심부전 환자의 근감소증, 신체활동, 회복탄력성이 삶의 질에 미치는 영향

Abstract

This study aim to identify the impact of sarcopniea, physical activity, reseilience on the heart failure patients. Data were collected from January 1, 2021 to June 30, 2022 using a structured questionnaire with 103 heart failure patient in the Pusan National University Hospital. The collected data were analyzed using descriptive statistics; t-test, ANOVA, Pearson’s correlations and multiple regression analysis with the SPSS 22.0 program. The results of this study were as follows: In 18.4% of the subjects, sarcopenia was confirmed. The mean score of SARC-F was 2.20±1.79, hand grip strength was 27.62±9.62, physical performance was 13.17±5.91, physical activity was 2248.07±4135.49 MET-min/week, resilience was 3.59±0.45, Quality of life was 49.30±22.86. There was s statistically significant difference in quality of life according to their age (F=4.90, p=.003), NYHA (F=7.40, p=.001), comorbidity (F=3.96, p=.010), pro BNP (t=0.05, p=.003), sarcopenia (t=0.04, p=<.001), physical activity (F=15.37, p<.001). Quality of life was significantly correlation physical activity (r=.25, p =.010) and sarcopenia was shown negative correlation (r=-.45, p<.001). A multiple regression analysis, pro BNP (β=-11.38, p=.022), sarcopenia (β=-10.76, p=.039), physical activity (β=8.39, p=.001), NYHA class (β=-6.64, p=.021), age (β=.46, p=.002). These five variables accounted for 34.8% of the total variance in quality of life in heart failure patients (F=10.07, p<.001). The results suggest that basic data for the development of patient education protocols can be provided based on age, NYHA class, pro BNP, physical activity and sarcopenia to improve the quality of life of heart failure patients.