Background: Social status may impact health-related quality of life (HRQOL), hospitalization, and mortality in patients with heart failure (HF). Purpose: To determine if social status was associated with HRQOL and event-free survival. Hypotheses: Higher social status (quality of perceived support, emotional support, marital status, and economic status) is related to better HRQOL and event-free survival after controlling covariates (New York Heart Association [NYHA] functional class, comorbidity status, and age). Methods: Patients (N = 147, 61 ± 11 years old, 70% male, 62% NYHA class III/IV) provided data on HRQOL (measured by the Minnesota Living with Heart Failure questionnaire) and social status. Event-free survival data were collected by medical record reviews and patient or family interviews. Hierarchical regression analysis and survival analysis were used to test the hypothesis. Results: Better quality of perceived support, better economic status, better functional status, older age, and less comorbidity were related to better HRQOL (R2 =.365, p = <.001). Only economic status predicted event-free survival. Conclusion: Attention should be given to those who have lower social support to improve HRQOL and those who have lower economic status to improve event-free survival.
|Number of pages||9|
|Journal||European Journal of Cardiovascular Nursing|
|State||Published - 2012|
Bibliographical noteFunding Information:
Funding for this study was provided by a Philips Medical-AACN Research Award to Debra Moser and an NINR Center grant, NIH (Center for Biobehavioral Research on Self-Management of Cardiopulmonary Disease) 1P20NR010679, to Debra Moser, PI.
© The European Society of Cardiology 2012.
- Heart failure
- Quality of life
- Social status
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Advanced and Specialized Nursing