Study on the influencing factors of postpartum quality of life in women with heart disease

Abstract

Background: Heart disease women's quality of life (QoL) has been neglected. To improve clinical communication and treatment, we integrated medical data and subjective characteristics to study postpartum QoL concerns. Methods: The study assessed QoL six weeks after birth using the 12-Item Short-Form Health Survey (SF-12). The Edinburgh Postnatal Depression Scale (EPDS), Cardiac Anxiety Questionnaire (CAQ), European Heart Failure Self-Care Behavior Scale (EHFScBS), and a self-designed questionnaire based on earlier research were also used to assess patient characteristics. Patient system data were collected. Prediction models were created using multiple linear regression. Results: This retrospective study examined 105 postpartum cardiac patients' QoL. Postpartum QoL scores were lower (90.69 ± 13.82) than those of general women, with physical component scores (41.09 ± 9.91) lower than mental component scores (49.60 ± 14.87). Postpartum depression (33.3%), moderate anxiety (37.14%), pregnancy concerns (57.14%), offspring heart problems (57.14%), and life expectancy worries (48.6%) were all prevalent. No previous cardiac surgery, multiparity, higher sadness and cardiac anxiety, and fear of unfavorable pregnancy outcomes were strongly related to lower QoL (R2 value = 0.525). Conclusions: Heart disease patients' postpartum QoL is linked to their physical and mental health. Our study emphasizes the need for healthcare workers to recognize and address the unique characteristics of these women while developing and implementing comprehensive management approaches during their maternity care journey.