The correlation between symptom and daily functional status in hospitalized patients with heart failure

• Main Authors: Chiung-Huei Tsai, 蔡瓊慧
• Other Authors: Hui-Chen Tseng
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/27573759114749736091

碩士 === 高雄醫學大學 === 護理學系碩士班 === 105 === Heart failure is a progressive chronic disease that lasts a lifetime, a mutual and final condition of all heart diseases. More than 90% heart failure patients experience 2 to 6 physical symptoms, which not only affect the physiology, psychology, and life qualities of patients but also impose burdens on their families and the society, having an impact on the function status of their daily activities. Exploring the related factors of the function status of heart failure patients’ daily activities can serve as a reference for future care service. The aims of this study included: (1)to explor the personal attributes, symptoms, and daily function status of heart failure patients; (2)to investigate the difference between personal attributes of heart failure patients and heart failure symptoms; (3) to investigate the difference between personal attributes of heart failure patients and daily function status; (4)to investigate the correlation between the symptoms and daily function status of heart failure patients; (5) to investigate the predictors of influcing the daily function status of heart failure patients. The study was a cross-sectional correlational study, and it adopted a convenience sampling. The research subjects were the heart failure patients in the medical ward of a medical center in Tainan City, and 110 patients were collected. The researcher read the medical records, collected the data records of the patients, and interviewed survey questionnaires, which included personal information, Mmorial Symptoms Asscement Scale - Heart Failure, and a survey on daily function status. The reliability and validity of the assessment tools were tested, including internal consistency reliability, test-retest reliability, face validity, and. The data received was analyzed with percentage, mean, Standard Deviation, T-test, one-way analysis of variance (ANOVA) , Pearson product-moment correlation, and Stepwise multiple regression by the softwares of SPSS 18.0, JMP 12. The findings of the study were as following: (1) the top 5 symptoms of heart failure were shortness of breath, limitations on physical strength, feeling out of breath and waking up at night, dyspnea when lying down, and swelling in legs or arms; (2) there were significant statistics differences between symptoms and daily function status because of the classification of New York Heart association of heart failure, age, levels of education, numbers of chronic diseases , employment status, and sleep conditions; (3) regarding the scores in the Memorial Symptoms Asscement Scale-Heart Failure Tool, frequency of symptom occurrence was 73/440, level of severity 58/440, and degree of distress 58/440, which were low level influence on the heart failure patients; (4) daily function status and Activities of Daily Living (ADL): 63.3score, Instrumental Activities of Daily Living (IADL): 44.1 score, mental health: 48.6 score, and social roles and functions: 50.6 score, which belonged to the low conditions of daily life; (5) the classification of New York Heart association of heart failure, age, frequency of symptom occurrence, hours of sleep, and occupation on the patients were the predictors that affected the function status of Activities of Daily Living (ADL), and they explained 49% of the total variance of ADL. Frequency of symptom occurrence, the classification of New York Heart association of heart failure, occupation, hours of sleep, and age were the predictors that affected the function ststus of Instrumental Activities of Daily Living (IADL), and they explained 57% of the total variance of IADL. Frequency of symptom occurrence was the predictor that affected the function status of mental health, explaining 19% of the total variance. Frequency of symptom occurrence, occupation, hours of sleep, and the classification of New York Heart association of heart failure were the predictors that affected the function status of social roles and functions, explaining 60% of the total variance. The results of this study, which probed into the symptoms and daily function status of heart failure inpatients, could provide the reference of clinical care with empirical data, help the evaluation of discharge planning, and serve as the reference for care service to promote the quality of life of patients.