Subjective quality of life and emotional pain among subjects with heart failure in a West African Teaching Hospital.
Keywords:
Quality of life, Heart failure, Emotional pain, NigeriaAbstract
Objective: Heart failure (HF) is a common pathology worldwide. Associated emotional pain is an important risk factor of increased morbidity and secondary psychopathology.
Methods: Subjects in stable state of HF attending the cardiology clinic of Lagos University Teaching
Hospital (LUTH) were recruited into the study. World Health Organization Quality of Life-Bref (WHOQoL-Bref), Psychache Scale (PAS) instruments were administered on subjects that consented to the study.
Results: One hundred and forty four (144) subjects of equal sex distribution were studied. The mean age was 31.7±10.2 years. The highest number of subjects, 57 (39.6%) rated their overall QoL as good; while 30 (20.8%) rated it as very poor. When the QoL score was dichotomized to good and poor, females subjects significantly scored lower with X2=5.69, p=0.017*.The mean score on PAS by the male subjects was 30.88±9.80; and for the females it was 29.90±9.95. For all the subjects combined, the overall mean score was 30.39±9.85, with range of 13-50. When the PAS scores were dichotomized, there was no significant gender difference. There were significant negative correlations between PAS scores and sociodemographic variables of age and educational levels; that is r=-0.212 with p=0.011*and r=-0.207 with p=0.013* respectively.
Conclusion: High number of subjects in our study had emotional pain which is an important risk factor of suicide.
References
Mendez GW; Cowie MR. The epidemiological features of heart failure in developing countries : a review of the literature. International Journal of Cardiology 2001; 80: 213-219.
Commerford P; Mayosi B An appropriate research agenda for heart disease in Africa. Lancet 2006; 367: 1884-1886.
Ki ngue S, Dzudie A; Menanga A et al. A new look at adult chronic heart failure in Africa in the age of the Doppler echocardiography: experience of the medicine department at Yaounde General hospital. Ann Cardiol Angeiol (Paris) 2005; 54: 276-283.
Kengne AP; Dzudie A; Sobngwi E. Heart failure in sub-Saharan Africa: A literature review with emphasis on individuals with diabetes. Vascular Health and Risk Management 2008; 4 (1):123130.
Robertson J; McElduff P; Pearson SA et al. The health services burden of heart failure: an analysis using linked population health datasets. BMC Health Service Res 2012; 12: 103.
Heidenreich PA; Albert NM; Allen LA et al. Forecasting the impact of heart failure in the
United States: a policy statement from the American Heart Association. Circ Heart Failure 2013; 6:606-619.
Heo S; Lennie TA; Okoli C; Moser DK. Quality of life in patients with heart failure: Ask the patients. Heart Lung 2009; 38(2): 100-108.
Luttik ML; BlaauwbroekA; Dijker A et al.
Living with heart failure: partner perspectives. J Cardiovasc Nurs 2007; 22:131-137.
Stromberg A. The situation of caregivers in heart failure and their role in improving patient outcomes. Curr Heart Fail Rep 2013; 10: 270275.
Biro D. Is there such a thing as psychological pain? And why it matters. Culture, Medicine and Psychiatry 2010; 34(4): 658-667
Meerwijk EL; Weiss SJ. Towards a unifying definition of psychological pain. Journal of Loss & Trauma 2011; 16(5): 402-412.
(Patti Kate. What Is Psychological Pain? www.wisegeekhealth.com/what-ispsychological-pain.htm. Acessed 4 DEC 2014.
Orbach I, Mikulincer M, Gilboa-Schechtman E, Sirota P. Mental pain and its relationship to suicidality and life meaning. Suicide and LifeThreatening Behavior,. 2003;33(3):231-41. doi:10.1521/suli.33.3.231.23213.
World Health Organization. World Health
Organization Quality of Life-Bref (WHOQoLBref). Programme on Mental Health World
H e a l t h O r g a n i z a t i o n . G e n e v a . WHO/MSA/MNH/PSF/97.4.
Akindipe TO; Aina OF; Onakoya AO. Risk of depression and subjective quality of life among attendees of a West African glaucoma clinic. International Journal of Medicine and Medical Sciences, 2011, 1(2): 432-435.
Mbakwem AC; Aina OF; Amadi CE; Akinbode AA; Mokwunyei J. Comparative analysis of the quality of life of heart failure patients in South
Western Nigeria. World Journal of
Cardiovascular Diseases, 2013, 3: 146-153.
Holden RR; Metha K; Cunningham EJ; Mcleod LD. Development and Preliminary validation of a scale of Psychache . Canadian Journal of Behavioural Science 2001; 33; 4:224-232.
Orieka JO. Development and standardization of the parental rejection distress scale.
Unpublished PhD. Research Monograph.
Department of Psychology, University of Lagos, 2004.
Owoeye OA; Aina OF; Omoluabi PF; Olumide YM. An assessment of emotional pain among subjects with chronic dermatological problems in Lagos, Nigeria. International Journal of Psychiatry in Medicine 2007; 37(2): 129-138.
Coker AO; Adebola AP; Coker OO. Co-morbid psychological pain and distress among patients receiving treatment for hypertension in Lagos state, Nigeria. Nigerian Medical Practitioner 2011; 60; 3-6: 50-55.
Tembo MS. The Traditional African Family. www.people.bridgewater.edu/??mtembo/menu. (Accessed 22 June, 2015).
Okolo CB. Urbanization and African Traditional Value (Chapter V) In Urbanization and African
T r a d i t i o n a l V a l u e s - C o u n c i l
www.crvp.org/../chapter_v.htm (Accessed 22 June, 2015).
Berry C; McMurray J. A review of quality of life evaluations in patients with congestive heart failure. American Journal of Cardiology 1996; 78: 890-895.
Calvert MJ; Freemantle N; Cleland JGF. The impact of chronic heart failure on health-related quality of life data acquired in the baseline phase of the CARE-HF study. European Journal of Heart Failure 2005; 7: 243-251.
MacMahon KM; Lip GY. Psychological factors in heart failure; a review of the literature. Arch Intern Med 2003; 162: 509-516.
Oyoo GO; Ogola EN. Clinical and sociodemographic aspects of congestive heart failure patients at Kenyatta National Hospital, Nairobi. Eat African Medical Journal 1999; 76: 23-27.
Unachukwu CN; Agomoh DI; Alasia DD. Pattern of non-communicable diseases among medical admissions in Port-Harcourt, Nigeria. Nigerian Journal of Clinical Practice 2008; 11: 14-17.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Research Journal of Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Research Journal of Health Sciences journal is a peer reviewed, Open Access journal. The Journal subscribed to terms and conditions of Open Access publication. Articles are distributed under the terms of Creative Commons License (CC BY-NC-ND 4.0). (http://creativecommons.org/licences/by-nc-nd/4.0). All articles are made freely accessible for everyone to read, download, copy and distribute as long as appropriate credit is given and the new creations are licensed under the identical terms.
