Dark or Bright Half of the Moon: A Qualitative Study Exploring the Experience of Iranian Heart Failure Patients Regarding their Quality of Life

Mahdi Moshki; Abdoljavad Khajavi; Haydeh Hashemizadeh; Farveh Vakilian; Shima Minaee; Shadi S. Martin

doi:10.3889/oamjms.2019.189

Authors

Mahdi Moshki Department of Health Education and Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Abdoljavad Khajavi Department of Community Medicine, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
Haydeh Hashemizadeh PhD Candidate of Health Promotion, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
Farveh Vakilian Department of Cardiology, Fellowship in Heart Failure and Transplantation, Preventive Atherosclerotic Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Shima Minaee Fellowship in Heart Failure and Transplantation, Department of Cardiovascular Diseases, Razavi Hospital, Mashhad, Iran
Shadi S. Martin Hartford Foundation Scholar, University of Nevada, School of Social Work

DOI:

https://doi.org/10.3889/oamjms.2019.189

Keywords:

Heart Failure, Quality of Life, Qualitative Study, Nursing

Abstract

BACKGROUND: Heart failure (HF) is a major public health problem in different societies and has numerous impacts on quality of life (QOL).

AIM: The present study was carried out with the aim to explore the experience of HF patients regarding the negative effects of the disease on their QOL.

METHODS: In this qualitative exploratory study data collection was performed through face-to-face, semi-structured, in-depth interviews with 19 patients with HF, who were selected through purposive sampling method from April to September 2017. Data analysis was carried out based on the framework analysis method.

RESULTS: The negative consequences of HF on QOL emerged in the form of 6 main themes including symptoms, disease complications, cognitive impairment, psychological distress, functional limitations and economic problems. Most of the participants (14 out of 19) assessed their QOL as well or very well.

CONCLUSION: The majority of the patients in this study, despite the many negative impacts of HF, had a high QOL that could indicate their satisfaction and effective coping with HF by creating a positive outlook and the perceived positive effects of the disease.

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