Social support and health-related quality of life in chronic heart failure patients
Social support and health-related quality of life in chronic heart failure patients
复制标题
DOI：
10.1023/a:1013815825500
复制
发表时间：
2001-01-01
影响因子：
3.5
通讯作者：
Murray, MD
中科院分区：
文献类型：
--
作者：
Bennett, SJ;Perkins, SM;Murray, MD
目的：本研究的目的是：（1）描述心力衰竭患者在基线住院期间和12个月后感知的社会支持;（2）检查社会支持的差异，作为性别和年龄（小于65岁和65岁或以上）的函数;（3）检查社会支持作为健康相关生活质量的预测因子。背景资料：社会支持是健康和死亡率的预测因子，但对心力衰竭患者的支持模式及其如何影响生活质量知之甚少。研究方法：样本包括227名在基线时完成社会支持调查和慢性心力衰竭问卷的心力衰竭住院患者; 147名患者在基线后12个月再次完成这些问卷。结果如下：平均基线和12个月总支持评分分别为56和53，76分表示对支持的最积极看法。方差分析表明，性别与年龄之间存在显著的相互作用，包括总支持（F = 5.04; p = 0.03）、情感/信息支持（F = 4.87; p = 0.03）和积极的社会互动（F = 4.43; p = 0.04），65岁以下的男性比65岁及以上的男性和任何一个年龄组的女性获得的支持都少。基线支持不能预测12个月的健康相关生活质量，但社会支持的变化可显著预测健康相关生活质量的变化（R-2 = 0.14）。结论：总体而言，支持的看法是中等偏高，但随着时间的推移，看法有很大的变化。65岁以下的男性报告的支持比其他患者群体少。重要的是，社会支持的变化是健康相关生活质量变化的重要预测因素。
Objectives: Objectives of this study were to: (1) describe perceived social support during a baseline hospitalization and 12 months later among heart failure patients; (2) examine differences in social support as a function of gender and age (less than 65 and 65 years or older); and (3) examine social support as a predictor of health-related quality of life. Background: Social support is a predictor of well-being and mortality, but little is known about support patterns among heart failure patients and how they influence quality of life. Methods: The sample included 227 hospitalized patients with heart failure who completed the Social Support Survey and the Chronic Heart Failure Questionnaire at baseline; 147 patients completed these questionnaires again 12 months after baseline. Results: Mean baseline and 12-month total support scores were 56 and 53, respectively, with a score of 76 indicating the most positive perceptions of support. The ANOVA indicated significant interactions of gender by age for total (F = 5.04; p = 0.03) and emotional/informational support (F = 4.87; p = 0.03) and for positive social interactions (F = 4.43; p = 0.04), with men under age 65 perceiving less support than men aged 65 and older and women in either age group. Baseline support did not predict 12-month health-related quality of life, but changes in social support significantly predicted changes in health-related quality of life (R-2 = 0.14). Conclusions: Overall, perceptions of support were moderate to high, but there was wide variation in perceptions over time. Men under age 65 reported less support than other groups of patients. Importantly, changes in social support were significant predictors of changes in health-related quality of life.