Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine

Barham, Aya; Ibraheem, Reem; Zyoud, Sa’ed H.

doi:10.1186/s12872-019-01281-7

Cited by 59 publications

(71 citation statements)

References 39 publications

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“… 20 , 21 There is evidence of lower levels of self-efficacy and poorer patient-physician interactions predicting poor health-related quality of life (HRQoL) which concluded that health providers should be aware of these factors in coronary heart disease (CHD) patients when trying to improve their QoL. 22 Likewise in a study done in cardiology unit and CCU, after implementation of the educational guidelines, highly statistically significant improvement regarding the total post and follow up test satisfactory scores of knowledge, cardiac self-efficacy, and cardiac exercise self-efficacy, somatic health complaints and anxiety level for the study group subjects was found. 26 …”

Section: Discussionmentioning

confidence: 99%

Predictors of Cardiac Self-Efficacy among Patients Diagnosed with Coronary Artery Disease in Tertiary Hospitals in Nepal

Shrestha

Rawal

Bajracharya

et al. 2020

Journal of Public Health Research

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Background: Cardiac self-efficacy determines how people feel, think, motivate themselves and behave with regards to improving their cardiac health subsequently preventing complications of coronary artery disease (CAD). Given almost one-third of global death is contributed by CAD with 10% of disability adjusted life years lost in low- and middle-income countries (including Nepal), it is important to identify factors that can promote cardiac self-efficacy. There are no studies in Nepal focusing on predictors of self-efficacy. Therefore, we aim to determine the predictors of cardiac self-efficacy of CAD patients in Nepal.Design and Methods: This is a cross-sectional study where we recruited 170 patients (≥30 years) diagnosed with CAD from two tertiary level hospitals. Multiple linear regression model was used to identify the predictors of cardiac self-efficacy.Results: The mean age of the participants was 60.45±10.39 years (range, 31-83). Most of the participants were diagnosed as myocardial infarction (91.2%), rest with unstable angina (6.5%) and stable angina (2.4%). The multivariate analysis shows age (p<0.001), health behaviors (p<0.001) and knowledge of the disease (p<0.001) were statistically significant predictors to cardiac self-efficacy. Every 1-year increase in age was associated with 0.23 units increase in cardiac self-efficacy score. Similarly, every unit increase in health behavior score and knowledge of disease score was associated with 0.432 units and 0.475 units increase in cardiac self-efficacy score, respectively.Conclusion: Age and health behaviors were the strongest predictors of cardiac self-efficacy followed by knowledge of the disease. We conclude that those with poor health behavior are at a greater risk of poorer cardiac self-efficacy compared to those with relatively good level of self-efficacy. Public health interventions such as awareness raising about cardiac disease and health behavior modification along with early screening, diagnosis and appropriate care are essential to improving self-efficacy and cardiac care outcomes.

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Section: Discussionmentioning

confidence: 99%

Predictors of Cardiac Self-Efficacy among Patients Diagnosed with Coronary Artery Disease in Tertiary Hospitals in Nepal

Shrestha

Rawal

Bajracharya

et al. 2020

Journal of Public Health Research

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“…There are 3125 possible health states, obtained by using one number from each section, ranging from 11,111 (full health) to 55,555 (worst health). In the current study, we included the Arabic version [12,[15][16][17][18][19]23] of EQ-5D in accordance with its developers' guidelines after receiving their approval to use it (ID: 35675). The EQ-5D score was calculated according to the United States General Population Score Algorithm (i.e.…”

Section: Data Collection Toolmentioning

confidence: 99%

“…In Palestine, there has been a growing interest in studying QoL indices in different populations and how this may be impacted by different variables and factors [12][13][14][15][16][17][18][19]. However, the impact of LUTS on the QoL among pregnant women has not been examined before.…”

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confidence: 99%

The impact of lower urinary tract symptoms on the quality of life during pregnancy: a cross-sectional study from Palestine

et al. 2020

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Background Lower urinary tract symptoms (LUTS) are prevalent among pregnant women. Several articles show the impact of LUTS on pregnant women’s quality of life (QoL). This study was designed to examine the impact of non-pathological LUTS on QoL among pregnant Palestinian women. Methods A cross-sectional, hospital-based study was conducted on women who were pregnant and receiving regular antenatal care at the obstetrics and gynecology clinic in Rafidia Hospital, Palestine. This self-administered questionnaire included the Urinary Distress Inventory – short-form (UDI-6), the Incontinence Impact Questionnaire – short-form (IIQ-7), the European Quality of Life scale – 5 dimensions (EQ-5D), and the European Quality of Life – visual analogue scale (EQ-VAS). A convenience sampling method was used. In addition to this, multiple linear regression analyses were performed aiming to identify variables that have a significant relationship with QoL (i.e. socio-demographic variables, UDI-6 score, and IIQ-7 score). Results This study included a total of 306 pregnant women. Participants had a mean age of 26.9 years (SD, 3.6). The subjects scored an average of 31.2 ± 19.2 out of 100 points for the UDI-6 scale and an average of 31.9 ± 24.9 out of 100 points for the IIQ-7 scale. On the other hand, the subjects’ average EQ-5D and EQ-VAS scores were 0.76 ± 0.17 and 67.96 ± 19.28 respectively. The subjects’ responses on UDI-6 significantly correlated with their responses on both the EQ-5D and EQ-VAS scales (r = − 0.338, p < 0.001 and r = − 0.206, p < 0.001, respectively). Likewise, their responses on IIQ-7 also significantly correlated with their responses on both the EQ-5D and EQ-VAS scales (r = − 0.389, p < 0.001 and r = − 0.329, p < 0.001, respectively). Regression analysis found that the UDI-6 score (p = 0.001) and IIQ-7 score (p < 0.001), were significantly and negatively associated with EQ-5D index scores. Conclusions Our study shows a remarkable correlation between LUTS and QoL among pregnant women. Further longitudinal studies are required to assess the status of LUTS in the pre-pregnancy stage to ascertain a more accurate assessment of LUTS or LUTS related intervention and its impact on QoL during pregnancy.

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“…The European Quality of Life visual analogue scale (EQ-VAS) was also included in this section to calculate the subjects’ viewpoints on their QOL using a 100-point scale [ 27 ]. The Arabic version [ 28 , 31 , 33 – 37 ] of EQ-5D was used in accordance with the developers’ guidelines for this tool and with their permission (ID: 35675). EQ-5D score was generated according to the United States General Population Score Algorithm (i.e., EQ-5D-5L Crosswalk Index Value Calculator) to measure the index value from the value set (weights) [ 38 ].…”

Section: Methodsmentioning

confidence: 99%

Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine

Hafi

Soradi

Diab

et al. 2021

J Health Popul Nutr

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Background End-stage renal disease (ESRD) is a leading cause of death and morbidity worldwide. Malnutrition is a common problem among hemodialysis (HD) patients that negatively impacts their prognosis and is linked to an increase in morbidity and mortality in these patients, as well as a decrease in their quality of life (QOL). In this study, we aimed to evaluate the QOL and to investigate factors that can influence it, including nutritional status, as well as socio-demographic factors, among Palestinian diabetic patients on HD therapy. Methods This was a cross-sectional study that occurred at a large hemodialysis center in Palestine. Malnutrition was assessed by the malnutrition-inflammation scale (MIS), and the quality of life was evaluated by using the EuroQoL five-dimensional instrument (EQ-5D). Multivariable linear regression analysis was carried out to look at the effect of multiple variables on QOL. Results A total of 118 diabetic patients on HD were included. Of these, 66.9% were male, and 60.2% were aged 60 years or higher. Having multiple comorbid diseases (p=0.004) and having been on HD for >4 years (p=0.003) were significantly associated with a higher MIS score, whereas living alone (p=0.037) and having been on HD for >4 years (p=0.002) was significantly associated with lower EQ-5D score. We also observed a significant association between the MIS score and the EQ-5D score(r=−0.616, p<0.001). Multiple linear regression analysis demonstrated that diabetic hemodialysis patients who lived within a family household were positively correlated with the QOL score (standardized coefficient, 0.178; 95% confidence interval (CI), 0.042 to 0.372; p = 0.015), and MIS score was significantly and negatively correlated with QOL scores (standardized coefficient, −0.587; 95% CI, −0.047 to −0.028; p < 0.001). Conclusions We found that malnutrition was associated with a lower QOL score among diabetic patients on HD. We recommend general practitioners, dietitians, nephrologists, and nurses to make plans that pay more attention to this group of patients who show evidence of malnutrition. Patients on dialysis for ≥ 4 years, patients who live alone, and those suffering from multiple co-morbid diseases should receive special care due to their higher risk of being impacted by this problem.

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Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine

Cited by 59 publications

References 39 publications

Predictors of Cardiac Self-Efficacy among Patients Diagnosed with Coronary Artery Disease in Tertiary Hospitals in Nepal

Predictors of Cardiac Self-Efficacy among Patients Diagnosed with Coronary Artery Disease in Tertiary Hospitals in Nepal

The impact of lower urinary tract symptoms on the quality of life during pregnancy: a cross-sectional study from Palestine

Nutritional status and quality of life in diabetic patients on hemodialysis: a cross-sectional study from Palestine

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