Volume 3, Issue 4, December 2019, Page: 80-85
Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa
Jérôme Boombhi, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Unit, Yaoundé General Hospital, Yaoundé, Cameroon
Jean-Pierre Kamga, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; Psychiatric Unit, Jamot Yaoundé Hospital, Yaoundé, Cameroon
Liliane Mfeukeu-Kuaté, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Unit, Central Hospital of Yaoundé, Yaoundé, Cameroon
Delphine Kingue, Psychiatric Unit, Jamot Yaoundé Hospital, Yaoundé, Cameroon
Mazou Ngou Temgoua, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
Alain Menanga, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Unit, Yaoundé General Hospital, Yaoundé, Cameroon
Samuel Kingué, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon; Cardiology Unit, Yaoundé General Hospital, Yaoundé, Cameroon
Received: May 14, 2019;       Accepted: Jun. 18, 2019;       Published: Sep. 25, 2019
DOI: 10.11648/j.ccr.20190304.11      View  30      Downloads  5
Abstract
Heart Failure (HF) has become one of the most important chronic medical conditions worldwide. It’s associated with high morbidity and mortality. Despite improving in patient’s management, little works have been done to evaluate the quality of life of patients with heart failure in Sub-Saharan Africa. The objective of this work was to assess the quality of life of patients with Chronic Heart Failure (CHF) followed in three reference hospitals of Cameroon. We carried out a cross-sectional study over a period of 04 months, from January to May 2017. The patients were recruited from the cardiology departments of three references Hospitals of Cameroon: Yaoundé Central Hospital (YCH), General Hospital of Yaoundé (GHY) and Yaoundé University Teaching Hospital (YUTH). We included all patients aged 18 years and above followed for CHF and consenting to participate in the study. Patients with other chronic conditions (chronic kidney disease, cancer, schizophrenia) were excluded. The quality of life was assessed using the Minnesota Living with Heart Failure tool (MLwHF). A total of 119 patients were recruited. The mean age was 66 ± 13 years. More than 2/3 (70.6%) of the patients were unemployed. The majority of patients (83.2%) had low monthly income (< 100 000 FCFA). Stage II of heart failure according to New York Heart Association (NYHA) was the most represented (50 %). The median scores for the Minnesota Living with Heart Failure Questionnaire (MLwHFQ) were generally low. The risk factors of poor life quality were: young age (p = 0.039), low educational attainment (p = 0.046), low monthly income (p = 0.024), exposure to tobacco (p = 0.005), low left ventricular ejection fraction (p = 0.003), mental depression (p < 0.001), anxiety (p < 0.001), non-adherence to treatment (p = 0.035). The only factors that remain significant after adjusting for confounders are: mental depression (0, 002) and functional class of NYHA (< 0, 001). In conclusion, Quality of life is slightly affected in patients with chronic heath failure. The few proportion of alter quality of life is explained mostly by psychological and clinical factors. The clinician should pay attention to these factors for the better management of the patients in Sub-Saharan Africa.
Keywords
Quality of Life, Chronic Heart Failure, Tertiary Hospitals, Sub-Saharan Africa
To cite this article
Jérôme Boombhi, Jean-Pierre Kamga, Liliane Mfeukeu-Kuaté, Delphine Kingue, Mazou Ngou Temgoua, Alain Menanga, Samuel Kingué, Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa, Cardiology and Cardiovascular Research. Vol. 3, No. 4, 2019, pp. 80-85. doi: 10.11648/j.ccr.20190304.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Rustoen T, Stubhaug A, Eidsmo I, Westheim A, Paul SM, Miaskowski C. Pain and Quality of Life in Hospitalized Patients with Heart Failure. J Pain Symptom Manage. 2008; 36 (5): 497–504.
[2]
AbuRuz ME, Alaloul F, Saifan A, Masa’Deh R, Abusalem S. Quality of Life for Saudi Patients with Heart Failure: A Cross-Sectional Correlational Study. Glob J Health Sci. 2016; 8 (3): 49–58.
[3]
Jondeau G. Insuffisance cardiaque et cardiomyopathies. Arch Mal Coeur Vaiss. 2006; 99 (2): 3–79.
[4]
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) 123–130.
[5]
Iqbal J, Francis L, Reid J, Murray S, Denvir M. Quality of life in patients with chronic heart failure and their carers: a 3-year follow-up study assessing hospitalization and mortality. Eur J Heart Fail. 2010 Sep; 12 (9): 1002-8. doi: 10. 1093/eurjhf/hfq114. Epub 2010 Jul 8.
[6]
Adebayo SO, Olunuga TO, Durodola A, Ogah OS. Quality of life in heart failure: A review. Nig J Cardiol 2017; 14: 1-8.
[7]
Gonzalez DG. The Effects of Congestive Heart Failure on Quality of Life : As Evaluated by the Minnesota Living with Heart Failure Questionnaire [The Eleanor Mann School of Nursing Undergraduate Honors Theses]. University of Arkansas, Fayetteville; 2016.
[8]
Cochran WG. Sampling Theory When the Sampling-Units are of Unequal Sizes. J Am Stat Assoc. 1942; 37 (218): 199–212.
[9]
Kingue S, Dzudie A, Menanga A, Akono M, Ouankou M, Muna W. Nouveau regard sur l’insuffisance cardiaque chronique de l’adulte en Afrique à l’ère de l’échocardiographie Doppler : expérience du service de médecine de l’Hôpital Général de Yaoundé. Ann Cardiol Angéiologie. 2005; 54 (5): 276–8.
[10]
Pio M, Baragou S, Afassinou Y, Pessinaba S, Atta B, Ehlan K, et al. Observance thérapeutique de l’hypertension artérielle et ses facteurs dans le service de cardiologie du CHU Tokoin de Lomé. Pan Afr Med J. 2013; 14: 11-19.
[11]
Bilbao A, Escobar A, García-Perez L, Navarro G, Quirós R. The Minnesota living with heart failure questionnaire: comparison of different factor structures. Health and Quality of Life Outcomes (2016) 14: 23.
[12]
Britz JA, Dunn KS. Self-care and quality of life among patients with heart failure. J Am Acad Nurse Pract. 2010; 22 (9): 480–7.
[13]
Chu SH, Lee WH, Yoo JS, Kim SS, Ko IS, Oh EG, et al. Factors affecting quality of life inKorean patients with chronic heart failure. J Nurs Sci JJNS. 2014; 11 (1): 54–64.
[14]
Mbakwem AC, Aina FO, Amadi CE, Akinbode AA, Mokwunyei J. Comparative analysis of the quality of life of heart failure patients in South Western Nigeria. World J Cardiovasc Dis. 2013; 03 (01): 146-70.
[15]
Masoudi FA, Rumsfeld JS, Havranek EP, House JA, Peterson ED, Krumholz HM, et al. Age, functional capacity, and health-related quality of life in patients with heart failure. J Card Fail. 2004; 10 (5): 368–73.
[16]
N’cho-mottoh MP, Coulibaly I, Yahehd K, Boka B, Bamba-kamagate D, Sow-toure M. Facteurs prédictifs de la qualité de vie de l’insuffisant cardiaque noir africain. Médecine Afr Noire. 2015; 62 (11): 541–6.
[17]
Shih ML, Chen HM, Chou FH, Huang YF, Lu CH, Chien HC. [Quality of life and associated factors in patients with heart failure]. Hu Li Za Zhi. 2010; 57 (6): 61–71.
[18]
Gott M, Barnes S, Parker C, Payne S, Seamark D, Gariballa S, et al. Predictors of the quality of life of older people with heart failure recruited from primary care. Age Ageing. 2006; 35 (2): 172–7.
[19]
Huang TY, Moser DK, Hwang SL, Lennie TA, Chung M, Heo S. Comparison of HealthRelated Quality of Life Between American and Taiwanese Heart Failure Patients. J Transcult Nurs. 2010; 21 (3): 212–9.
[20]
Loo DWY, Jiang Y, Koh KWL, Lim FP, Wang W. Self-efficacy and depression predicting the health-related quality of life of outpatients with chronic heart failure in Singapore. Appl Nurs Res. 2016; 32: 148–55.
[21]
Lee DT, Yu DS, Woo J, Thompson DR. Health-related quality of life in patients with congestive heart failure. Eur J Heart Fail. 2005; 7 (3): 419–22.
Browse journals by subject