Narrative review of health‐related quality of life and its predictors among patients with coronary heart disease

Abstract

This paper summarizes the empirical evidence concerning health-related quality of life (HRQoL) of patients with coronary heart disease (CHD) and attempts to identify its significant predictors. A systematic search of the literature from 2002 to 2012 was conducted using seven electronic databases (CINAHL, ScienceDirect, Medline, Scopus, PsycINFO, PubMed and Web of Science) using the search terms 'HRQoL'. 'CHD', 'social support', 'depression', 'anxiety', 'psychosocial factors', 'sociodemographic factors', 'clinical factors' and 'predictors'. A total of 1052 studies were retrieved, of which 24 articles were included in this review. Previous studies have consistently demonstrated the negative impact of CHD on HRQoL, citing three major types of predictive factors: sociodemographic, clinical and psychosocial factors. Studies have also highlighted the advantageous use of HRQoL as a gauge for treatment satisfaction and efficacy. There are, however, few studies that collectively investigate the relationship among concepts such as HRQoL, anxiety and depression, social support, and sociodemographic and clinical factors in relation to CHD. This review highlights the need to conduct further study on HRQoL of patients with CHD in the Asian context. Such research will promote patient-centric care and improved patient satisfaction through incorporation of the concept of HRQoL into clinical practice.

Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review

“…Studies on the relationship between R/S and QOL among patients with various forms of CVD have, however, demonstrated mixed results. While several reviews have examined factors associated with QOL in patients with CVD [ 18 , 19 ], the association between R/S and global or HRQOL among patients with CVD has received limited attention.…”

Correlation between exercise, personal income level and health-related quality of life in patients with newly diagnosed stable angina

“…Based on the notion that health is more than the absence of disease, HRQL evaluation has become a major public health topic over recent decades. According to the latest research, age, chronic disease, health services, medical insurance, education, economic status, and physical exercise are the main factors influencing HRQL in the general population; in particular, age and disease are independent risk factors [9, 10]. However, the factors that influence HRQL in CAD outpatients and the consistency of these factors between physical and mental HRQL remain unclear.…”

Comorbidities and characteristics of coronary heart disease patients: their impact on health-related quality of life

“…Although this number has been in decline for the last two decades, it has increased in low- and middle-income countries [1–4]. Moreover, patients with CVDs report significantly poorer health-related quality of life (HRQoL) as compared to the population without chronic diseases, similar to patients with other potentially disabling chronic conditions, such as diabetes, arthritis and depression [5, 6]. …”