Abstract
Method: (1) A total of 43 patients with CHF treated at home for 2 years were enrolled in the study from among 115 patients admitted to the CCU of A Hospital due to acute CHF. Patients were treated with drugs, moved to an internal medicine ward, and then discharged. (2) The SF-36 questionnaire was used to measure health-related QOL at discharge and at 1 year (1 year) and 2 years after discharge (2 years). Self-care activities of patients were observed at the same time QOL was measured. Result: (1) At 1 year and 2 years, seven (physical functioning, bodily pain, general health perception, vitality, social functioning, role-emotional, and mental health) of the eight SF-36 subscales were significantly lower than the scores at discharge. (2) Self-care items related to regular exercise and abstaining from smoking were improved at 2 years. Until now, it was thought that QOL in patients with CHF gradually deteriorated after discharge due to repeated hospital admissions. In the present study, patients with CHF practiced self-care activities at home for 2 years after discharge; however, QOL in these patients at 2 years was not improved compared to QOL at discharge. Patients’ self-care activities should be more closely studied in order to identify practices that can effectively improve QOL in patients with CHF receiving at-home care.
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