J Korean Biol Nurs Sci.  2019 Feb;21(1):22-36. 10.7586/jkbns.2019.21.1.22.

An Integrative Review of Health-related Quality of Life in Patients with Advanced Heart Failure

• Son YJ
• Seo EJ

• KMID: 2441347
• DOI: http://doi.org/10.7586/jkbns.2019.21.1.22

Abstract

PURPOSE
Even though advanced heart failure (HF) severely affects the patient's health-related quality of life (HRQoL), there is little information regarding this issue. This review is aimed to describe the relevant clinical characteristics of patient with advanced HF and identify factors influencing HRQoL in these patients.
METHODS
Empirical articles were searched from electronic databases issued from January 2000 to June 2018 with using the key terms "˜heart failure' and "˜quality of life'. There were a total of 22 articles that met the inclusion criteria and were analyzed for this study.
RESULTS
First, nine studies among 22 studies clearly stated that their participants were samples of patients with advanced HF. Most reviewed studies showed the New York Heart Association (NYHA) class as the criteria for identifying advanced HF. Second, the level of HRQoL varied depending on the measurement tools utilized by the researchers. Third, the NYHA class, gender, and symptoms were mainly associated with HRQoL in patients with advanced HF. Also, nurse- or physician-led intervention, exercise, spiritual-focused intervention, and palliative care improved the HRQoL of the patients with advanced HF.
CONCLUSION
This study found that the clear application of criteria for advanced HF and the development of advanced HF-specific HRQoL measurement was needed. Prospective studies should be considered for identifying differences in the levels and factors influencing HRQoL in patients with early stage or advanced HF to design patient-centered care.

Keyword

Heart failure; Quality of life; Review literature as topic

MeSH Terms

Heart Failure*
Heart*
Humans
Palliative Care
Patient-Centered Care
Prospective Studies
Quality of Life*
Review Literature as Topic