ArticleHealth and quality of life outcomes2021
Relationship of symptom stress, care needs, social support, and meaning in life to quality of life in patients with heart failure from the acute to chronic stages: a longitudinal study.
Article in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Qualitative Analysis of Community Dwelling Older Adults' Advance Care Planning Interviews: Patients Want a Chance.The American journal of hospice & palliative care · 2026Article
- The association between health-related quality of life and the meaning of life in community-dwelling older adults.BMC geriatrics · 2026Article
- Assessment the Level of Comorbid Depression, Quality of Life and Associated Factors Among Patients with Heart Failure: An Outpatient-Based Study.Healthcare (Basel, Switzerland) · 2026Article
- Coping Strategies and Health-Related Quality of Life in Individuals with Heart Failure.Journal of clinical medicine · 2025Article
- Multidimensional Determinants of Functional Status in Patients with Heart Failure.Heart international · 2025Article
- Meaning in Life: A Novel Factor for Promoting Wellbeing in COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Article
- Strengthening the meaning in life among college students: the role of self-acceptance and social support - evidence from a network analysis.Frontiers in psychology · 2024Article
- Mediating effects of general self-efficacy on social support and quality of life in patients after surgical aortic valve replacement.Nursing open · 2023Article
- Article
- High carrier frequency of pathogenic PATL2 gene mutations predicted in population: a bioinformatics-based approach.Frontiers in genetics · 2023Article
- Exploring the Meaning in Life and the Influencing Factors among Patients Undergoing Hemodialysis in Macau.SAGE open nursingArticle
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundPatients with heart failure (HF) experience continuous changes in symptom distress, care needs, social support, and meaning in life from acute decompensation to chronic phases. The longitudinal relationship between these four factors and quality of life (QOL) was not fully explored.
aimsTo simultaneously investigate the relationship between all factors and QOL from hospitalization to 6 months after discharge, and the impact of the changes in these factors on QOL at different time points.
methodsA longitudinal design with panel research (4 time points) was used. From January 2017 to December 2019, patients hospitalized due to acute decompensated HF were consecutively enrolled and followed up for 6 months. Patients were interviewed with questionnaires assessing symptom distress, care needs, social support, meaning in life and QOL at hospitalization and 1, 3 and 6 months after discharge.
resultsA total of 184 patients completed 6 months of follow-up. From baseline to 6 months, QOL continuously improved along with decreases in symptoms and care needs, but increases in social support and meaning in life. Better QOL was associated with younger age, higher education level, economic independence, less symptom distress and care needs, and stronger meaning in life (p < 0.05). Compared with hospitalization, decreases in care needs and increases in meaning in life at 1, 3 and 6 months were associated with an increase in physical QOL (p < 0.01). The decrease in care needs and increase in meaning in life at 3 months were associated with an increase in mental QOL (p < 0.05). The increase in social support at 6 months was associated with increases in both physical and mental QOL (p < 0.01). Changes in symptom distress were not correlated with changes in QOL from baseline to all time points. In the multivariable analysis, these findings were independent of age, educational level and economic status.
conclusionsAlthough symptom distress is associated with QOL after acute decompensated HF, QOL cannot be improved only by improvement in symptoms. With differential duration of improvement in each factor, the integration of alleviation in care needs and strengthening in social support and meaning in life might provide additional benefits in QOL.
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