Socio-demographic and clinical predictors of health-related quality of life in patients after myocardial infarction

Abstract

Introduction. Acute coronary syndrome is associated with a reduction in the patients' own perception of their quality of life (QoL). QoL is an important measure of the effectiveness of treatment; however, some of the predictors may be associated with a lower QoL assessment. The evaluation of QoL of patients after myocardial infarctions takes into consideration the socio-demographic and clinical predictors which can affect the level of health-related QoL Objective The aim of this study is to determine which socio-demographic and clinical factors have a positive or negative impact on QoL. Materials and method. The study included 100 patients of the American Heart of Poland Clinic in Bielsko-Biała who had undergone ST-myocardial infarction. For the purpose of the study, the following instruments were used: demographic data sheet, the Nottingham Health Profile questionnaire, and items regarding clinical variables: gender, age, education, marital status, occupational activity, blood pressure and heart rate, BMI, physical activity. Results. Comparative analysis of QoL, depending on the selected variables, revealed statistically significant differences among respondents with reference to age. People above the age of 85 showed the lowest rating of QoL in domains: Energy (NHP=100), Pain (80.3), and Mobility restriction (78.7). People with primary and vocational education rated their QoL worse than those with secondary and high education. The lowest QoL was typical of the single and widowers, obese and physical inactive people. Conclusions. Multivariate analysis proved the influence of socio-demographic and clinical factors on individual NHP domains. Significant independent determinants of lower QoL were old age and BMI, whereas staying in a relationship, physical activity and occupational inactivity were important determinants of higher QoL scores.

Health-Related Quality of Life and Associated Factors among Myocardial Infarction Patients at Cardiac Center, Ethiopia

“…Study participants with secondary education as well as college and above educational level had better HRQoL than those with primary education and others. This finding is similar to a study done in Korea [36] and Poland [33]. Higher and better education can be an advantage for access to wider resources within the community and higher awareness of risk factors of MI.…”

“…A cross-sectional study conducted in China showed that females had significantly lower scores of HRQoL [31]. A study conducted in Poland revealed the significant influence of education on almost all HRQoL domains, except the social domain [33]. Comorbidity is the number of coexisting diseases alongside the primary condition.…”

Ansiedade cardíaca no perioperatório de cirurgias de revascularização do miocárdio e de correção de valvopatias

“…Quanto à caracterização sociodemográfica e clínica dos pacientes, observamos que a maioria dos pacientes submetidos à CRM pertencia ao sexo masculino, resultado que corrobora com outros estudos da literatura (JANSSEN et al, 2015;SOUSA et al, 2015;SILVA, L. N. et al, 2018;KAFADAR et al, 2018;KRZEMIŃSKA et al, 2019;ADHIKARI;BARAL, 2018;MELO;NEVES, 2019;CALLES et al, 2016;POOLE et al, 2017;ALEXANDRI et al, 2017;BANO et al, 2020;KSHIRSAGAR et al, 2020;NIELSEN et al, 2019;MURPHY et al, 2020;PERROTTI et al, 2019;AXELSSON et al, 2020;FORMENTINI et al, 2019;YANG et al, 2020;HOHLS et al, 2020;PACARIC et al, 2020).…”

“…Com relação a presença de companheiro e a situação profissional dos pacientes submetidos à CRM, a maior parte possuía companheiro e houve predominância de situação profissional inativa, corroborando com outros achados da literatura (JANSSEN et al, 2015;KRZEMIŃSKA et al, 2019;SILVA, L. D. C. et al, 2018;NIELSEN et al, 2019), assim como para os pacientes do grupo de correção valvar (ANJOS et al, 2016;OTERHALS et al, 2015;DORDETTO;PINTO;ROSA, 2016;RODRIGUES et al, 2020;CHEN et al, 2019;GIARETTA et al, 2018;HUSSAIN et al, 2018).…”

“…Em relação a escolaridade, os pacientes submetidos à CRM apresentaram, em média, KRZEMIŃSKA et al, 2019;RODRIGUES et al, 2018;JANSSEN et al, 2015;CALLES et al, 2016;SOUSA et al, 2015;RAMESH et al, 2017 JASSEN et al, 2015). Em outro estudo, a dislipidemia foi encontrada como a segunda doença associada mais frequente, com uma porcentagem de 23,7% (SILVA, L. D. C. et al, 2018).…”