Quantitative studies have provided valuable statistical insights into Health-Related Quality of Life (HRQoL) among patients with Heart Failure (HF), yet they often lack the depth to fully capture the ...nuanced, subjective experiences of living with HF particularly in the specific context of Jordan. This study explores the personal narratives of HF patients to understand the full impact of HF on their daily lives, revealing HRQoL aspects that quantitative metrics often miss. This is crucial in developing regions, where the increasing prevalence of HF intersects with local healthcare practices, cultural views, and patient expectations, providing key insights for tailored interventions and better patient care.
Utilizing a phenomenological qualitative design, this study conducted face-to-face semi-structured interviews with 25 HF patients to deeply explore their lived experiences. Thematic analysis was employed to identify major themes related to their perceptions of HF as a disease, its impact on various HRQoL domains, and their recommended strategies to enhance HRQoL.
The study involved 25 participants (13 males, 12 females), aged 26-88 years (mean 63), with diverse education and heart failure (HF) severities. It revealed three themes: HF perceptions, its impact on health-related quality of life (HRQoL) across physical, psychosocial, spiritual, cognitive, and economic domains, and HRQoL improvement strategies. Participants had varied HF knowledge; some lacked basic understanding. The physical impact was most significant, affecting daily life and causing symptoms like breathing difficulties, coughing, edema, and fatigue. This physical aspect influenced their psychosocial and spiritual lives, cognitive functions, and economic stability, leading to fear, frustration, worry, social isolation, spiritual and cognitive challenges, and employment problems.
The results underscores the need for holistic healthcare approaches, integrating medical, psychological, and social support. Key recommendations include integrated care models, comprehensive patient education, support networks, and policy interventions to enhance HF patient care.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Nurses with MSc degree, working in ICU and private hospitals have more positive attitude, reported higher levels of knowledge and skills compared to nurses with BSc, nurses working in other units, ...and nurses working in ministry of health and Royal Medical Service respectively. ...EBP has been considered as critical element to improve quality of health services and achieving excellence in patient care 6. Evidence-based practice implementation is associated with all aspects of quality in health care such as efficient use of resources, improvement of patient care, decreasing costs and length of hospital stay, increasing patient satisfaction and elimination of unnecessary practices 3,9. ...Knowledge, attitudes can potentially predict future behavior in regard to EBP implementation 1,9. Methods General objective and research questions A paucity of information is available regarding assessing the factors influencing EBP adoption till now. ...the general purpose of this study was to describe Jordanian nurses' knowledge, attitudes, and practice about evidencebased practice. Specifically the study was designed to answer the following questions in addition to the major purpose: 1) to determine if there was an associations between selected demographic variables (age, gender, academic qualifications, years of experience, participation in research, and availability of data base at the hospitals) and perceived EBP practice, attitudes, knowledge/skills; 2) to determine if there was a difference in perceived EBP practice, attitudes, knowledge/ skills among area of practice (i.e., ICCU, ER, general words); 3) to determine if there was a difference in perceived EBP practice, attitudes, knowledge/skills among different types of hospitals (private,...
BACKGROUND:
Many studies described Health-Related Quality of Life among patients with Heart Failure objectively and statistically using quantitative designs in developed and developing countries. ...Despite the significance of these studies, some aspects remained unclear and not well understood because Health-Related Quality of Life is subjective in nature. Therefore, exploring Health-Related Quality of Life from patients’ perspectives, especially in developing countries where the incidence is increasing, reveals how the disease will affect their lives and might help in identifying interventions to improve it.
METHODS: The aim of this qualitative study was to provide an understanding of the Health-Related Quality of Life from the perspectives of patients diagnosed with Heart Failure recruited purposefully from the cardiac clinics of public and private hospitals in Amman, Jordan. Data was generated using face-to-face semi-structured interviews, audio-recorded, transcribed verbatim, and analyzed using thematic analysis.
RESULTS: Three major themes were identified: (1) Perceptions of Heart Failure as a disease; (2) Perceptions of Heart Failure impact on patients' Health-Related Quality of Life domains (physical, psychosocial, spiritual, cognitive and economic); and (3) Recommended strategies to enhance Health-Related Quality of Life.
CONCLUSION: Physical domain was the most affected domain in the Health-Related Quality of Life of patients with Heart Failure. It is highly recommended that healthcare professionals find solutions to improve the physical domain of these patients, which would be reflected in the other domains and improve the Health-Related Quality of Life.
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