Rahadiyan, T and Johanes Nugroho and Soemantri, Djoko (2011) Angka kualitas hidup dan Gejala Depresi Pasien Gagal Jantung Kongestif di Poliklinik Jantung dan Vaskular RSUD Dr. Soetomo. Media Kardiovascular, 5 (1). pp. 7-12. ISSN 1410-0321

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Abstract

Objective : to assess health related quality of life (QoL) and depressive disorder congestive heart of patients with failure (CHF); and to correlate the different aspect both of them. Background : morbidity and mortality are high in CHF. various studies approve reduced quality of rife and depression associated with worsening hean fairure itserf, increasing mortarity and readmission. Despite the obvious negative effects of depression and a reduced QoL on the course of CHF, these factors often go unrecognized and undertreated in ctinical practice. Method : we observed 55 Patients by purposive sampling. The inclusion criteria is all of out patients of CHF who classified to New York Heart Association (NYHA) functional class l, ll, and lll and the exclusion criteria is patients cHF with functional class IV who need incharge. Measurement was performed to NYHA functional class classification, quality of life and depression symptom and then we compare the associations between these variables. Both also compared to NYHA functional classes classification. Result : Quality of life short form-36 (Qol SF-36) score for NYHA Class I of physical component / physical summary score (PSS) = 73,30 +- 5.14 and mental component/mental summary score (MSS) = 80.83 +- 5.17; for NYHA class II, the PSS = 43.85 +- 6.39 and MSS = 53 +- 8.79; NYHA class III, the PSS = 24.67 +- 7.37 and MSS = 29.08 +- 9.08. significant correlation was found between NYHA functional classes and physical component and mental component of QoL. According to DSM-IV criteria the prevalence of Depressive Major Disorder was 24 patients (43,6%) significant correlation was found between NYHA functional classes and depressive symptoms PHQ-9 (r = 0.84; p< 0.01). patients with no depressive symptom have physical component (PSS) = 71.09 +- 8.05 and mental component (MSS) = 78,56 +- 8,52; mild depressive symptom have PSS = 55.00 +- 14.12 dan MSS = 65.62 +- 13.89; moderate depressive symptom have PSS = 38.17 +- 9,38 and MSS = 47.08 +- 8.34; moderatery severe have PSS = 31.43 +- 7.95 and MSS 36.71 +- 10,16; and = 31.43 +- 7.95 and MSS = 36,71 +- 10.16 severe have PSS = 21.20 +- 4.08 dan MSS =22.80 +- 6.30. significant correlation was found between Depressive symptom scale (pHQ-9) and both of physical Component,PSS (r = - 0.989, p < 0.01) and mental component, MSS (r = -0.939, p < 0.01) from Qol SF-36. Conclusion : Correlation between quality of life (SF-36) and depression scale (pHQ-9) was significant. All quality of life (SF-36) and depression scale (PHQ-9) was significant correlation with NYHA fun-ctional class.

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