Association between depressive symptoms and quality of life in outpatients and inpatients with heart failure
To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questio...
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| Published in: | Revista da Escola de Enfermagem da U S P Vol. 55; p. e03686 |
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Universidade de São Paulo, Escola de Enfermagem
2021
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| Abstract | To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms.
A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory).
The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions.
Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions. |
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| AbstractList | To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms.
A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory).
The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions.
Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions. OBJECTIVETo analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. METHODA cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). RESULTSThe sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. CONCLUSIONInpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions. ABSTRACT Objective: To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. Method: A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). Results: The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. Conclusion: Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions. RESUMO Objetivo: Analisar as características sociodemográficas e clínicas, sintomas depressivos e qualidade de vida de pacientes com insuficiência cardíaca e associar a qualidade de vida com os sintomas depressivos. Método: Estudo transversal, realizado com pacientes ambulatoriais e hospitalizados. Foram coletados dados sociodemográficos e aplicados questionários para avaliação da qualidade de vida (Minnesota Living with Heart Failure Questionnaire) e sintomas depressivos (Inventário de Depressão de Beck). Resultados: A amostra foi composta por 113 pacientes. Os ambulatoriais são aposentados (p=0,004), com melhor escolaridade (p=0,034) e maior fração de ejeção ventricular (p=0,001). O grupo hospitalizado teve maiores sintomas depressivos (18,1±10 vs 14,6±1,3; p=0,036) e menor qualidade de vida (74,1±18,7 vs 40,5±3,4; p<0,001) do que o grupo ambulatorial. Pacientes ambulatoriais com escores de sintomas depressivos a partir de 18 pontos apresentaram piores escores de qualidade de vida em 17 das 21 questões. Conclusão: Pacientes hospitalizados tiveram piores sintomas depressivos e qualidade de vida, sendo esta mais afetada na dimensão física naqueles com sintomas depressivos moderados/graves. Pacientes ambulatoriais com sintomas depressivos mais severos tiveram pior qualidade de vida em todas as dimensões. RESUMEN Objetivo: Analizar las características sociodemográficas y clínicas, los síntomas depresivos y la calidad de vida de los pacientes con insuficiencia cardíaca y asociar la calidad de vida con los síntomas depresivos. Método: Estudio transversal, realizado con pacientes ambulatorios y hospitalizados. Se recolectaron datos sociodemográficos y se aplicaron cuestionarios para evaluar la calidad de vida (Minnesota Living with Heart Failure Questionnaire) y síntomas depresivos (Inventario de Depresión de Beck). Resultados: La muestra estuvo conformada por 113 pacientes. Los pacientes ambulatorios son jubilados (p=0,004), con mejor escolaridad (p=0,034) y mayor fracción de eyección ventricular (p=0,001). El grupo hospitalizado presentó mayores síntomas depresivos (18,1±10 vs 14,6±1,3; p=0,036) y menor calidad de vida (74,1±18,7 vs 40,5±3,4; p<0,001) que el grupo ambulatorio. Los pacientes ambulatorios con puntuaciones de síntomas depresivos de 18 puntos tuvieron las peores puntuaciones de calidad de vida en 17 de las 21 preguntas. Conclusión: Los pacientes hospitalizados presentaron peor sintomatología depresiva y calidad de vida, la cual fue más afectada en la dimensión física en aquellos con sintomatología depresiva moderada/severa. Los pacientes ambulatorios con síntomas depresivos más graves tenían peor calidad de vida en todas las dimensiones. ABSTRACT Objective: To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. Method: A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). Results: The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. Conclusion: Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions. |
| Author | Souza, Beatriz Paiva E Silva de Oliveira, Samara Xavier de Oliveira, Josiana Araujo de Tinoco, Juliana de Melo Vellozo Pereira Mesquita, Evandro Tinoco Cavalcanti, Ana Carla Dantas |
| AuthorAffiliation | Universidade Federal Fluminense Instituto Nacional de Cardiologia |
| AuthorAffiliation_xml | – name: Universidade Federal Fluminense – name: Instituto Nacional de Cardiologia |
| Author_xml | – sequence: 1 givenname: Juliana de Melo Vellozo Pereira orcidid: 0000-0002-2418-6984 surname: Tinoco fullname: Tinoco, Juliana de Melo Vellozo Pereira organization: Universidade Federal Fluminense, Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ, Brazil – sequence: 2 givenname: Beatriz Paiva E Silva de orcidid: 0000-0002-2428-3004 surname: Souza fullname: Souza, Beatriz Paiva E Silva de organization: Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa, Niterói, RJ, Brazil – sequence: 3 givenname: Samara Xavier de orcidid: 0000-0001-6675-1948 surname: Oliveira fullname: Oliveira, Samara Xavier de organization: Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa, Niterói, RJ, Brazil – sequence: 4 givenname: Josiana Araujo de orcidid: 0000-0001-6625-4685 surname: Oliveira fullname: Oliveira, Josiana Araujo de organization: Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, Brazil – sequence: 5 givenname: Evandro Tinoco orcidid: 0000-0002-7452-3870 surname: Mesquita fullname: Mesquita, Evandro Tinoco organization: Universidade Federal Fluminense, Programa de Pós-Graduação em Ciências Cardiovasculares, Niterói, RJ, Brazil – sequence: 6 givenname: Ana Carla Dantas orcidid: 0000-0003-3531-4694 surname: Cavalcanti fullname: Cavalcanti, Ana Carla Dantas organization: Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33825784$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.12707/RIII1305 10.1016/j.rbp.2012.03.005 10.1590/S0080-623420140000100002 10.1016/j.ijcard.2016.06.068 10.1016/j.apnr.2016.07.007 10.1590/S0034-89102006000500023 10.18554/refacs.v6i1.2374 10.1001/jamainternmed.2015.5220 10.1016/j.jacc.2017.01.022 10.1016/0277-9536(95)00112-K 10.1161/CIR.0000000000000509 10.1590/S0066-782X2009000700008 10.1590/1983-1447.2017.02.65885 10.1002/clc.22520 10.2147/JMDH.S170327 10.1590/S1414-81452013000200018 10.1590/S0103-21002008000200002 10.1590/S1677-54492011000400001 10.1093/eurheartj/ehw128 10.1177/1474515119840877 |
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| Keywords | Nursing Care Insuficiencia Cardíaca Calidad de Vida Atención de Enfermería Hearth Failure Depressão Insuficiência Cardíaca Qualidade de vida Cuidados de Enfermagem Quality of Life Depresión Depression |
| Language | English |
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| Title | Association between depressive symptoms and quality of life in outpatients and inpatients with heart failure |
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