Kvalita života u pacientů s chronickým srdečním selháním

Abstract

Our goal was to establish the level of life quality in patients with chronic heart failure (CHF), and to find out whether there was a connection between their gender, socio-demographic status, BMI, number of comorbidities, NYHA class, treatment regime, time of treatment, age, and quality of life. Methods: This research was conducted in 2018 at cardiology outpatient wards in patients with CHF using the standardized Minnesota Living with Heart Failure Questionnaire (MLHFQ). In order to perform complex monitoring of the relations among the variables within the study we conducted regression analysis, however, in exploratory regime as a descriptive technique, and so regardless of the value of statistical significance, and without an attempt to generalize. The model was realized using the ENTER method. Our goal was to include all of the above variables in it. We then estimated the relative power of influence using a standardized beta coefficient. Results: Based on the values of this coefficient we can say that an increasing NYHA class, and being a male disabled retiree has the most significant influence on life quality. Adherence to the treatment regime does not have a significant impact on life quality; in fact, strict adherence to it may even result in its worsening. Conclusions: For patients with a different NYHA class, treatment goals may differ. It is important for them to be aware of the fact that even if adherence to the treatment regime interferes with their quality of life, adherence to it is necessary in order to slow down the progress of this serious disease. © 2019 The Authors.