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진행성 심부전 환자의 건강관련 삶의 질에 대한 통합적 고찰
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  • 진행성 심부전 환자의 건강관련 삶의 질에 대한 통합적 고찰
  • An Integrative Review of Health-related Quality of Life in Patients with Advanced Heart Failure
저자명
손연정, 서은지
간행물명
기초간호자연과학회지KCI
권/호정보
2019년|21권 1호(통권56호)|pp.22-36 (15 pages)
발행정보
한국기초간호학회|한국
파일정보
정기간행물|KOR|
PDF텍스트(0.47MB)
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서지반출

영문초록

Purpose: Even though advanced heart failure (HF) severely affects the patient’s health-related quality of life (HRQoL), there is little information regarding this issue. This review is aimed to describe the relevant clinical characteristics of patient with advanced HF and identify factors influencing HRQoL in these patients. Method: Empirical articles were searched from electronic databases issued from January 2000 to June 2018 with using the key terms ‘heart failure’ and ‘quality of life.’ There were a total of 22 articles that met the inclusion criteria and were analyzed for this study. Results: First, nine studies among 22 studies clearly stated that their participants were samples of patients with advanced HF. Most reviewed studies showed the New York Heart Association (NYHA) class as the criteria for identifying advanced HF. Second, the level of HRQoL varied depending on the measurement tools utilized by the researchers. Third, the NYHA class, gender, and symptoms were mainly associated with HRQoL in patients with advanced HF. Also, nurse- or physician-led intervention, exercise, spiritual-focused intervention, and palliative care improved the HRQoL of the patients with advanced HF. Conclusion: This study found that the clear application of criteria for advanced HF and the development of advanced HF-specific HRQoL measurement was needed. Prospective studies should be considered for identifying differences in the levels and factors influencing HRQoL in patients with early stage or advanced HF to design patient-centered care.

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