Predicting Health Related Quality of Life in Indonesian Post Myocardial Infarction Patients

Abstract

Myocardial infarction is one of chronic illnesses that has significant effects to patient's health related quality of life. This study tested three psychosocial factors (i.e. religious coping behaviour, cardiac anxiety and marital satisfaction) and two disease-related factors (i.e. left ventricular ejection fraction, comorbidity) in predicting health related quality of life in patients with post myocardial infarction in Indonesia. A cross sectional study included 170 patients with myocardial infarction was conducted. The patients completed four questionnaires: MacNew Health Related Quality of Life, Couple Satisfaction Index, Cardiac anxiety Questionnaire, and religious coping behaviour. Proposed model was tested using structural equation modelling. Results revealed that cardiac anxiety has a significant negative relationship with health-related quality of life. Marital satisfaction was a significant moderator in the relationship between cardiac anxiety and health related quality of life. There were no significant relationships among patient's comorbidity, left ventricular ejection fraction, religious coping behaviour and health related quality of life. Results of the study shed the light of the importance of protective effects of patient's immediate environment in shaping patient's health related quality of life.

The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention

“…However, the incidence of anxiety among participants in this study was relatively higher than in the previous study (Liu et al, 2018) and consistent throughout the earlier study's findings, a literature review, in which it was stated that anxiety is correlated with HRQoL (Kang et al, 2017). Structural equation modeling (SEM) research also discovered a substantial role for cardiac anxiety as an independent predictor of the HRQOL in myocardial infarction patients (Wulandari et al, 2019). This result should become a concern since emotional symptoms can negatively affect self-efficacy (Liu al., 2018).…”

“…Positive coping strategies to alleviate stress and promote communication may significantly affect HRQoL by improving mental state and health behavior (Du et al, 2020). Moreover, adequate social support for patients can mitigate the effects of stress in patients after PCI (Wulandari et al, 2019).…”