Prevalence of pain and its association with quality of life of patients with heart failure in a developing country: fndings from a multicenter cross-sectional study
نوع المنشور
بحث أصيل
المؤلفون
النص الكامل
تحميل

Background: Heart failure (HF) is considered one of the main causes of morbidity and death among chronic diseases worldwide. Patients have increasingly reported chronic pain in long-standing heart failure as a disturbing symptom. Its unknown etiology and mechanism, in addition to its insidious progressive nature, made both the doctor and the patient not notice it until it afects the quality of life (QoL) and general health status. The primary objective of this study is to fnd the prevalence of pain in chronic heart failure patients and its impact on their QoL. The secondary objective is to determine the predictors of QoL in HF patients. Methods: A multicenter cross-sectional design was used. The European Quality of Life scale fve dimensions scale and the Brief Pain Inventory were adopted to evaluate QoL and pain, respectively. The Statistical Package for the Social Sciences version 25 was applied to present the data. The Mann-Whitney U, Kruskal-Wallis, and Cronbach alpha tests were used. Results: The fnal study had a total of 142 individuals. The prevalence of pain among HF patients was 84.5%. Knee pain was the main complaint among patients. Our patients’ median pain severity score was 18 [5.00–25.00], while the median pain interference score was 39 [24.75–53.00]. They had a median EQ-5D score of 0.34 [0.0–0.6] and an EQ-VAS score of 50 [30–70]. Pain severity (p=0.004 and p<0.001, respectively) and pain interference (p<0.001 and p=0.001, respectively) were found to signifcantly associated with both QoL scores; the visual analogue scale (EQ-VAS) and EQ-5D-5L. In multivariate analysis, monthly income was the only variable signifcantly correlated with EQ-VAS and EQ5D-5L, along with pain variables. Conclusions: Pain is a common symptom among patients with HF and is signifcantly associated with their QoL. Low income is also highly associated with poor QoL. Defnitive guidelines should be achieved to increase awareness and understanding of the importance of pain management, reaching a higher QoL level, less pain, and good adherence to HF medications.

المجلة
العنوان
BMC cardiovascular disorder
الناشر
BMC
بلد الناشر
المملكة المتحدة
Indexing
Scopus
معامل التأثير
2,3
نوع المنشور
Both (Printed and Online)
المجلد
22
السنة
2022
الصفحات
426