Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa

Jérôme Boombhi; Jean-Pierre Kamga; Liliane Mfeukeu-Kuaté; Delphine Kingue; Mazou Ngou Temgoua; Alain Menanga; Samuel Kingué

doi:doi:10.11648/j.ccr.20190304.11

Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa

Jérôme Boombhi, Jean-Pierre Kamga, Liliane Mfeukeu-Kuaté, Delphine Kingue, Mazou Ngou Temgoua, Alain Menanga, Samuel Kingué

Published in Cardiology and Cardiovascular Research (Volume 3, Issue 4)

Received: 14 May 2019 Accepted: 18 June 2019 Published: 25 September 2019

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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.

Published in	Cardiology and Cardiovascular Research (Volume 3, Issue 4)
DOI	10.11648/j.ccr.20190304.11
Page(s)	80-85
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Quality of Life, Chronic Heart Failure, Tertiary Hospitals, Sub-Saharan Africa

References

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[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.
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[8]	Cochran WG. Sampling Theory When the Sampling-Units are of Unequal Sizes. J Am Stat Assoc. 1942; 37 (218): 199–212.
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[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.
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APA Style

Jérôme Boombhi, Jean-Pierre Kamga, Liliane Mfeukeu-Kuaté, Delphine Kingue, Mazou Ngou Temgoua, et al. (2019). Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa. Cardiology and Cardiovascular Research, 3(4), 80-85. https://doi.org/10.11648/j.ccr.20190304.11

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ACS Style

Jérôme Boombhi; Jean-Pierre Kamga; Liliane Mfeukeu-Kuaté; Delphine Kingue; Mazou Ngou Temgoua, et al. Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa. Cardiol. Cardiovasc. Res. 2019, 3(4), 80-85. doi: 10.11648/j.ccr.20190304.11

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AMA Style

Jérôme Boombhi, Jean-Pierre Kamga, Liliane Mfeukeu-Kuaté, Delphine Kingue, Mazou Ngou Temgoua, et al. Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa. Cardiol Cardiovasc Res. 2019;3(4):80-85. doi: 10.11648/j.ccr.20190304.11

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@article{10.11648/j.ccr.20190304.11,
  author = {Jérôme Boombhi and Jean-Pierre Kamga and Liliane Mfeukeu-Kuaté and Delphine Kingue and Mazou Ngou Temgoua and Alain Menanga and Samuel Kingué},
  title = {Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {4},
  pages = {80-85},
  doi = {10.11648/j.ccr.20190304.11},
  url = {https://doi.org/10.11648/j.ccr.20190304.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190304.11},
  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.},
 year = {2019}
}

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TY  - JOUR
T1  - Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa
AU  - Jérôme Boombhi
AU  - Jean-Pierre Kamga
AU  - Liliane Mfeukeu-Kuaté
AU  - Delphine Kingue
AU  - Mazou Ngou Temgoua
AU  - Alain Menanga
AU  - Samuel Kingué
Y1  - 2019/09/25
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190304.11
DO  - 10.11648/j.ccr.20190304.11
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 80
EP  - 85
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190304.11
AB  - 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.
VL  - 3
IS  - 4
ER  -

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Author Information

Jérôme Boombhi
Jean-Pierre Kamga

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
Liliane Mfeukeu-Kuaté

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, 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
Samuel Kingué

Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

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APA Style

Jérôme Boombhi, Jean-Pierre Kamga, Liliane Mfeukeu-Kuaté, Delphine Kingue, Mazou Ngou Temgoua, et al. (2019). Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa. Cardiology and Cardiovascular Research, 3(4), 80-85. https://doi.org/10.11648/j.ccr.20190304.11

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ACS Style

Jérôme Boombhi; Jean-Pierre Kamga; Liliane Mfeukeu-Kuaté; Delphine Kingue; Mazou Ngou Temgoua, et al. Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa. Cardiol. Cardiovasc. Res. 2019, 3(4), 80-85. doi: 10.11648/j.ccr.20190304.11

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AMA Style

Jérôme Boombhi, Jean-Pierre Kamga, Liliane Mfeukeu-Kuaté, Delphine Kingue, Mazou Ngou Temgoua, et al. Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa. Cardiol Cardiovasc Res. 2019;3(4):80-85. doi: 10.11648/j.ccr.20190304.11

Copy | Download

@article{10.11648/j.ccr.20190304.11,
  author = {Jérôme Boombhi and Jean-Pierre Kamga and Liliane Mfeukeu-Kuaté and Delphine Kingue and Mazou Ngou Temgoua and Alain Menanga and Samuel Kingué},
  title = {Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {4},
  pages = {80-85},
  doi = {10.11648/j.ccr.20190304.11},
  url = {https://doi.org/10.11648/j.ccr.20190304.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190304.11},
  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.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Quality of Life in Patients with Chronic Heath Failure Followed at the Tertiary Hospitals of Sub-Saharan Africa
AU  - Jérôme Boombhi
AU  - Jean-Pierre Kamga
AU  - Liliane Mfeukeu-Kuaté
AU  - Delphine Kingue
AU  - Mazou Ngou Temgoua
AU  - Alain Menanga
AU  - Samuel Kingué
Y1  - 2019/09/25
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190304.11
DO  - 10.11648/j.ccr.20190304.11
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 80
EP  - 85
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190304.11
AB  - 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.
VL  - 3
IS  - 4
ER  -

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