ArticleBMC cardiovascular disorders2025
Health-related quality of life and associated factors among individuals with heart failure attending public hospitals in Nekemte town, Western Oromia, Ethiopia: a cross-sectional study.
Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
backgroundHeart failure has a significant impact on patients' health-related quality of life (HRQOL), affecting their physical, emotional, and social well-being. Understanding HRQOL in this population is crucial for guiding patient-centered care and improving outcomes. Despite the potential importance of assessing the health-related quality of life among people with heart failure, to the best of our knowledge, there are a limited number of studies on this topic in Ethiopia to date, which limits the generalizability of the findings. Therefore, this study assessed the health-related quality of life and associated factors among people with heart failure attending public hospitals in Nekemte town, western Ethiopia.
methodsA hospital-based cross-sectional study was conducted from May 20 to August 20, 2023; a random sampling method was used to enroll the 422 participants. Health-related quality of life was assessed using the Minnesota Living with Heart Failure Questionnaires standard tool. Data was coded and entered using Epi-Data version 4.6 and exported to SPSS software version 26 for cleaning and analysis. Bivariable and multivariable logistic regressions analyses were employed to determine the independently associated with factors influencing health-related quality of life among people with heart failure. Adjusted Odds Ratio with 95% CI was used to determine the strength of the association.
resultsA total of 422 individuals living with heart failure participated in the study. Overall, 51.2% (95% CI: 47.15-52.36%) experienced poor health-related quality of life. Rural residency AOR = 3.34, 95% CI (1.82, 6.13), lack of formal education AOR = 2.92, 95% CI (1.17, 7.32), NYHA classes III and IV AOR = 3.76, 95% CI (2.03, 6.96) and 4.91 (2.45, 9.90), respectively, longer duration with heart failure AOR = 3.52, 95% CI (1.22, 10.13), and with other comorbid illnesses AOR = 2.89, 95% CI (1.40, 5.97) were associated with poor health-related quality of life among people with heart failure.
conclusionsMore than half of individuals living with heart failure in this study experienced poor health-related quality of life. Rural residence, lack of formal education, advanced NYHA functional class (III and IV), longer duration of heart failure, and presence of comorbid illnesses were significant factors contributing to poor HRQOL. Therefore, Clinicians should prioritize early identification and management of patients from rural area, with lower education levels, advanced disease stages, prolonged illness, and multiple comorbidities to enhance patients' quality of life.
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