Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

心力衰竭 生活质量(医疗保健) 医学 检查表 情感(语言学) 横断面研究 物理疗法 心脏病 内科学 心理学 护理部 病理 沟通 认知心理学
作者
Yu Wang,Qiaofang Yang,Yancun Liu,Gaigai Zheng,Fanghui Fan,Huan Tian,Xin Zhang
出处
期刊:Journal of Clinical Nursing [Wiley]
卷期号:33 (5): 1839-1848 被引量:6
标识
DOI:10.1111/jocn.16955
摘要

Abstract Aims To determine the contributions of different kinds of symptoms to the quality of life and mediating effect of psychological and physical symptoms between heart failure symptoms and quality of life. Design A multi‐centre cross‐sectional study. Methods 2006 chronic heart failure patients from four cities were recruited in China from January 2021 to December 2022. Patients' symptoms and quality of life were self‐reported, and data were analysed using correlation analysis, dominance analysis and mediating effects analysis. Results The dominance analysis revealed that the overall mean contributions of heart failure, psychological and physical symptoms were .083, .085 and .111; 29.5%, 30.2% and 39.5% of the known variance. And heart failure symptoms could negatively affect quality of life through psychological and physical symptoms, accounting for 28.39% and 22.95% of the total effect. Heart failure symptoms could also affect quality of life through the chain‐mediated effect of physical and psychological symptoms, accounting for 16.74%. Conclusions Physiological symptoms had the strongest effect on quality of life and heart failure symptoms had the weakest. Most of the effect for heart failure symptoms on quality of life in chronic heart failure patients was mediated by psychological and physiological symptoms. Relevance to Clinical Practice It is important to design non‐pharmacological intervention plans for the enhancement of physical and psychological symptoms' management skills, to reduce the adverse impact of heart failure symptoms on quality of life. Reporting Method Study methods and results reported in adherence to the STROBE checklist. No Patient or Public Contribution No patients or members of the public were involved in the study.
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