Original Article

Quality of life and its influencing factors in patients with acute coronary syndrome

Abstract

Background & Aim: Acute coronary syndrome (ACS) is a life-threatening condition. Considerable doubts exist over the effects of this disease on patients’ quality of life (QOL). The aim of this study was to Survey QOL and its influencing factors in patients with ACS.
Methods & Materials: A convenience sample of 300 patients with ACS was drawn from Shahid Beheshti Hospital, Kashan, Iran, to this cross-sectional study. Sampling was performed from March to September 2014. We employed the Short Form Health Survey Questionnaire for gathering the data. Study data were analyzed by conducting the descriptive parameters, the one-way ANOVA test and the independent-samples t-test as well as logistic regression analysis using the SPSS version 13.0.
Results: The means of QOL in patients with ACS were 56.30 ± 17.15. The QOL Score in mental and physical component were 61.15 ± 19.46 and 51.57 ± 24.56, respectively. However, the logistic regression showed that male gender [odds ratio (OR): 1.88, confidence interval (CI): 1.04-3.43], coronary stenosis < 50% (OR: 3.25, CI: 1.48-7.13), and normal ejection fraction (OR: 3.41, CI: 1.31-8.89) increase the QOL (P < 0.050).
Conclusion: The results of this study showed that the QOL in patients with ACS is low. Female gender, low ejection fraction and coronary stenosis over 50% causes of reduction in their QOL. Hence, it is recommended that in nursing care during hospitalization and after discharge attend these problems.

Lee HY, Cooke CE, Robertson TA. Use of sec- ondary prevention drug therapy in patients with acute coronary syndrome after hospital discharge. J Manag Care Pharm 2008; 14(3): 271-80.

Yiadom MY. Emergency department treatment of acute coronary syndromes. Emerg Med Clin North Am 2011; 29(4): 699-710, v.

Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics-2012 update: a report from the American Heart Association. Circulation 2012; 125(1): e2-e220.

Ponniah JP, Shamsul AS, Adam BM. Predictors of mortality in patients with Acute Coronary Syndrome (ACS) undergoing Percutaneous Coronary Intervention (PCI): Insights from Na- tional Cardiovascular Disease Database (NCVD), Malaysia. Med J Malaysia 2012;67(6): 601-5.

Ebrahimi M, Kazemi-Bajestani SM, Ghayour- Mobarhan M, Ferns GA. Coronary artery dis- ease and its risk factors status in Iran: A review. Iran Red Crescent Med J 2011; 13(9): 610-23.

Thomson P, Niven CA, Peck DF, Eaves J. Pa-tients' and partners' health-related quality of life before and 4 months after coronary artery bypass grafting surgery. BMC Nurs 2013; 12(1): 16.

Mann DL, Zipes DP, Braunwald E, Libby P, Bonow RO. Braunwald's heart disease: A text- book of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders; 2015.

Steinke EE, Jaarsma T, Barnason SA, Byrne M,Doherty S, Dougherty CM, et al. Sexual coun- selling for individuals with cardiovascular dis- ease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Eur Heart J 2013;34(41): 3217-35.

Graham MM, Norris CM, Galbraith PD, Knudt- son ML, Ghali WA. Quality of life after coro- nary revascularization in the elderly. Eur Heart J 2006; 27(14): 1690-8.

Alavian SM, Fathi Ashtiani A, Aziz Abadi Farahani M, Moghani Lankarani M. Relation quality of life And Marriage relationship in pa- tients with chronic vieral hepatitis . J Res Behav Sci 2006; 4(1-2): 13-20.

Salonia A, Capogrosso P, Clementi MC, Castagna G, Damiano R, Montorsi F. Is erectile dysfunction a reliable indicator of general health status in men? Arab J Urol 2013; 11(3): 203-11.

Chaudhury S, Srivastava K. Relation of depres- sion, anxiety, and quality of life with outcome after percutaneous transluminal coronary angio- plasty. ScientificWorldJournal 2013; 2013:465979.

Hsanpour-Dehkordi A, Nazari AA, Heidar- Nejad MS, Asadi-Noghabi AA, Forouzandeh N, Kasiri KA, et al. Factors influencing quality of life in patients with myocardial infraction. Iran J Nurs 2009; 22(57): 43-52.

Bahramnezhad F, Asadi Noughabi AA, Mo- hammadi Y. Quality of life in the patients with coronary bypass graft. Iran J Nurs Res 2012;7(26): 34-41.

Tendera M. Impact of stable coronary artery disease on quality of life: the patient's perspec- tive. Medicographia 2014; 36(1): 25-30.

Tofighiyan T., Najjar L, Akabery A, Shegarf Nakhaee MR. The effect of individual counsel- ling on the quality of life in patients with myo- cardial infarction. J Sabzevar Univ Med Sci 2010; 16(4): 206-12. [In Persian].

Seyam S, Heidarnia AR, Tavafian SS. Quality of life and factors related to it in cardiovascular patients after heart surgery. J Birjand Univ Med Sci 2013; 19(6): 33-41. [In Persian].

Bucholz EM, Rathore SS, Gosch K, Schoenfeld A, Jones PG, Buchanan DM, et al. Effect of liv- ing alone on patient outcomes after hospitaliza- tion for acute myocardial infarction. Am J Car- diol 2011; 108(7): 943-8.

Vazirinejad R., Esmaeili Nadimi A, Parvaresh Y, Rezaeian M. A survey on the most important life aspects of patients suffering from myocar- dial infarction in rafsanjan: a historical cohort study assessing quality of life. J Rafsanjan Univ Med Sci 2012; 11(3): 219-30. [In Persian].

Taghadosi M, Gilasi HR. The general and spe- cific quality of life in patients with ischemia in Kashan. Iran J Nurs Res 2008; 3(8-9): 39-46. [In Persian].

RAND Health. 36-Item Short Form Survey (SF-36) Scoring Instructions [Online]. [cited 2016]; Available from: URL: http://www.rand.org/health/surveys_tools/mos/36-item-short-form/scoring.html

Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Irani-an version. Qual Life Res 2005; 14(3): 875-82.

Covinsky KE, Lin F, Bittner V, Hlatky MA, Knight SJ, Vittinghoff E. Health-related quality of life following coronary artery bypass graft surgery in post-menopausal women. J Gen In- tern Med 2008; 23(9): 1429-34.

Jahani A, Rejeh N, Heravi-Karimooi M, Hadavi A, Zayeri F, Khatooni AR. The relationship be- tween spiritual health and quality of life in pa- tients with coronary artery disease. Islamic Lifestyle Centered on Health 2013; 1(2): 17-21.

Siavoshi S, Roshandel M, Zareiyan A, Ettefagh L. The effect of cardiac rehabilitation care plan on the quality of life in patients undergoing cor- onary artery bypass graft surgery. Cardiovascular Nursing Journal 2012; 1(2): 38-46. [In Persian].

Pettersen KI, Kvan E, Rollag A, Stavem K,Reikvam A. Health-related quality of life after myocardial infarction is associated with level of left ventricular ejection fraction. BMC Cardio- vasc Disord 2008; 8: 28.

Nesbitt T, Doctorvaladan S, Southard JA, Singh S, Fekete A, Marie K, et al. Correlates of quali- ty of life in rural patients with heart failure. Circ Heart Fail 2014; 7(6): 882-7.

Wiener C, Fauci AS, Braunwald E, Kasper DL, Hauser S, Longo D, et al. Harrisons principles of internal medicine self-assessment and board review. Philadelphia, PA: McGraw Hill Profes- sional, 2012.

Majidi SA, Moghadam Nia MT, Tabari R.

Comparison of signs and symptoms associated with acute coronary syndrome in male and fe- male patients. J Guilan Univ Med Sci 2012;20(80): 60-6. [In Persian].

Files
IssueVol 3 No 2 (2016): Spring QRcode
SectionOriginal Article(s)
Keywords
myocardial ischemia quality of life coronary stenosis ejection fraction Iran

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Taghadosi M, Ghanbari-Afra L, Ghanbari-Afra M, Gilasi HR. Quality of life and its influencing factors in patients with acute coronary syndrome. NPT. 2017;3(2):63-69.