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All Journal Indonesian Journal of Cardiology Heart Science Journal Cardiovascular and Cardiometabolic Journal (CCJ) Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED)
Sarastri, Yuke
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Patient-reported perceptions of life quality and longevity in chronic heart failure Lubis, Ahmad Feriansyah; Lubis, Anggia Chairuddin; Andra, Cut Aryfa; Raynaldo, Abdul Halim; Ardini, Tengku Winda; Haykal, Teuku Bob; Sarastri, Yuke
Heart Science Journal Vol. 6 No. 4 (2025): The Pursuit of Precision: Navigating Risks, Refining Diagnosis, and Securing Lo
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.04.9

Abstract

BACKGROUND: Although heart failure therapy has advanced, many patients still experience functional limitations, which impact their quality of life. OBJECTIVES: To explore the factors influencing heart failure patients' preferences for quality of life and longevity. METHODS: This cross-sectional study was conducted at Adam Malik Hospital, Medan, Indonesia. The study was conducted from April 2023 to October 2023. A total of 143 chronic heart failure patients were included using purposive sampling. Data were collected through interviews and the EuroQol five-dimension five-level questionnaire, EuroQol visual analogue scale, and the Time Trade-Off method. Statistical analysis was performed using multivariate logistic regression. RESULTS: Of the 143 patients, 66.4% preferred quality of life over longevity, and 47.3% were willing to trade two years of their lives for a better quality of life. The main factors associated with this preference were heart failure with reduced ejection fraction (OR: 3.554; 95% CI: 1.373 - 9.198; p: 0.009), diabetes mellitus (OR: 2.705; 95% CI: 1.108 - 6.602; p: 0.029), and lower visual analog scale scores (OR: 0.889; 95% CI: 0.848 - 0.932; p: 0.000). Our results also showed that patients in the longevity group had better ejection fractions, fewer rehospitalizations, and were less likely to have diabetes mellitus or chronic kidney failure compared to the quality of life group. CONCLUSION: The majority of heart failure patients choose quality of life over longevity, and this may be influenced by symptom burden and rehospitalization history. These findings emphasize the importance of patient-centered therapy focusing on symptom management and psychosocial support.
Co-Authors Akbar, Nizam Zikri Andra, Cut Aryfa Ardini, Tengku Winda Arifianto, Habibie Batubara, Gio Justisia Chan, Muhammad Ikhsan Dewita, Auliya Ferhat E.S, Muhammad Hasan, Harris Hasanah, Dian Yaniarti Haykal, T. Bob Ilyas, Kamal Kharazzi Ilyas, Kamal Kharrazi Ketaren, Andre Pasha Khaidirman, Sophia Khairina Khairunnisah, Dina Leonardo Paskah Suciadi Lubis, Ahmad Feriansyah Lubis, Anggia Chairuddin Lubis, Dian Anindita Mukhtar, Zulfikri Napitupulu, Bertha Gabriella Nasution, Ali Nafiah Prameswari, Hawani Sasmaya Pratikto, Rarsari Soerarso Purba, Antonius Leonardo Putri, Vebiona Kartini Prima Raynaldo, Abdul Halim Reynaldo, Abdul Halim Rialdy, M. Isfan Safri, Zainal Siregar, Abdullah Afif Sitepu, Andika Siti Elkana Nauli Soedarsono, Wahyu Aditya Tarigan, Stefanie Teuku Bob Haykal Yamin, Paskariatne Probo Dewi Yasmine Fitrina Siregar Zulkarnain, Edrian