Health-related quality of life in patients admitted after a first episode of acute coronary syndrome

Abstract

This study aimed to investigate health-related quality of life based on the four weeks antecedent to first admission for acute coronary syndrome and describe potential associations between quality of life, gender and prior treatment for any other cardiovascular condition. An exploratory, descriptive and cross-sectional study was conducted in two public hospitals in an inner state city of the State of São Paulo. Of 253 participants studied, 69.2% were male, 69.6% were married or living with a partner, and 58.1% were professionally active before the current hospital admission. Mean age was 57.9 years old. Higher scores were seen in the Social Functioning ( x =86.1) domain, while the domain perceived as more compromised was Role Physical ( x =57.7). Female participants and those who had previously been treated for any other cardiovascular condition had lower quality of life, and these differences were all statistically significant (p<0.05). Calidad de vida relacionada a la salud de sujetos internados, como consecuencia del primer síndrome coronario agudoEl objetivo de este estudio fue investigar la calidad de vida relacionada a la salud, basada en las últimas cuatro semanas que antecedieron a la primera internación, por un síndrome coronario agudo, y describir potenciales asociaciones entre la calidad de vida, sexo y tratamiento previo para otras enfermedades cardiovasculares. Como método, se utilizó el estudio descriptivo y exploratorio, de tipo transversal, realizado en dos hospitales públicos en el interior del Estado de Sao Paulo. De los 253 sujetos estudiados, 69,2% eran hombres, 69,6% casados, o vivían con un compañero, y 58,1% eran profesionalmente activos antes de la internación. La edad promedio fue de 57,9 años. Los mayores puntajes obtenidos fueron en el dominio aspectos sociales ( x =86,1), en cuanto el dominio más comprometido fue aspectos físicos ( x =57,7). Se concluye que las mujeres, así como los sujetos que ya hacían tratamiento previo para otras enfermedades cardiovasculares, presentaron peor calidad de vida, y las diferencias fueron todas estadísticamente significativas (p<0,05).

A randomized controlled trial of an educational programme to improve self‐care in Brazilian patients following percutaneous coronary intervention

“…In a previous study, Cronbach's alpha values for SF‐36 in CAD patients varied from 0·71 (General Health)–0·97 (Role–Emotional), indicating a good internal consistency (Dessotte et al . ). In the present study, the Cronbach's alpha values for the SF‐36 varied from 0·46 (Social Functioning)–0·91 (Bodily Pain).…”

Self-care agency and quality of life in the preoperative period of coronary artery bypass graft surgery

“…In contrast, the lowest scores in the physical component, as seen in other studies (3,18) , may reflect the impact of cardiovascular illnesses on individuals' role-physical aspects.…”

“…The incidence of noncommunicable diseases (NCD), along with an aging population, has caused an increase in demand for specialized services such as coronary artery bypass graft (CABG) (1)(2)(3) , which dispense with the work by nurses in healthcare education of individuals who will be submitted to this procedure.…”

“…Studies that used this theoretical framework in their assumptions (1,8) emphasized SCA, which is the ability of engaging in self-care actions, for health and well-being maintenance (5) . These goals were associated with HealthRelated Quality of Life (HRQoL) because it emphasizes the perception on health and well-being in research on the health-illness process (1,3,(7)(8) . Additionally to the common synergy between SCA and HRQoL in maintaining health and well-being, both can be influenced by factors that are both intrinsic and extrinsic to human beings such as age, sex, and sociocultural and economic aspects.…”

“…Additionally to the common synergy between SCA and HRQoL in maintaining health and well-being, both can be influenced by factors that are both intrinsic and extrinsic to human beings such as age, sex, and sociocultural and economic aspects. According to Dorothea Orem, these factors are called BCF (3,5,7) . Thus, one understands that individuals' knowledge about SCA, HRQoL, and BCF during the CABG preoperative period is important and can support nurses' actions both in terms of healthcare education and in clinical practice (1)(2)5,8) .…”