Volume 4, Issue 4 (12-2020)
EBHPME 2020, 4(4): 242-253 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jalilian H, Imani A, Mir H, Javanshir E, Mamene M, Heydari S. Survey of the Impact of Myocardial Infarction on Patients’ Quality of Life: A Single-Centre Cross-Sectional Study. EBHPME 2020; 4 (4) :242-253
URL: http://jebhpme.ssu.ac.ir/article-1-299-en.html
URL: http://jebhpme.ssu.ac.ir/article-1-299-en.html
Cardiovascular Research Centre, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran , saeedehheydari5@yahoo.com
Abstract: (2385 Views)
Background: A heart attack is one of the most common cardiovascular diseases, affecting different dimensions of the patients’ quality of life due to the disease’s disabling and limiting nature. Therefore, this study aimed to examine the impact of myocardial infarction on patients’ quality of life referring to the Shahid Madani Medical & Training Hospital, in East Azerbaijan Province in 2017, in Iran.
Methods: This was a cross-sectional study. A total of 220 patients with a heart attack were selected in this study. Sampling was conducted using the systematic random method. Data were collected using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Descriptive statistics (frequency, mean) and statistical analyses (Mann-Whitney test, Spearman correlation, and Generalized Linear Models Regression) were performed at a significance level of P-value < 0.05 using SPSS22.
Results: In this study, the mean score of the total effect of a heart attack on the patients’ quality of life was 30.09 ± 17.73. The mean score of the effect of a heart attack on the patient’s quality of life in the physical, emotional, and general subscales was 34.85 ± 24.24, 26.63 ± 27.73, and 27.51 ± 17.83, respectively. There was a statistically significant association between education status (P-value = 0.006), income status (P- value = 0.000), and the mean score of the effect of a heart attack on the patient’s quality of life; also a positive and significant correlation was found between age (CC = 0.135, P-value = 0.046), the number of hospitalization (CC = 0.187, P-value = 0.006) and the mean score of the effect of a heart attack on the patient’s quality of life.
Conclusion: A heart attack has a considerable impact on the patients’ quality of life, particularly on the physical dimension. Hence, health professionals should pay more attention to these vulnerable groups and offer rehabilitation services suitable to these groups to reduce the impact of the disease.
Methods: This was a cross-sectional study. A total of 220 patients with a heart attack were selected in this study. Sampling was conducted using the systematic random method. Data were collected using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Descriptive statistics (frequency, mean) and statistical analyses (Mann-Whitney test, Spearman correlation, and Generalized Linear Models Regression) were performed at a significance level of P-value < 0.05 using SPSS22.
Results: In this study, the mean score of the total effect of a heart attack on the patients’ quality of life was 30.09 ± 17.73. The mean score of the effect of a heart attack on the patient’s quality of life in the physical, emotional, and general subscales was 34.85 ± 24.24, 26.63 ± 27.73, and 27.51 ± 17.83, respectively. There was a statistically significant association between education status (P-value = 0.006), income status (P- value = 0.000), and the mean score of the effect of a heart attack on the patient’s quality of life; also a positive and significant correlation was found between age (CC = 0.135, P-value = 0.046), the number of hospitalization (CC = 0.187, P-value = 0.006) and the mean score of the effect of a heart attack on the patient’s quality of life.
Conclusion: A heart attack has a considerable impact on the patients’ quality of life, particularly on the physical dimension. Hence, health professionals should pay more attention to these vulnerable groups and offer rehabilitation services suitable to these groups to reduce the impact of the disease.
Keywords: Quality of life, Heart attack, Heart failure, Myocardial infarction, Minnesota questionnaire
Type of Study: Original article |
Subject:
Healt care Management
Received: 2020/07/7 | Accepted: 2020/12/20 | Published: 2020/12/20
Received: 2020/07/7 | Accepted: 2020/12/20 | Published: 2020/12/20
References
1. 1. Murphy A, Mahal A, Moran AE, Richardson E. The economic burden of chronic disease care faced by households in Ukraine: a cross-sectional matching study of angina patients. International Journal for Equity in Health. 2013; 12(1): 38. doi: 10.1186/1475-9276-12-38. [DOI:10.1186/1475-9276-12-38]
2. McNab J, Huckel Schneider C, Leeder S. Non-communicable diseases and implications for medical practice in Australia: a framework for analysis. Med J Aust. 2014; 201(1 Suppl): 29-32. [DOI:10.5694/mja14.00161]
3. Maher D, Sekajugo J, Harries A, Grosskurth H. Research needs for an improved primary care response to chronic non‐communicable diseases in Africa. Tropical Medicine & International Health. 2010; 15(2): 176-81. [DOI:10.1111/j.1365-3156.2009.02438.x]
4. Karimi S, Javadi M, Jafarzadeh F. Economic burden and costs of chronic diseases in Iran and the world. Director General. 2012; 8(7): 996.
5. Forouzanfar MH, Alexander L, Anderson HR, Bachman VF, Biryukov S, Brauer M, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet. 2015; 386(10010): 2287-323. [DOI:10.1016/S0140-6736(15)00128-2]
6. Hunter DJ, Reddy KS. Noncommunicable diseases. New England Journal of Medicine. 2013; 369(14): 1336-43. [DOI:10.1056/NEJMra1109345]
7. WHO. Noncommunicable diseases, Fact sheet 2017. Available from URL: http://www.who.int/ mediacentre/factsheets/fs355/en/
8. World health organization. Media centre Noncommunicable diseases Fact sheet. Available from URL: http://wwwwhoint/mediacentre/ factsheets/ fs355/en/. Last access: June 2017.
9. Organization WH. Cardiovascular disease. 22 September 2016.
10. Organization WH. Noncommunicable Diseases (NCD) Country Profiles 2018 IRAN. 2018. Available from URL: https://www.who.int/ nmh/ countries/irn_en.pdf?ua=1.
11. Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet. 2016; 388(10053): 1545-602. [DOI:10.1016/S0140-6736(16)31678-6]
12. Organization WH. Noncommunicable Diseases (NCD) Country Profiles 2014. Available from URL: http:// www.who.int/nmh/countries/ irn_ en. pdf
13. Vahidian Azimi AF, Ahmadi F, Kazemnezhad A. Assessing risk factors of coronary heart disease. 3th Iran- Arab (Middle East) Cardiovascular Congress. 2009. [In Persian].
14. Tofighian T NL, Akabari A, Shagar Nakhaee M. The effect of individual counseling on the quality of life of patients with myocardial Infarction. Journal of Sabzevar University of Medical Sciences and Health Services. 2009; 16(4): 206-12.
15. Mendis S, Thygesen K, Kuulasmaa K, Giampaoli S, Mähönen M, Ngu Blackett K, et al. World Health Organization definition of myocardial Infarction: 2008-09 revision. International Journal of Epidemiology. 2010; 40(1): 139-46. [DOI:10.1093/ije/dyq165]
16. Organization Wh. Cardiovascular disease. 2018. Available from URL: https://www.who. int/ news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
17. Roger VL. Epidemiology of myocardial Infarction. Medical Clinics of North America. 2007; 91(4): 537-52. [DOI:10.1016/j.mcna.2007.03.007]
18. Organization WH. Cardiovascular disease, Prevention of Recurrences of Myocardial Infarction and Stroke Study, The PREMISE programme: country projects. 2018.
19. Kosuge M, Kimura K, Ishikawa T, Ebina T, Hibi K, Tsukahara K, et al. Differences between men and women in terms of clinical features of ST-segment elevation acute myocardial Infarction. Circulation Journal. 2006; 70(3): 222-6. [DOI:10.1253/circj.70.222]
20. Lu L, Liu M, Sun R, Zheng Y, Zhang P. Myocardial Infarction: Symptoms and Treatments. Cell Biochemistry and Biophysics. 2015; 72(3): 865-7. [DOI:10.1007/s12013-015-0553-4]
21. Bilbao A, Escobar A, García-Perez L, Navarro G, Quirós R. The Minnesota living with heart failure questionnaire: comparison of different factor structures. Health and Quality of Life Outcomes. 2016; 14(1): 23. doi: 10.1186/s12955-016-0425-7. [DOI:10.1186/s12955-016-0425-7]
22. Garin O, Ferrer M, Pont À, Rué M, Kotzeva A, Wiklund I, et al. Disease-specific health-related quality of life questionnaires for heart failure: a systematic review with meta-analyses. Quality of Life Research. 2009; 18(1): 71-85. [DOI:10.1007/s11136-008-9416-4]
23. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. heart disease and stroke statistics-2014 update: a report from the American heart Association. Circulation. 2014; 129(3): 28-292. doi: 10.1161/01.cir. 0000441139. 02102.80.
24. Bullinger M. Assessing health related quality of life in medicine. An overview over concepts, methods and applications in international research. Restorative Neurology and Neuroscience. 2002; 20(3,4): 93-101.
25. Leidl R, Sintonen H, Abbühl B, Hoffmann C, von der Schulenburg J-M, König H-H. Do physicians accept quality of life and utility measurement?. The European Journal of Health Economics (HEPAC). 2001; 2(4): 170-5. [DOI:10.1007/s10198-001-0080-7]
26. Rumsfeld JS, Alexander KP, Goff Jr DC, Graham MM, Ho PM, Masoudi FA, et al. Cardiovascular health: the importance of measuring patient-reported health status: a scientific statement from the American heart Association. Circulation. 2013; 127(22): 2233-49. [DOI:10.1161/CIR.0b013e3182949a2e]
27. Rector T. Patient's self-assessment of their congestive heart failure: II. Content, reli-ability and validity of a new measure-The Minnesota Living with heart Failure Questionnaire. Heart Failure. 1987; 3: 198.
28. Behlouli H, Feldman DE, Ducharme A, Frenette M, Giannetti N, Grondin F, et al. Identifying relative cut-off scores with neural networks for interpretation of the Minnesota Living with heart Failure questionnaire. Engineering in Medicine and Biology Society, 2009 EMBC 2009 Annual International Conference of the IEEE; 2009: IEEE. [DOI:10.1109/IEMBS.2009.5334659]
29. Sadeghi SM, Alavi ZF, Ahmadi FE, Karimi ZA, Babatabar DH, Ebadi A, et al. Effect of applying continuous care model on quality of life in heart failure patients. 2009.
30. Abdollahi A, Roohi G, RAHMANI AH, Nassiri H. a Comparative Study on the Myocardial Infarction Patients'quality of Life and Healthy People. 2012.
31. Mollon L, Bhattacharjee S. Health related quality of life among myocardial infarction survivors in the United States: a propensity score matched analysis. Health and Quality of Life Outcomes. 2017; 15(1): 235. doi: 10.1186/ s12955-017-0809-3. [DOI:10.1186/s12955-017-0809-3]
32. Saeidi M, Mostafavi S, Heidari H, Masoudi S. Effects of a comprehensive cardiac rehabilitation program on the quality of life of patients with cardio-vascular diseases. Journal of Research in Rehabilitation Sciences. 2013; 9(3): 179-85.
33. Biranvand M LA, Alipour S, Motamedi M, Kolahi A. Article Quality of life of patients after first acute myocardial Infarction. Journal of Shahid Beheshti University of Medical Sciences. 2010; 6(78): 264-72.
34. Ogińska-Bulik N. Type D personality and quality of life in subjects after myocardial Infarction. Kardiologia Polska (Polish Heart Journal). 2014; 72(7): 624-30. [DOI:10.5603/KP.a2014.0066]
35. Niazi M, Menati W, Menati R, Ghasemipour M, Kassani A. Relationship between Social Support and Quality of Life in Myocardial Infarction Patients Referring to the Hospitals of Ilam City. Scientific Journal of Ilam University of Medical Sciences. 2015; 23(6): 51-61. [In Persian]
36. Hawkes AL, Patrao TA, Ware R, Atherton JJ, Taylor CB, Oldenburg BF. Predictors of physical and mental health-related quality of life outcomes among myocardial infarction patients. BMC Cardiovascular Disorders. 2013; 13(1): 69. [DOI:10.1186/1471-2261-13-69]
37. Wang W, Thompson DR, Ski CF, Liu M. Health-related quality of life and its associated factors in Chinese myocardial infarction patients. European Journal of Preventive Cardiology. 2014; 21(3): 321-9. [DOI:10.1177/2047487312454757]
38. Sertoz OO, Aydemir O, Gulpek D, Elbi H, Ozenli Y, Yilmaz A, et al. The impact of physical and psychological comorbid conditions on the quality of life of patients with acute myocardial Infarction: A multi-center, cross-sectional observational study from Turkey. The International. Journal of Psychiatry in Medicine. 2013; 45(2): 97-109. [DOI:10.2190/PM.45.2.a]
39. Abbasi A, Asaiesh H, Hosseini A, Qorbani M, Abdollahi AA, Rohi Gh, et al. Relationship between Functional Ability of Patients with Heart Failure and Quality of Life. Quarterly Journal of South Medicine. 2010; 13(1): 31-40. [In Persian]
40. Dessotte CAM, Dantas RAS, Schmidt A, Rossi LA. Health-related quality of life in patients admitted after a first episode of acute coronary syndrome. Revista Latino-Americana De Enfermagem. 2011; 19(5): 1106-13. [DOI:10.1590/S0104-11692011000500007]
41. Bucholz EM, Rathore SS, Gosch K, Schoenfeld A, Jones PG, Buchanan DM, et al. Effect of living alone on patient outcomes after hospitalization for acute myocardial Infarction. The American Journal of Cardiology. 2011; 108(7): 943-8. [DOI:10.1016/j.amjcard.2011.05.023]
42. Rejeh N, Heravi-Karimooi M, Taheri Kharame Z, Montazeri A, Vahedian A. Quality of life in patients with myocardial Infarction and related factors: A cross sectional Study. Iranian Journal of Nursing Research. 2014; 9(4): 1-11. [In Persian]
43. Wrześniewski K, Włodarczyk D. Sense of coherence as a personality predictor of the quality of life in men and women after myocardial Infarction. Kardiologia Polska (Polish Heart Journal). 2012; 70(2): 157-63.
44. Peter AK, Sams LM. Assessment of the quality of life and coping strategies among male and female patients attending OPD with myocardial Infarction in selected hospitals at Mangaluru. International Journal of Nursing Education and Research. 2016; 4(1): 1-6. [DOI:10.5958/2454-2660.2016.00001.6]
45. Riedinger MS, Dracup KA, Brecht M-L, Investigators S. Quality of life in women with heart failure, normative groups, and patients with other chronic conditions. American Journal of Critical Care. 2002; 11(3): 211-9.
46. Zeighami Mohammadi Sh, Shahparian M. Quality of Life(Qol) and Some Factors Related in Males with heart Failure in Karaj and Shahriar Social Security Hospitals(2010). J Res Dev Nurs Midw. 2018; 8(2): 1-13.
47. Arnold SV, Masoudi FA, Rumsfeld JS, Li Y, Jones PG, Spertus JA. Derivation and validation of a risk standardization model for benchmarking hospital performance for health-related quality of life outcomes after acute myocardial Infarction. Circulation. 2014; 129(3): 313-20. doi: 10.1161/ CIRCULATIONAHA.113.001773. [DOI:10.1161/CIRCULATIONAHA.113.001773]
48. Buchanan DM, Arnold SV, Gosch KL, Jones PG, Longmore LS, Spertus JA, et al. Association of smoking status with angina and health-related quality of life after acute myocardial Infarction. Circulation: Cardiovascular Quality and Outcomes. 2015; 8(5): 493-500. [DOI:10.1161/CIRCOUTCOMES.114.001545]
49. Conard MW, Haddock CK, Carlos Poston WS, Spertus JA. The impact of smoking status on the health status of a heart failure patients. Congestive Heart Failure. 2009; 15(2): 82-6. [DOI:10.1111/j.1751-7133.2009.00053.x]
50. Simpson E, Pilote L. Quality of life after acute myocardial Infarction: a comparison of diabetic versus non-diabetic acute myocardial infarction patients in Quebec acute care hospitals. Health and Quality of Life Outcomes. 2005; 3(1): 80. [DOI:10.1186/1477-7525-3-80]
51. Hsanpour-Dehkordi A, Nazari A-A, Heidar-Nejad M-S, Asadi-Noghabi A-A, Forouzandeh N, Kasiri K-A, et al. Factors Influencing Quality of Life in Patients with Myocardial Infraction. Iran Journal of Nursing (IJN). 2009; 22(57): 43-52.
52. Shabani R, Mozaffari M, Moghadam RH, Mohammadi TS, Vafaei R. Effect of Cardiac Recovery Program on Physical Activity and Quality of Life in Patients with Myocardial Infarction. Journal of Medical Research. 2012; 122(1): 117-22.
53. Siavoshi S, Roshandel M, Zareiyan A, Ettefagh L. The effect of cardiac rehabilitation care plan on the quality of life in patients undergoing coronary artery bypass graft surgery. Cardiovascular Nursing Journal. 2012; 1(2): 38-46.
54. Kim HM, Kim J, Hwang SY. Health-related quality of life in symptomatic postmyocardial infarction patients with left ventricular dysfunction. Asian Nursing Research. 2015; 9(1): 47-52. [DOI:10.1016/j.anr.2014.11.004]
55. Abbasi K, Mohammadi E, Sadeghian H, Gholami Fesharaki M. Quality of Life in Patients with heart Failure. Iranian Journal of Nursing Research. 2016; 11(2): 10-23. [In Persian]
56. Hwang SL, Liao WC, Huang TY. Predictors of quality of life in patients with heart failure. Japan Journal of Nursing Science. 2014; 11(4): 290-8. [DOI:10.1111/jjns.12034]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
