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

Sertöz, Özen Önen; Aydemi̇r, Ömer; Gülpek, Demet; Elbi, Hayriye; Özenli, Yarkın; Yilmaz, Asım Egemen; Ozan, Erol; Ateşçi, Figen Çulha; Abay, Ercan; Sönmezer, Murat; Direk, Neşe; Hocaoğlu, Çiçek; Elyas, Z; Ozmen, Mustafa; Özen, Şakir; Konuk, Numan

doi:10.2190/pm.45.2.a

Cited by 13 publications

(7 citation statements)

References 24 publications

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“…Our study revealed that PCS QOL was generally worse with increasing number of comorbidities. Such findings were seen in several studies [32][33][34]. Patients with CVD with osteoarthritis comorbidity were found to have poorer physical health [35] and those with chronic obstructive pulmonary disease exhibited poorer physical fitness [36].…”

Section: Discussionmentioning

confidence: 61%

Quality of life among patients with cardiac disease: the impact of comorbid depression

Bahall

Legall

Khan

2020

Health Qual Life Outcomes

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Background: Patients with cardiac disease with or without depression may also have major physical and mental problems. This study assesses and compares the quality of life (QOL) of patients with cardiac disease with and without depression and accompanying comorbidities. Methods: A cross-sectional study was conducted with a convenience sample of 388 patients with cardiac disease. The 12-item Short-Form (SF-12)-patient was used to measure physical component scale (PCS) and mental component scale (MCS) QOL, and the Patient Health Questionnaire (PHQ-9) was used to measure depression. The Charlson Comorbidity Index was used to estimate 10-year survival probability. Descriptive statistics, analysis of covariance (ANCOVA), chi-square tests, and binary logistic regression were used for analysis. Results: The prevalence of minimal to mild depression was 65.7% [(95% CI (60.8, 70.4)] and that of moderate to severe depression was 34.3% [95% CI (29.6, 39.2)]. There was no significant association between the level of PHQcategorised depression and age (p = 0.171), sex (p = 0.079), or ethnicity (p = 0.407). The overall mean PCS and MCS QOL was 32.5 [95% CI (24.4, 40.64)] and 45.4 [95% CI (44.4, 46.4)], respectively, with no significant correlation between PCS and MCS [r (Pearson's) = 0.011; p = 0.830)]. There were QOL differences among the five PHQ categories (PCS: p = 0.028; MCS: p ≤ 0.001) with both MCS and PCS decreasing with increasing depression. ANCOVA (with number of comorbidities as the covariate) showed a significant age × ethnicity interaction for PCS (p = 0.044) and MCS (p = 0.039), respectively. Young Indo-Trinidadians had significantly lower PCS than did Afro-Trinidadians, while the converse was true for MCS. Depression, age, and number of comorbidities were predictors of PCS, while depression, age, and sex were predictors of MCS. Conclusions: Increasing severity of depression worsened both PCS and MCS QOL. Age and level of clinical depression predicted QOL, with number of comorbidities predicting only PCS and sex predicting only MCS. Efforts must be made to treat depression in all age groups of patients with cardiac disease.

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Section: Discussionmentioning

confidence: 61%

Quality of life among patients with cardiac disease: the impact of comorbid depression

Bahall

Legall

Khan

2020

Health Qual Life Outcomes

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“…A possible reason for this might be the chronic nature, severity, and long-term antihypertensive and antidiabetic medication use together with lifestyle and behavior change to adjust to the illness may impose an added stress burden on patients, and this affects their HRQL negatively. This could also be due to the contributions of different chronic diseases in patients with MI and the side effects of the different drugs or drug interactions, which impair overall HRQL (Sertoz et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life among Post Myocardial Infarction Patients

Khattab,

Aljeesh

2024

NHSJ

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The physiological and psychological consequences of myocardial infarction affect the health-related quality of life. This study aimed to assess health-related quality of life among post-myocardial infarction patients at governmental hospitals in the Gaza Strip. The study utilized a descriptive, cross-sectional, analytical design. The sample of the study consisted of 162 post myocardial infarction patients selected by stratified random sampling method. For data collection, the researcher used a self-administered questionnaire of the World Health Organization Quality of Life short version. Statistical analysis included frequency, mean and percentage, as well as independent sample t-test and one-way ANOVA. The results indicated that the study participants have a moderate level of global quality of life (m= 2.94; 58.8%) and moderate satisfaction with their global health (m= 3.01; 60.2%). Moreover, the results indicated moderate physical health (m= 2.79; 55.8%), moderate psychological health (m= 3.06; 61.2%), moderate social relationships (m= 3.22; 64.4%), moderate environmental health (m= 2.77; 55.4%). Overall, the study participants rated their health-related quality of life as moderate level (m= 2.96; 59.2%). The following factors were statistically significant determinants for lower quality of life: being 70 years and older (F= 5.342, P= 0.000), widowed participants (F= 4.135, P value = 0.007), low income (F= 7.436, P value = 0.001), and having other chronic diseases (F= 8.620, P value = 0.000). Factors that were significantly associated with higher quality of life included university education (F= 4.850, P value = 0.009), and working or employed (t= 3.483, P value = 0.001). On the other hand, hospital, gender, family size, and smoking did not have a significant association with quality of life. The study concludes moderate level of quality of life and raised the need to develop strategies to improve quality of life.

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“…A possible reason for this might be the chronic nature, severity, and long-term antihypertensive medication use together with lifestyle and behavior change to adjust to the illness may impose an added stress burden on patients, and this affects their HRQoL negatively. This could also be due to the contributions of different chronic diseases in patients with MI and the side effects of the different drugs or drug interactions, which impair overall HRQoL [35,48].…”

Section: Discussionmentioning

confidence: 99%

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

Endalew

Liyew

Baye

et al. 2021

BioMed Research International

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Introduction. Myocardial infarction is the most frequent manifestation of coronary heart disease and one of the leading causes of death worldwide. The sudden and often profound physiological and psychological effect of the acute onset of myocardial infarction hurts the health-related quality of life. Objective. To assess health-related quality of life and associated factors among myocardial infarction patients at Cardiac Center, Ethiopia, Addis Ababa, Ethiopia, 2020. Method. Institution-based cross-sectional study was conducted from April 10 to June 25, 2020, at the Cardiac Center-Ethiopia, Addis Ababa, Ethiopia. The sample consisted of 421 myocardial infarction patients. Data were collected through an interviewer-administered structured questionnaire by using the World Health Organization Quality of Life Questionnaire. Samples were selected using a consecutive sampling technique. The linear regression analysis model was fitted using SPSS 26 and STATA 14, and the unstandardized beta (𝛽) coefficient with a 95% confidence interval was used. A p value <0.05 was considered statistically significant for all analyses. Results. The mean score of the overall health-related quality of life was found to be 49.29 ± 14.83 , and the mean score for the physical domain was 47.96 ± 16.50 ; for the psychological domain, it was 50.91 ± 16.07 , and for environmental and social relationship domains, it was 48.30 ± 16.54 and 52.02 ± 24.61 , respectively. In the multiple regression analysis, increased age, living in a rural area, heart failure, and hypertension were inversely associated with overall health-related quality of life, while secondary and higher education were associated with better overall health-related quality of life. Conclusion. Patients with myocardial infarction at Cardiac Center, Ethiopia, had lower health-related quality of life. Hence, the finding of this study suggests the implementation of a cardiac rehabilitation program and comprehensive service given by healthcare providers.

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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

Cited by 13 publications

References 24 publications

Quality of life among patients with cardiac disease: the impact of comorbid depression

Quality of life among patients with cardiac disease: the impact of comorbid depression

Health-Related Quality of Life among Post Myocardial Infarction Patients

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

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