Functioning and quality of life at discharge from patients with heart failure: International Classification of Functioning, Disability and Health

Abstract

Objective: To evaluate the functionality and quality of life of patients with heart failure on hospital discharge and to describe the practical application of International Classification of Functioning, Disability and Health.

Method: This is a descriptive cross-sectional study. Patient assessment was performed at hospital discharge. Data were collected from the medical records, the quality of life questionnaire (Nottingham Health Profile) and the 6-minute Walk Test were performed. The association of the variables evaluated to the International Classification of Functioning, Disability and Health categories was performed using linkage rules to link the categories and qualifiers.

Results: Fifty-eight patients with heart failure were included. It was possible to identify 15 International Classification of Functioning, Disability and Health codes (9 of activities and participation (d), 5 of functions (b), 1 of environmental factors (e)). The categories of activity and participation with alteration most prevalent were the mild limitation in walking activity (d4508) and interaction and interpersonal relationships (d799). The most prevalent function categories were sleep functions (b134) and sensation of pain (b280).

Conclusions: This study demonstrated the possibility of practical application of International Classification of Functioning, Disability and Health in describing the functionality of patients with heart failure at the time of hospital discharge. It was also possible to demonstrate functional changes in body functions categories, activities and participation, and environmental factors of the International Classification of Functioning, Disability, and Health in the sample studied.