Factors Affecting The Quality of Life of Heart Failure Patients After Hospitalization at Thasala Hospital, Nakhon Si Thammarat Province
Keywords:
Heart failure, Quality of life, WHOQOL-BREF-THAI, Factors associated with quality of lifeAbstract
Background: Heart failure is a chronic condition that significantly impairs patients’ quality of life (QoL), across physical, psychological, and social domains, particularly during the post-hospitalization period. Many patients face difficulties in adaptation and effective daily functioning.Objectives: This study aimed to investigate the relationship between factors associated with quality of life among heart failure patients following hospitalization at Thasala Hospital, Nakhon Si Thammarat Province.
Material and Methods: A cross-sectional descriptive design was employed. The study included 145 patients with heart failure who attended the heart failure clinic for follow-up. Data were collected using a general information questionnaire, clinical data form, and the WHOQOL-BREF-THAI quality of life assessment tool. Data analysis employed descriptive statistics, Chi-square test, Independent t-test, and Multiple Linear Regression.
Results: The majority of patients exhibited moderate quality of life (78.62%), followed by good quality of life (11.72%), with an overall mean score of 74.54 ± 11.40. Factors demonstrating statistically significant positive associations with quality of life included: Atorvastatin medication (β = 1.55, p = 0.007), insulin use (β = 1.05, p = 0.023), return to work following treatment (β = 0.90, p = 0.005), independent hospital transportation (β = 0.85, p = 0.004), education level above primary school (β = 0.70, p = 0.005), and height (β = 0.05, p = 0.009). Conversely, increasing age (β = −0.04, p = 0.027) and history of cerebrovascular disease (β = −1.25, p = 0.023) demonstrated negative associations with quality of life. The model explained 42% of the variance in quality of life (Adjusted R² = 0.42, p < 0.001).
Conclusion: Quality of life among heart failure patients is influenced by multiple factors encompassing clinical, physical functional, and socioeconomic dimensions. Patient care should emphasize holistic approaches integrating medical treatment, physical rehabilitation, and social support to sustainably enhance quality of life for heart failure patients.
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