BACKGROUND Heart Failure (HF) results in an immense impact on the patients' Health-related quality of life (HRQOL). Heart failure patients HRQOL is dependent on the patients' level of engagement in self-care behaviors. Therefore this study aimed to determine HF patients' health-related quality of life and its relationship with self-care behaviors. METHODS An institutional-based study was conducted on 284 heart failure patients at the University of Gondar referral hospital. The data were collected using a structured questionnaire-based interview. The data were analyzed using SPSS version 20. Both descriptive and analytical statistical tests were utilized. A multinomial logistic regression analysis was done to determine the association between HRQOL and different independent variables. Variables with a p-value< 0.05 were considered as a significant predictor of the outcome variable. RESULTS The finding of this study showed that more than sixty-six percent of the study population were females. The overall mean score of HF patients' quality of life was 46.4 ± 22.4 and the physical and emotional subscale mean score was 20.2 ± 9.8 and 10.5 ± 6.8 respectively. The majority of the study participants 147(51.8%) had poor quality of life. The multinomial logistic regression analysis result showed that rural residence (odds ratio 2.41, 95% CI, 1.23 to 4.71) and inadequate level of self-care practice (odds ratio 2.61, 95% CI, 1.43 to 4.78) were independent predictors of poor HRQOL. The correlation analysis also showed that there was a significant negative relationship between HF patients' HRQOL score and Self-care practice score (r = - 0.127, P = 0.032). CONCLUSION Overall, the majority of HF patients had poor HRQOL. Heart failure patients' HRQOL was significantly associated with place of residence and patients' level of self-care practice. Therefore, patients with HF are required to learn the benefit of self-care behaviors to improve their quality of life and to decrease the disease progression. Furthermore, HF patients who come from rural areas need special emphasis in each follow-up evaluation.

中文翻译：

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埃塞俄比亚心力衰竭患者与健康有关的生活质量和自我保健的程度。

背景技术心力衰竭（HF）对患者的健康相关生活质量（HRQOL）产生巨大影响。心力衰竭患者HRQOL取决于患者参与自我保健行为的水平。因此，本研究旨在确定心衰患者健康相关的生活质量及其与自我保健行为的关系。方法在Gondar大学转诊医院对284名心力衰竭患者进行了一项基于机构的研究。使用基于问卷调查的结构化访谈收集数据。使用SPSS 20版分析数据。使用描述性和分析性统计检验。进行了多项逻辑回归分析，以确定HRQOL与不同自变量之间的关联。p值<0的变量。05被认为是结果变量的重要预测因子。结果这项研究的结果表明，超过百分之六十六的研究对象是女性。HF患者生活质量的总体平均得分为46.4±22.4，身体和情绪分量表的平均得分分别为20.2±9.8和10.5±6.8。大多数研究参与者147（51.8％）的生活质量较差。多项逻辑回归分析结果表明，农村居民（比值比2.41，95％CI，1.23至4.71）和自我护理水平不足（比值2.61，95％CI，1.43至4.78）是HRQOL差的独立预测因子。相关分析还显示，HF患者的HRQOL得分与自我护理实践得分之间存在显着负相关（r =-0.127，P = 0.032）。结论总体而言，大多数HF患者的HRQOL较差。心力衰竭患者的HRQOL与居住地和患者的自我护理水平显着相关。因此，HF患者需要学习自我保健行为的益处，以改善其生活质量并减少疾病进展。此外，来自农村地区的HF患者在每次随访评估中都需要特别强调。