A causal model of health-related quality of life in Thai patients with heart-failure.
Background: Heart failure is an increasing global health problem which adversely affects all aspects of a patient's health-related quality of life (HRQOL). Purpose: The hypothesized causal model of HRQOL in Thai heart-failure patients was based on Wilson and Cleary's HRQOL conceptual model. We exami...
| Publicado en: | Journal of Nursing Scholarship Vol. 40; no. 3; pp. 254 - 261 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
2008 3rd Quarter
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105682605&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105682605 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15276546 6QP jtl: Journal of Nursing Scholarship issn: 15276546 maglogo: Y pubinfo: dt: 2008 3rd Quarter vid: 40 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105682605 105682605 2010026242 10.1111/j.1547-5069.2008.00235.x NLM18840209 105682605 ppf: 254 ppct: 7 formats: tig: atl: A causal model of health-related quality of life in Thai patients with heart-failure. aug: au: Krethong P Jirapaet V Jitpanya C Sloan R affil: Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand sug: subj: Heart Failure Thailand Models, Theoretical Quality of Life Thailand Adult Aged Aged, 80 and Over Chi Square Test Coefficient alpha Correlational Studies Cross Sectional Studies Descriptive Research Descriptive Statistics Female Functional Status Funding Source Health Status Health Status Indicators Heart Failure Symptoms Male Medical Records Middle Age Probability Sample Quality of Life Evaluation Questionnaires Record Review Stratified Random Sample Structural Equation Modeling Summated Rating Scaling Support, Psychosocial Thailand Translations Visual Analog Scaling Human Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background: Heart failure is an increasing global health problem which adversely affects all aspects of a patient's health-related quality of life (HRQOL). Purpose: The hypothesized causal model of HRQOL in Thai heart-failure patients was based on Wilson and Cleary's HRQOL conceptual model. We examined causal relationships among bio-physiological status, symptoms, functional status, general health perception (GHP), and HRQOL shown in the model, and added an additional item-social support. Methods: A stratified four-stage random sampling method was used to obtain 422 heart-failure patients 18 years of age and older who visited nine outpatient hospital clinics from five regions of Thailand including metropolitan Bangkok. In addition to the participants' personal medical records, research instruments consisted of a personal information questionnaire, the Enhancing Recovery in Coronary Heart Disease Social Support Instrument, Cardiac Symptom Survey, the New York Heart Association functional classification system, a 100-mm horizontal visual analogue scale of GHP, and the Minnesota Living with Heart Failure Questionnaire. Data were analyzed using SPSS and AMOS computer programs. Results: The model fit well with the empirical data ([chi]2=19.87, =13, =0.10, GFI =0.99, and RMSEA=0.04). Symptom status was the most influential factor affecting HRQOL by both direct and indirect effects through functional status and GHP. Social support was the least influential factor affecting HRQOL. Social support had a negative direct effect on HRQOL, but had a positive indirect effect on HRQOL through symptom status and GHP. Conclusions: HRQOL was affected by each variable proposed in our causal model of HRQOL in Thai heart-failure patients. Symptom status had the strongest effect on HRQOL. Clinical Relevance: A comprehensive symptom management and prevention program that includes the described health outcome measures could lead to improved HRQOL for Thai heart-failure patients, and perhaps others. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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