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abstract
BackgroundQuality of life is a multi-dimensional concept reflecting various aspects of human activity. The aim of the study was to analyse an effect of selected socio-demographic and medical factors on the quality of life of patients after myocardial infarction.
Material/MethodsThe study group consisted of 80 people, aged from 41 to 85, treated for myocardial infarction in medical entities in Mława (Poland) in the first half of 2014. The study used the SF-36v2 questionnaire.
ResultsIn analysis of the quality of life, the value of the mean domain of physical health was 52.6 ±11.35, whereas in the domain of mental health, it was substantially lower, i.e. 37.6 ±5.60. It was found that sex (p = 0.03), age (p = 0.0006), education (p = 0.003), recognized disability (p = 0.0001), and support from the family and friends (p = 0.01) have a significant effect on the quality of life in the physical domain. Such variables as: age (p = 0.006), education (p = 0.03), duration of illness (p = 0.03), undergoing check-ups (p = 0.001), blood pressure control (p = 0.00001), received support from the family and friends (p = 0.0005) significantly determine the level of the quality of life with respect to mental health.
ConclusionsA lower quality of patients' life is observed in the psychological domain than in the physical one. Quality of life is a multi-dimensional concept variously interpreted by many researchers. On the basis of medicine, researchers attempt to unify the concept in this field of science in the form of "the quality of life conditioned by the state of health" -HRQoL. It is defined as a "functional effects of the disease and its treatment received (experienced) by the patient" [1, 2]. "Quality of life conditioned by the state of health" implies that a sense of health is one of the basic factors of the quality of life [2, 3, 4]. It covers four areas: physical and motor skills, mental state, social and economic conditions, somatic sensations [1, 2]. As indicated by Siegrist, research on the quality of life in medicine primarily shows the patient's point of view, which may differ from the one presented by clinicians, as they are a source of important information that could play a significant role in making therapeutic decisions, and importantly -call for patient care outside hospital [5,6]. Many researchers indicate that expectations faced by modern medicine concern not only treatments or a possibility to extend patients' lives, but also an improvement in the multifactorial aspects of the quality of life dependent on health [7]. The quality of life of people with various diseases of the cardiovascular system is as important as the resu...