Association between depressive symptoms and quality of life in outpatients and inpatients with heart failure.

Juliana De Melo Vellozo Pereira Tinoco,Beatriz Paiva E Silva De Souza,Ana Carla Dantas Cavalcanti,Evandro Tinoco Mesquita,Samara Xavier De Oliveira,Josiana Araujo De Oliveira

doi:10.1590/s1980-220x2019030903686

Juliana De Melo Vellozo Pereira Tinoco, Beatriz Paiva E Silva De Souza + Show 4 more

Open Access

https://doi.org/10.1590/s1980-220x2019030903686

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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.

Highlights

Heart failure (HF) is a complex multisystemic clinical syndrome, leading patients to frequent hospitalizations[1]
Functional class I refers to patients without symptoms during daily activities, class II when there are symptoms triggered by daily activities, class III when symptoms are triggered by small efforts and class IV when symptoms appear in patients in rest[4]
quality of life (QoL) was assessed by the translated and validated version of the Minnesota Living with Heart Failure Questionnaire (MLWHFQ)

Summary

Introduction

Heart failure (HF) is a complex multisystemic clinical syndrome, leading patients to frequent hospitalizations[1]. Brazilian data point to records of approximately 200,760 thousand hospitalizations for HF in 2018, and the number of deaths of 22,332(2). This syndrome presents clinical signs and symptoms characterized by fatigue, dyspnea, and edema, which affect the physical capacity to perform activities of daily living, in addition to work, social and cognitive impairment, which can cause depression, anxiety and direct impact on the quality of life (QoL) of these patients[3]. Functional class I refers to patients without symptoms (dyspnea) during daily activities, class II when there are symptoms triggered by daily activities, class III when symptoms are triggered by small efforts and class IV when symptoms appear in patients in rest[4]

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Discussion

Conclusion