الخلاصة

Abstract: A descriptive study used to find the relationship between physical and psychosocial aspects and heart failure. The study was carried out during the period from (October 2013 to May 2014). The study aims to find out Physical and psychosocial aspects for patients with heart failure in Al-Sadder medical city, in the ICU and CCU units, to identify the relationship between the physical and psychosocial aspects for heart failure. A purposive sample of (30) patient in the ICU and CCU units in Al- Sadder medical city in Al – Najaf Al – Ashraf Governorate. The data were collected through used of questionnaire was developed and modified by researchers format of viewing with patient that available in the ICU and CCU units. The questionnaire consisted of three major part, the first part was concerning Sociodemographic characteristics, consisted of (9) items,the second part of the questionnaire was comprised of (10) items that related to disease distribution characteristics and clinical manifestations, the next part concerning about the physical and psychosocial aspects and this part have (47) item. The validity through reviewing the questionnaire by a panel study of (9) experts. The data were analyze through the application of descriptive statistical analyze include (frequency & percentage) and the application of inferential statistical analyze that include (person correlation coefficient and Chi-square). The finding of the present study indicate that there is highly significance for physical domain with the age, marital status, Occupational Status, Socioeconomic Status, Disease chronicity, Disease duration, Cardiomyopathy and Pneumothorax. Also highly significance for psychological domain with the age, marital status, and level of education, Occupational Status, Socioeconomic Status, Disease chronicity, Disease duration and Cardiomyopathy. The study confirms that the heart failure most commonly occur in elderly people over (38) years of age. Heart failure occurs almost equally between male and female, rural and urban, married and widow. The study confirms that the heart failure occur in high percentage of illiterate retires have no enough income in An Najaf Al Ashraf. The study indicates that the majority of the study sample have chronic heart failure, most of them diagnosed since over (2) years and over. The study confirms that the heart failure most commonly complications progress was high percentage for cardiomyopathy then pulmonary hypertension then hepatomegaly then pneumothorax. The Overall assessment of physical and psychosocial domains of heart failure patients’ quality of life in al-Sadder medical city which are high percentage for poor in physical domain of quality of life (73.3%) also there is high percentage for poor in psychosocial domain (63.3%), which mean failing in these domains of heart failure patients' quality of life The study recommends that an intensive comprehensive wide populationbased studies be conducted to assess the physical and psychosocial aspects of persons with heart failure. And Health oriented mass media approach should be employed by the ministry of health to increase population knowledge and awareness of heart failure and how we can prevent and managed it.