Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study.
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download There are indications that economic crises can affect public health. The aim of this study was to describe characteri...
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Online Access: | http://hdl.handle.net/2336/620883 https://doi.org/10.1002/ehf2.12369 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620883 2023-05-15T16:52:47+02:00 Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. Ketilsdottir, Audur Ingadottir, Brynja Jaarsma, Tiny 1 Department of Medical Services, Landspitali University Hospital, Reykjavik, Iceland. 2 Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland. 3 Department of Surgical Services, Landspitali University Hospital, Reykjavik, Iceland. 4 Division of Nursing Science, Department of Social and Welfare Studies, Faculty of Medicine and Health Sciences, Linköping University, Sweden. 2019-04 http://hdl.handle.net/2336/620883 https://doi.org/10.1002/ehf2.12369 en eng Wiley https://onlinelibrary.wiley.com/doi/pdf/10.1002/ehf2.12369 Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. 2019, 6(1):111-121 ESC Heart Fail 2055-5822 30338668 doi:10.1002/ehf2.12369 http://hdl.handle.net/2336/620883 ESC heart failure Open Access - Opinn aðgangur ESC heart failure Heart failure Knowledge Patient-reported outcome measures Quality of life Self-care Symptoms Iceland Self Report Economic Recession Article 2019 ftlandspitaliuni https://doi.org/10.1002/ehf2.12369 2022-05-29T08:22:25Z To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download There are indications that economic crises can affect public health. The aim of this study was to describe characteristics, health status, and socio-economic status of outpatient heart failure (HF) patients several years after a national economic crisis and to assess whether socio-economic factors were associated with patient-reported outcome measures (PROMs). In this cross-sectional survey, PROMs were measured with seven validated instruments, as follows: self-care (the 12-item European Heart Failure Self-Care Behaviour scale), HF-related knowledge (Dutch Heart Failure Knowledge Scale), symptoms (Edmonton Symptom Assessment System), sense of security (Sense of Security in Care-'Patients' evaluation'), health status (EQ-5D visual analogue scale), health-related quality of life (HRQoL) (Kansas City Cardiomyopathy Questionnaire), and anxiety and depression (Hospital Anxiety and Depression Scale). Additional data were collected on access and use of health care, household income, demographics, and clinical status. The patients' (n = 124, mean age 73 ± 14.9, 69% male) self-care was low for exercising (53%) and weight monitoring (50%) but optimal for taking medication (100%). HF-specific knowledge was high (correct answers 12 out of 15), but only 38% knew what to do when symptoms worsened suddenly. Patients' sense of security was high (>70% had a mean score of 5 or 6, scale 1-6). The most common symptom was tiredness (82%); 12% reported symptoms of anxiety, and 18% had symptoms of depression. Patients rated their overall health (EQ-5D) on average at 65.5 (scale 0-100), and 33% had poor or very bad HRQoL. The monthly income per household was <€3900 for 84% of the patients. A total of 22% had difficulties making appointments with a general practitioner (GP), and 5% had no GP. On average, patients paid for six health care-related items, ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive ESC Heart Failure 6 1 111 121 |
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Open Polar |
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Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Heart failure Knowledge Patient-reported outcome measures Quality of life Self-care Symptoms Iceland Self Report Economic Recession |
spellingShingle |
Heart failure Knowledge Patient-reported outcome measures Quality of life Self-care Symptoms Iceland Self Report Economic Recession Ketilsdottir, Audur Ingadottir, Brynja Jaarsma, Tiny Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
topic_facet |
Heart failure Knowledge Patient-reported outcome measures Quality of life Self-care Symptoms Iceland Self Report Economic Recession |
description |
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download There are indications that economic crises can affect public health. The aim of this study was to describe characteristics, health status, and socio-economic status of outpatient heart failure (HF) patients several years after a national economic crisis and to assess whether socio-economic factors were associated with patient-reported outcome measures (PROMs). In this cross-sectional survey, PROMs were measured with seven validated instruments, as follows: self-care (the 12-item European Heart Failure Self-Care Behaviour scale), HF-related knowledge (Dutch Heart Failure Knowledge Scale), symptoms (Edmonton Symptom Assessment System), sense of security (Sense of Security in Care-'Patients' evaluation'), health status (EQ-5D visual analogue scale), health-related quality of life (HRQoL) (Kansas City Cardiomyopathy Questionnaire), and anxiety and depression (Hospital Anxiety and Depression Scale). Additional data were collected on access and use of health care, household income, demographics, and clinical status. The patients' (n = 124, mean age 73 ± 14.9, 69% male) self-care was low for exercising (53%) and weight monitoring (50%) but optimal for taking medication (100%). HF-specific knowledge was high (correct answers 12 out of 15), but only 38% knew what to do when symptoms worsened suddenly. Patients' sense of security was high (>70% had a mean score of 5 or 6, scale 1-6). The most common symptom was tiredness (82%); 12% reported symptoms of anxiety, and 18% had symptoms of depression. Patients rated their overall health (EQ-5D) on average at 65.5 (scale 0-100), and 33% had poor or very bad HRQoL. The monthly income per household was <€3900 for 84% of the patients. A total of 22% had difficulties making appointments with a general practitioner (GP), and 5% had no GP. On average, patients paid for six health care-related items, ... |
author2 |
1 Department of Medical Services, Landspitali University Hospital, Reykjavik, Iceland. 2 Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland. 3 Department of Surgical Services, Landspitali University Hospital, Reykjavik, Iceland. 4 Division of Nursing Science, Department of Social and Welfare Studies, Faculty of Medicine and Health Sciences, Linköping University, Sweden. |
format |
Article in Journal/Newspaper |
author |
Ketilsdottir, Audur Ingadottir, Brynja Jaarsma, Tiny |
author_facet |
Ketilsdottir, Audur Ingadottir, Brynja Jaarsma, Tiny |
author_sort |
Ketilsdottir, Audur |
title |
Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
title_short |
Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
title_full |
Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
title_fullStr |
Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
title_full_unstemmed |
Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
title_sort |
self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. |
publisher |
Wiley |
publishDate |
2019 |
url |
http://hdl.handle.net/2336/620883 https://doi.org/10.1002/ehf2.12369 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
ESC heart failure |
op_relation |
https://onlinelibrary.wiley.com/doi/pdf/10.1002/ehf2.12369 Self-reported health and quality of life outcomes of heart failure patients in the aftermath of a national economic crisis: a cross-sectional study. 2019, 6(1):111-121 ESC Heart Fail 2055-5822 30338668 doi:10.1002/ehf2.12369 http://hdl.handle.net/2336/620883 ESC heart failure |
op_rights |
Open Access - Opinn aðgangur |
op_doi |
https://doi.org/10.1002/ehf2.12369 |
container_title |
ESC Heart Failure |
container_volume |
6 |
container_issue |
1 |
container_start_page |
111 |
op_container_end_page |
121 |
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1766043200038895616 |