Application and validation of ukrainian-language modification of the ferrans and powers quality of life questionnaire for patients with heart rhythm distirancies in Ukraine

Keywords: quality of life, atrial flutter, atrial fibrillation, validation, questionnaire

Abstract

Introduction. Atrial flutter (AFl) and atrial fibrillation (AF) are ones of the most common arrhythmias, they constitute a significant proportion of cardiovascular events. Radiofrequency ablation (RFA) is the most common strategy of rhythm control in these patients, affects many endpoints, including quality of life. Existing validated questionnaires are not specific, need a lot of time as for patient during filling in, as for doctor during interpretation. In English resources Ferrans and Powers questionnaire has shown high sensitivity and specificity for patients with heart rhythm disturbances, which further uses in different patients’ cohorts. The aim of our work was to evaluate acceptability, reliability, legitimacy and sensitivity of the Ukrainian-language modification of the Ferrans and Powers questionnaire for patients with AFl and AF before and after RFA. Materials and methods. The original Ferrans and Powers questionnaire, which consists of 15 questions, was translated and adapted from English into Ukrainian. The survey was conducted among patients before the RFA procedure, in the acute postoperative period (3–5 days), 3 months and 12 months after the procedure. According to the results, the sum of points was calculated and classes were allocated: class 1 (significant decrease in quality of life) – 15–44 points, class 2 (moderate decrease in quality of life) – 45–74 points and class 3 (slight decrease, or high quality of life) – 75–90 points. Acceptability, reliability, legitimacy and sensitivity of the survey scale were assessed. Results. The study included 118 patients with a mean age of 58.98 ± 9.6, 49 women (41.5 %). The scale of the Ukrainian-language modification of the Ferrans and Powers questionnaire had a high internal sequence (logic), the average correlation between the points of the scale was 0.51; Cronbach’s alpha coefficient is 0.9. All the recommended criteria for constructing such scales were agreed, 15 points were combined into a single scale, in which 32 % of discrepancies with the original points were observed. By acceptability, the highest and lowest extremes of quality of life were below the recommended maximum of 20 %. Reliability was confirmed by compliance with the recommended criteria of internal density and reproducibility in repeated measurements. A high intrinsic density was demonstrated, confirming the design-related validity of the questionnaire. The sensitivity of the proposed scale was reflected in the increase in the quality of life of patients after all types of RFA procedures. The study proved the high acceptability, reliability, validity and sensitivity of the quality of life questionnaire of patients with cardiac arrhythmia in patients with paroxysmal, persistent and persistent forms of AFl and/or AF, as well as their observation in the stages after RFA. Conclusions. The Ukrainian-language modification of the Ferrans and Powers questionnaire has high levels of acceptability, reliability, legitimacy and sensitivity for patients with AFl and AF, which is a useful practical tool for the treatment and control of these patients.

Downloads

Download data is not yet available.

Author Biography

Mariia Brynza, V. N. Karazin Kharkiv National University School of Medicine

PhD, associate professor, head of Propaedeutics of internal medicine and physical rehabilitation department, medical school, V. N. Karazin Kharkiv National University, 6, Svobody sq., Kharkiv, Ukraine, 61022

References

Raatikainen M, Arnar D, Merkely B, Nielsen J, Hindricks G, Heidbuchel H et al. A Decade of Information on the Use of Cardiac Implantable Electronic Devices and Interventional Electrophysiological Procedures in the European Society of Cardiology Countries: 2017 Report from the European Heart Rhythm Association. EP Europace. 2017; 19 (suppl_2):ii1-ii90. Doi: https://doi.org/10.1093/europace/eux258

Cheung J, Yeo I, Cheng E, Ip J, Thomas G, Liu C et al. Inpatient hospital procedural volume and outcomes following catheter ablation of atrial fibrillation. Journal of Cardiovascular Electrophysiology. 2020; 31 (8): 1908–1919. Doi: https://doi.org/10.1111/jce.14584

Rottner L, Bellmann B, Lin T, Reissmann B, Tönnis T, Schleberger R et al. Catheter Ablation of Atrial Fibrillation: State of the Art and Future Perspectives. Cardiology and Therapy. 2020; 9 (1): 45–58. Doi: https://doi.org/10.1007/s40119-019-00158-2

Hindricks G, Potpara T, Dagres N, Arbelo E, Bax J, Blomström-Lundqvist C et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal. 2020; 42 (5): 373–498. Doi: https://doi.org/10.1093/eurheartj/ehaa945

Blomström-Lundqvist C, Gizurarson S, Schwieler J, Jensen S, Bergfeldt L, Kennebäck G et al. Effect of Catheter Ablation vs Antiarrhythmic Medication on Quality of Life in Patients With Atrial Fibrillation. JAMA. 2019; 321 (11): 1059. Doi: https://doi.org/10.1001/jama.2019.0335

Ferrans C, Powers M. Quality of life index. Advances in Nursing Science. 1985; 8 (1): 15–24. Doi: https://doi.org/10.1097/00012272-198510000-00005

Faison Y, Burns D, Weed D. Application of Ferrans and Powers Quality of Life Model to Improve Diabetes Health Outcomes. Holistic Nursing Practice. 2016; 30 (3): 131–138. Doi: https://doi.org/10.1097/HNP.0000000000000149

Donnenwirth J, Hess R, Ross R. Post-Traumatic Stress, Depression, and Quality of Life in Women with Peripartum Cardiomyopathy. MCN: The American Journal of Maternal/Child Nursing. 2020; 45 (3): 176–182. Doi: https://doi.org/10.1097/NMC.0000000000000614

Lohr K, Aaronson N, Alonso J, Audrey Burnam M, Patrick D, Perrin E et al. Evaluating quality-of-life and health status instruments: development of scientific review criteria. Clinical Therapeutics. 1996; 18 (5): 979–992. Doi: https://doi.org/10.1016/s0149-2918(96)80054-3

Mattsson N, Nieminen K, Heikkinen A, Jalkanen J, Koivurova S, Eloranta M et al. Validation of the short forms of the Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) in Finnish. Health and Quality of Life Outcomes. 2017; 15 (1). Doi: https://doi.org/10.1186/s12955-017-0648-2

Eide H, Leren L, Sørebø Ø. The Norwegian versions of the Chronic Pain Acceptance Questionnaire CPAQ-20 and CPAQ-8 – validation and reliability studies. Disability and Rehabilitation. 2016; 39 (14): 1441–1448. Doi: https://doi.org/10.1080/09638288.2016.1198427

Makharyns’ka O.S., Lebedyns’ka M.M., Bereznyakov I.H. Zastosuvannya ta validyzatsiya korotkoho zapytalʹnyka dlya khvorykh na nehospitalʹnu pnevmoniyu v Ukrayini. Novosty medytsyny y farmatsyy. 2012; 1 (6).

Published
2021-12-01
How to Cite
Brynza, M. (2021). Application and validation of ukrainian-language modification of the ferrans and powers quality of life questionnaire for patients with heart rhythm distirancies in Ukraine. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (43). https://doi.org/10.26565/2313-6693-2021-43-02