Social support and its association with health-related quality of life among older patients with chronic heart failure
Social support and its association with health-related quality of life among older patients with chronic heart failure
复制标题
DOI：
10.1177/1474515111432997
复制
发表时间：
2013-02-01
影响因子：
2.9
通讯作者：
Blomqvist, Kerstin
中科院分区：
文献类型：
--
作者：
Arestedt, Kristofer;Saveman, Britt-Inger;Blomqvist, Kerstin
背景：众所周知，社会支持通常会影响健康相关生活质量（HRQoL），但在老年慢性心力衰竭患者中，这种关联尚未得到充分探究。
目的：（1）描述老年慢性心力衰竭患者的社会支持情况，并与性别相关联。（2）研究年龄、性别、同居情况、感知的经济状况以及疾病严重程度是否与社会支持相关。（3）在控制年龄、性别和疾病严重程度后，研究社会支持是否与健康相关生活质量相关。
方法：从349名（≥65岁）慢性心力衰竭患者样本中收集数据。使用《明尼苏达心力衰竭生活质量问卷》和《12项简短健康调查问卷》测量患者的健康相关生活质量。使用《社会交往访谈量表》测量社会支持。采用描述性统计、重复测量方差分析以及具有稳健标准误的多元线性回归分析对数据进行分析。
结果：社会支持总体评价较高，尽管男性、独居、感知经济状况有问题以及疾病严重程度高（纽约心脏协会分级）与较低水平的社会支持相关。年龄与社会支持无关。社会支持总体上与健康相关生活质量相关，尤其是情感维度。
结论：在护理老年心力衰竭患者时考虑社会支持对于改善或维持健康相关生活质量可能具有重要意义。
Background: Social support is generally known to influence health-related quality of life (HRQoL), but this association is not well explored among older patients with chronic heart failure.Aims: (1) To describe social support in older patients with chronic heart failure in relation to gender. (2) To investigate if age, gender, cohabitation, perceived financial situation, and disease severity are associated with social support. (3) To investigate if social support is associated with HRQoL after controlling for age, gender, and disease severity.Methods: Data were collected in a sample of 349 patients (>= 65 years) with chronic heart failure. Patients' HRQoL was measured with the Minnesota Living with Heart Failure Questionnaire and the Short Form-12 Health Survey Questionnaire. The Interview Schedule for Social Interaction measured social support. Data were analysed with descriptive statistics, repeated-measure ANOVA, and multiple linear regression analyses with robust standard errors.Results: Social support was generally rated high, although being a man, living alone, perceiving a problematic financial situation, and high disease severity (NYHA) were associated with lower levels of social support. Age was not associated with social support. Social support was generally associated with HRQoL, in particular the emotional dimensions.Conclusion: Taking social support into account when caring for older patients with heart failure can be of importance for improving or maintaining HRQoL.