The stratified random sampling was applied for each subgroup. HRQOL was measured with the Minnesota Living with Heart Failure Questionnaire. The data were analyzed using chi-square, Spearman’s correlation analysis, and independent <italic>t</italic>-test.</p>
</sec>
<sec>
<h3>Results</h3>
<p>A number of 67 respondents participated in the recent study. The total mean scores of HRQOL were significantly different (<italic>P</italic> = 0.001) between heart failure (HF) patients with reduced and preserved ejection fractions, 41.07 ± 7.54 and 54.97 ± 4.36, respectively. It related with the physical (mean ± standard deviation [SD] = 10.4 ± 2.14; <italic>t</italic> = −10.08, 95% CI = −12.46 to −8.34; <italic>P</italic>-value = 0.001) and psychological (mean ± SD = 3.5 ± 0.5; <italic>t</italic> = −6.68, 95% CI = −4.55 to −2.45; <italic>P</italic>-value = 0.001) domain. Strong correlation was found between age (<italic>r</italic> = −0.898, <italic>P</italic> &lt; 0.05), NYHA functional classes (<italic>r</italic> = −0.858, <italic>P</italic> &lt; 0.01), duration of HF (<italic>r</italic> = −0.807, <italic>P</italic> &lt; 0.01), family support (<italic>r</italic> = 0.927, <italic>P</italic> &lt; 0.01), and quality of life (QoL).</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>HRQOL in HF patients with reduced ejection fraction was higher than in those with preserved ejection fraction. Family support is a further determinant factor that has a positive correlation to the QoL.</p>
</sec>
</abstract>

Objective
To determine factors that affect the health-related quality of life (HRQOL) of congestive heart failure (CHF) patients with preserved and reduced ejection fraction.


Methods
A cross-sectional study design was used for this study. The stratified random sampling was applied for each subgroup. HRQOL was measured with the Minnesota Living with Heart Failure Questionnaire. The data were analyzed using chi-square, Spearman’s correlation analysis, and independent t-test.


Results
A number of 67 respondents participated in the recent study. The total mean scores of HRQOL were significantly different (P = 0.001) between heart failure (HF) patients with reduced and preserved ejection fractions, 41.07 ± 7.54 and 54.97 ± 4.36, respectively. It related with the physical (mean ± standard deviation [SD] = 10.4 ± 2.14; t = −10.08, 95% CI = −12.46 to −8.34; P-value = 0.001) and psychological (mean ± SD = 3.5 ± 0.5; t = −6.68, 95% CI = −4.55 to −2.45; P-value = 0.001) domain. Strong correlation was found between age (r = −0.898, P < 0.05), NYHA functional classes (r = −0.858, P < 0.01), duration of HF (r = −0.807, P < 0.01), family support (r = 0.927, P < 0.01), and quality of life (QoL).


Conclusions
HRQOL in HF patients with reduced ejection fraction was higher than in those with preserved ejection fraction. Family support is a further determinant factor that has a positive correlation to the QoL.

Health-related quality of life among congestive heart failure patients with preserved and reduced ejection fraction

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Objective
To determine factors that affect the health-related quality of life (HRQOL) of congestive heart failure (CHF) patients with preserved and reduced...

Characteristics	HFrEF		HFpEF
Characteristics	Frequency (n)	Percentage (%)	Frequency (n)	Percentage (%)
Age (years old)	55.67 (11.10)
25–35	12	9.0	10	7.5
36–45	16	11.9	12	9.0
46–55	30	22.4	34	25.4
56–65	16	11.9	4	2.9
Gender
Man	54	40.3	28	20.9
Woman	20	14.9	32	23.9
Employment status
Unemployment	45	33.6	35	26.1
Employment	29	21.6	25	18.7
Education level
Low	40	29.9	30	22.4
Intermediate	30	22.4	28	20.9
High	4	2.9	2	1.5
NYHA functional class
NYHA I	8	6.0	0	0
NYHA II	52	38.8	0	0
NYHA III	14	10.4	28	20.9
NYHA IV	0	0	32	23.9
Number of years having Congestive HF disease (months)	18.05 (11.63)
1–12	66	49.2	10	7.5
13–24	6	4.5	12	9.0
25–36	2	1.5	34	25.3
37–48	0	0	2	1.5
>60	0	0	2	1.5
Ejection fraction	74	55.2	60	44.8
Family support
High	34	25.4	30	22.4
Low	40	29.9	30	22.3

HRQOL Sub-Scale	Mean (SD)	HFrEF (<40%)	HFpEF (≥50%)	t	Sig.*	95% CI
Physical	32.61 ± 6.67	26.87 ± 5.25	37.27 ± 3.11	−10.08	0.001	−12.46 to −8.34
Psychological	16.13 ± 2.75	14.20 ± 2.39	17.70 ± 1.89	−6.68	0.001	−4.55 to −2.45
Total	48.75 ± 9.16	41.07 ± 7.54	54.97 ± 4.36	−16.84	0.001	−16.84 to −9.45

Categorical	Coefficient correlation	Sig.*
Age (years)	−0.898	0.030^a**
Gender	–	0.322^b
Level of education	–	0.068^b
Duration of the disease	−0.807	0.001^a*
NYHA functional class	–	0.007^a*
Family support	0.927	0.001^a*

Health-related quality of life among congestive heart failure patients with preserved and reduced ejection fraction

Article Category: Original article

Published Online: Mar 26, 2024

Page range: 111 - 118

Received: Mar 18, 2023

Accepted: Sep 22, 2023

DOI: https://doi.org/10.2478/fon-2024-0012

Keywords
ejection fraction, family support, heart failure, quality of life, social support

© 2024 Dian Hudiyawati et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Sociodemographic characteristics, medical condition, and family support of HF patients.

The association between HRQOL with the reduced and preserved ejection fraction.

Associations between demographic data, medical condition, family support, and HRQOL.

Health-related quality of life among congestive heart failure patients with preserved and reduced ejection fraction

Article Category: Original article

Published Online: Mar 26, 2024

Page range: 111 - 118

Received: Mar 18, 2023

Accepted: Sep 22, 2023

DOI: https://doi.org/10.2478/fon-2024-0012

Keywordsejection fraction, family support, heart failure, quality of life, social support

© 2024 Dian Hudiyawati et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Sociodemographic characteristics, medical condition, and family support of HF patients.

The association between HRQOL with the reduced and preserved ejection fraction.

Associations between demographic data, medical condition, family support, and HRQOL.

Keywords
ejection fraction, family support, heart failure, quality of life, social support