Factors Influencing Health‐Related Quality of Life in Cardiac Rehabilitation Patients

Abstract

Associations of age, gender, cardiac procedure (coronary artery bypass grafting or percutaneous transluminal coronary angioplasty), risk stratification, and number of comorbidities with health-related quality of life (HRQL) were examined among 217 men and 84 women (mean age, 63+/-11 years) consecutively enrolled in a phase II cardiac rehabilitation program. Female gender and high-risk stratification were independently associated with impaired treatment gains in most areas of HRQL. Older age and having a greater number of comorbidities were also associated with impaired gains in specific areas. HRQL was generally lower at baseline but not post-treatment in coronary artery bypass grafting vs. percutaneous transluminal coronary angioplasty patients. Cardiac rehabilitation patients also had lower HRQL scores than an age-matched, normative sample at baseline (most areas) and post-treatment (mainly on role physical). Findings reinforce the need for cardiac rehabilitation programs to tailor assessments and risk factor modification strategies to patient characteristics associated with low levels of HRQL, especially in women and those with higher risk stratification.

Psychiatric and somatic comorbidities are negatively associated with quality of life in physically ill patients

“…Of the remaining nine studies, seven studies [15][16][17][18][19][20][21] used a longitudinal design to examine the association between comorbidities and QoL over time.…”

“…The disease that has been studied most often is diabetes mellitus [15,[26][27][28][29][36][37][38][39][40][41][42]. According to that, 12 studies examined metabolic diseases, followed by 10 studies on diseases of the circulatory system [15,[17][18][19]29,30,34,[43][44][45], 10 studies on diseases of the musculoskeletal system [16,24,34,35,[46][47][48][49][50][51], seven on diseases of the respiratory system [22,23,32,33,[52][53][54], six on neoplasms [20,21,25,31,55,56], three on somatic diseases in general [57][58][59], and one on diseases of the digestive system …”

Evaluation of quality of life among patients with ischemic heart disease who practiced self-care activities at home after elective percutaneous coronary intervention

“…However, post-PCI QOL does not necessarily improve relative to pre-PCI in all patients. Factors affecting QOL among patients after elective PCI include smoking, weight gain, depression, unemployment and lack of family help [7][8][9][10][11][12][13][14][15]. Among these factors, smoking and weight gain are closely associated with lifestyle.…”

Kinder mit Sprachentwicklungsauff�lligkeiten

“…Zahlreiche Studien belegen eine eingeschränkte Lebensqualität sowohl bei organischen Erkrankungen wie z.B.Herz-und Tumorerkrankungen als auch bei funktionellen Störungen wie z.B.Dysphonien [2,18,20]. Jedoch leiden auch Personen, die mit der Pflege körperlich oder psychisch Kranker betraut sind,öfter an kör-perlichen Krankheiten, zumeist also die Angehörigen.…”