Determination of Anxiety, Anxiety Level and Quality of Life of Heart Failure Patients in the COVID-19 Process
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Keywords:Anxiety, Heart Failure, Quality of Life
Purpose: This study was planned as a cross-sectional, descriptive and correlational study to determine the relationship between the level of worry and anxiety experienced by patients with heart failure during COVID-19 and quality of life.
Material-Methods: The study data were collected between July and October 2020 by means of a patient identification form and the Worry and Anxiety Scale and the Minessota Quality of Life with Heart Failure scale, which were completed by face-to-face interview method. Our sample consisted of 132 patients who volunteered to participate in the study and met the inclusion criteria and were admitted to the heart failure outpatient clinic of Dr. Siyami Ersek Chest and Cardiovascular Surgery Training and Research Hospital. Data were analyzed using SPSS 22.0 software.
Results: The mean age of the patients was 53.30±10.45 years and 57.6% were female. 51.5% were diagnosed with heart failure 13-24 months ago, 69.7% were NYHA II according to the New York Heart Association (NYHA) classification, 72.7% needed psychological support during the pandemic, but only 18.2% received psychological support. When the scores obtained from the Worry and Anxiety Scale (WAS) and the Minnesota Living with Heart Failure Questionnaire were compared according to gender, education and income status, it was observed that the WAS scores were higher at a level of statistical significance and the quality of life scores were lower at a level of significance in women, primary school graduates and those with low income (p<0.05). It was found that the worry and anxiety levels of patients with a shorter time to diagnosis were higher at a level of statistical significance, and in patients with a high NYHA rating, the physical function sub-dimension score of the Minnesota Living with Heart Failure Questionnaire and the low score obtained in total were statistically significant (p<0.05).
Conclusion: Negative effects of the pandemic were found in patients with heart failure as in other diseases. In this process, patients had high anxiety and worry scale scores and low quality of life scores.
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