Health Needs and Health-related Quality of Life among Older Adult Patients with Chronic Heart Failure
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Abstract
This mixed method research aimed to study and analyzed relationship between health needs, disease severity, and health-related quality of life perception among 100 older patients with chronic heart failure, in post-discharge phase in Ratchaburi province. Phase 1: Survey study was applied to described problem situation, and also the relationship between studied variables. Data collection were 3 sets of interviewing instruments, those consisted of health needs, disease severity, and quality of life perception. Their reliability coefficient, Cronbach’s alpha at 0.79, 0.80, 0.88. Data were analyzed using descriptive statistics, and Pearson's Correlation Coefficient. Phase 2: Qualitative study was applied to explore needs of healthcare service and health information. The structured open-ended questions were applied for 32 informants interviewing. The collected data were analyzed by content analysis method. The results revealed that (overall) quality of life perception was in good level (M= 3.93, SD= 0.44). Disease severity was in NYHA FC-II (82.00%) and NYHA FC-I (18.00%). Healthcare service needs were in low level (M= 1.48, SD= 0.39), and health information needs were in moderate level (M= 1.99, SD= 0.28). Disease severity was negative correlated with the (overall) quality of life significantly (r= -.407, p-value < .01). Findings from qualitative approach showed that most of them were trust and faith for health personnel, and also satisfied of healthcare service manner. However, they still needed some important information for self-care. They had significant problems both queuing and inconvenient place for doctor’s visit. Therefore, they wished the specialized services those response to their needs. The suggestions for nurses are concerning about health need assessment, so that service system developing that appropriate for clients. The essential health information such as; disease prognosis, investigation report, abnormal clinical signs, restrict diet and oral fluid intake.
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