Family functioning and health-related quality of life of inpatients with coronary heart disease: a cross-sectional study in Lanzhou city, China

Abstract

Background A key outcome in coronary heart disease (CHD) is Health Related Quality of Life (HRQoL), and family functioning is important in the management of CHD. But few studies have examined both together, and little is known about them among inpatients with CHD in less developed areas of China. Therefore, this study aimed to assess the HRQoL and family functioning status of inpatients with CHD in Lanzhou from Northwest China, and identify the factors that affect their HRQoL. Methods A cross‑sectional study was conducted in 224 CHD inpatients at one major hospital. Sociodemographic data and disease information of CHD inpatients were collected by face-to-face using a structured questionnaire and data were also obtained from patient medical records. HRQoL was measured using the Sickness Impact Profile (SIP). Family functioning was measured using the family APGAR index. Multiple binary logistic regression analysis (MBLRA) was used to explore potential risk factors associated with HRQoL, and Pearson’s correlations were used to assess the relationship between family functioning and HRQoL. Results The overall, physical and psychosocial SIP scores were 25.03 ± 8.52, 18.61 ± 9.90 and 28.08 ± 9.64, respectively. The total family APGAR score was 6.11 ± 2.45. MBLRA found older age, poorer cardiac function and more severe disease were associated with poorer HRQoL, while better family functioning, higher monthly income, and urban living were associated with better HRQoL. Family functioning was weakly to moderately correlated with total and psychosocial HRQoL. Conclusions Older and less affluent inpatients with lower educational level, less family support and more severe CHD have poorest quality of life, and health care providers should consider interventions to support them.

The relationship between psychosocial behavior and the quality of life of male gout patients in southwest china: a cross-sectional study based on an information-motivation-behavioral skills model

“…Interestingly, the present study found that the educational level of gout patients did have a signi cant impact on the GIS dimension of unmet gout treatment need (β = 1.795). This nding is not in agreement with some other studies [21,22] . A possible reason for this is that people with high educational levels may have access to better health-related knowledge and skills [23,24] , while information may have a negative impact on healthcare utilization [25] .…”

“…Previous studies have not found that education level is associated with HRQoL in gout patients, although it clearly does in other chronic diseases [21,22] . Interestingly, the present study found that the educational level of gout patients did have a signi cant impact on the GIS dimension of unmet gout treatment need (β = 1.795).…”

Gender, age and morphofunctional characteristics of the quality of life of patients with stable angina

“…Проаналізувавши ПКЗ, зазначимо, що відсутність значущих розбіжностей показників РЕФ, СФ, ЖЗ і ПЗ (р > 0,05) вказує на низький вплив психічної складової ЯЖ залежно від віку пацієнта. Доведено, що особи похилого віку мають достовірно нижчу ЯЖ [4]. Імовірно, це зумовлено соціальною складовою, рівнем доходу чи навіть місцем проживання.…”

“…Зазначимо, що реваскуляризація зменшує прояви СтСт, запобігає розвитку коронарних інцидентів, але зниження фізичної активності та ЯЖ залишаються проблемою навіть після оптимальної реваскуляризації, і це також є економічним тягарем для сфери охорони здоров'я [4].…”

How is family health related to health‐related quality of life among middle‐aged and older adults in rural China? A cross‐sectional study

“…Previous studies have identified biological, psychological and social factors that influence HRQOL in the Chinese population, such as disease (Tian et al., 2021), social support (Burnette et al., 2021) and public health services (Lai et al., 2021). Notably, HRQOL is affected by many family‐related factors, including the family's income (Ha et al., 2022), communication (Lim & Shon, 2018), relationships (Zhang et al., 2021), structure (Liu et al., 2015), lifestyle (Chen et al., 2020) and functioning (Zhang, Wang, et al., 2022). Family health is defined as a resource at the level of the family unit that develops from the intersection of the health of each family member, their interactions and capacities, as well as the family's physical, social, emotional, economic and medical resources (Weiss‐Laxer et al., 2020).…”