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Published on: December 11, 2017
The Quality of Life in Patients With Valve Prosthesis After Undergoing Surgery for Valvular Heart Diseases
Khalid E Al-Ebrahim1, Shomokh A Albishri1, Sarah W Alotaibi1
1Cardiac Surgery Unit, Department of Surgery, King Abdulaziz University Hospital, King Abdulaziz University, Jeddah, SAU.
Insights
Heart valve replacement surgery significantly improves patients' quality of life (QoL), particularly in psychological aspects. Management of chronic diseases is crucial for optimizing QoL outcomes post-surgery.
Area of Science:
- Cardiology
- Cardiac Surgery
- Quality of Life Research
Background:
- Valvular heart disease necessitates valve replacement surgery to enhance patient quality of life (QoL).
- Long-term outcomes of valve replacement are typically assessed using quality-of-life indices (QLI).
Purpose of the Study:
- To evaluate the quality of life (QoL) in patients who underwent heart valve replacement surgery.
- To assess QoL across different domains using the WHOQOL-BREF questionnaire.
Main Methods:
- A descriptive cross-sectional study involving 59 adult patients who underwent mitral and aortic valve replacement.
- Data collected via medical record review and phone interviews using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire.
Main Results:
- Patients reported the highest QoL in the psychological domain (mean score 79.76) and the lowest in the physical domain (mean score 61.5).
- Significant associations were found between QoL and nationality and chronic diseases.
- No significant correlation was observed between QoL and duration after surgery or valve type.
Conclusions:
- Heart valve replacement surgery is effective in improving patients' overall quality of life.
- Optimizing the management of chronic diseases in patients undergoing valve replacement is recommended to further enhance outcomes.
Abstract:
Background and objective Surgery for valvular heart disease by valve replacement procedures has become one of the most frequently performed cardiac operations to improve the quality of life (QoL). Its long-term outcomes are assessed using the quality-of-life index (QLI). This study aimed to evaluate the QoL in patients who received valve prostheses after surgery for valvular heart diseases at King Abdulaziz University in Jeddah from 2010 to 2023. Methods This was a descriptive cross-sectional study of 59 patients aged 18 years or older who underwent surgical mitral and aortic valve replacement, involving either mechanical or tissue valves, from January 2010 to May 2023 They were selected using a non-probability convenient sampling technique. Their medical records were reviewed and the participants were interviewed via phone using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire, which was used to measure the QoL of patients (https://neurotoolkit.com/whoqol-bref/). Results The study found that the QoL of the participants varied across different domains. The psychological domain had the highest mean score of 79.76, while the physical domain had the lowest mean score of 61.5. The other domains, - social, environmental, and spiritual - had mean scores of 68.05, 69.9, and 73.25, respectively. There was a statistically significant association between the QoL and nationality and chronic diseases. However, the duration after surgery and the type of valve did not significantly correlate with the QoL in the different domains. Conclusion Based on our findings, heart valve replacement improves the QoL of patients. Healthcare organizations and providers should aim to improve the management of chronic diseases to optimize outcomes.
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