Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure

Cheryl Hoyt Zambroski; Debra K. Moser; Geetha Bhat; Craig Ziegler

doi:10.1016/j.ejcnurse.2005.03.010

Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure

Cheryl Hoyt Zambroski, Debra K. Moser, Geetha Bhat, Craig Ziegler

Research output: Contribution to journal › Article › peer-review

337 Scopus citations

Abstract

Background: Heart failure is an escalating health problem around the world. Despite significant scientific advances, heart failure patients experience multiple physical and psychological symptoms that can impact the quality of life. Aims: To determine the (1) symptom prevalence, severity, distress and symptom burden in patients with heart failure; (2) impact of age and gender on symptom prevalence, severity, distress and symptom burden; and (3) impact of symptom prevalence and symptom burden on health-related quality of life (HRQOL) in patients with heart failure. Methods: A convenience sample of 53 heart failure patients participated in this descriptive, cross-sectional design. Symptoms and HRQOL were measured using the Memorial Symptom Assessment Scale-Heart Failure and the Minnesota Living with Heart Failure Questionnaire. Results: Patients experienced a mean of 15.1 ± 8.0 symptoms. Shortness of breath and lack of energy were the most prevalent. Difficulty sleeping was the most burdensome symptom. Lower age, worse functional status, total symptom prevalence and total symptom burden predicted 67% of the variance in HRQOL. Conclusion: Patients with heart failure experience a high level of symptoms and symptom burden. Nurses should target interventions to decrease frequency, severity, distress and overall symptom burden and improve HRQOL.

Original language	English
Pages (from-to)	198-206
Number of pages	9
Journal	European Journal of Cardiovascular Nursing
Volume	4
Issue number	3
DOIs	https://doi.org/10.1016/j.ejcnurse.2005.03.010
State	Published - Sep 2005

Bibliographical note

Funding Information:
This study was supported by the University of Louisville Competitive Enhancement Grant. I would like to acknowledge Donna Mitchell, MS, RN, Michelle Ritchey, BSN, RN, and Georgeanna Wilson-Grant, BSN, RN, for their contributions to this study.

Funding

This study was supported by the University of Louisville Competitive Enhancement Grant. I would like to acknowledge Donna Mitchell, MS, RN, Michelle Ritchey, BSN, RN, and Georgeanna Wilson-Grant, BSN, RN, for their contributions to this study.

Funders	Funder number
University of Kentucky, University of Louisville

Keywords

Health-related quality of life
Heart failure
Memorial Symptom Assessment Scale - Heart Failure

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
MedicalSurgical
Advanced and Specialized Nursing

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10.1016/j.ejcnurse.2005.03.010

Cite this

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title = "Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure",

abstract = "Background: Heart failure is an escalating health problem around the world. Despite significant scientific advances, heart failure patients experience multiple physical and psychological symptoms that can impact the quality of life. Aims: To determine the (1) symptom prevalence, severity, distress and symptom burden in patients with heart failure; (2) impact of age and gender on symptom prevalence, severity, distress and symptom burden; and (3) impact of symptom prevalence and symptom burden on health-related quality of life (HRQOL) in patients with heart failure. Methods: A convenience sample of 53 heart failure patients participated in this descriptive, cross-sectional design. Symptoms and HRQOL were measured using the Memorial Symptom Assessment Scale-Heart Failure and the Minnesota Living with Heart Failure Questionnaire. Results: Patients experienced a mean of 15.1 ± 8.0 symptoms. Shortness of breath and lack of energy were the most prevalent. Difficulty sleeping was the most burdensome symptom. Lower age, worse functional status, total symptom prevalence and total symptom burden predicted 67% of the variance in HRQOL. Conclusion: Patients with heart failure experience a high level of symptoms and symptom burden. Nurses should target interventions to decrease frequency, severity, distress and overall symptom burden and improve HRQOL.",

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author = "Zambroski, {Cheryl Hoyt} and Moser, {Debra K.} and Geetha Bhat and Craig Ziegler",

note = "Funding Information: This study was supported by the University of Louisville Competitive Enhancement Grant. I would like to acknowledge Donna Mitchell, MS, RN, Michelle Ritchey, BSN, RN, and Georgeanna Wilson-Grant, BSN, RN, for their contributions to this study.",

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AU - Moser, Debra K.

AU - Bhat, Geetha

AU - Ziegler, Craig

N1 - Funding Information: This study was supported by the University of Louisville Competitive Enhancement Grant. I would like to acknowledge Donna Mitchell, MS, RN, Michelle Ritchey, BSN, RN, and Georgeanna Wilson-Grant, BSN, RN, for their contributions to this study.

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N2 - Background: Heart failure is an escalating health problem around the world. Despite significant scientific advances, heart failure patients experience multiple physical and psychological symptoms that can impact the quality of life. Aims: To determine the (1) symptom prevalence, severity, distress and symptom burden in patients with heart failure; (2) impact of age and gender on symptom prevalence, severity, distress and symptom burden; and (3) impact of symptom prevalence and symptom burden on health-related quality of life (HRQOL) in patients with heart failure. Methods: A convenience sample of 53 heart failure patients participated in this descriptive, cross-sectional design. Symptoms and HRQOL were measured using the Memorial Symptom Assessment Scale-Heart Failure and the Minnesota Living with Heart Failure Questionnaire. Results: Patients experienced a mean of 15.1 ± 8.0 symptoms. Shortness of breath and lack of energy were the most prevalent. Difficulty sleeping was the most burdensome symptom. Lower age, worse functional status, total symptom prevalence and total symptom burden predicted 67% of the variance in HRQOL. Conclusion: Patients with heart failure experience a high level of symptoms and symptom burden. Nurses should target interventions to decrease frequency, severity, distress and overall symptom burden and improve HRQOL.

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Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure

Abstract

Bibliographical note

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Keywords

ASJC Scopus subject areas

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