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Factors explaining Quality of Life in Individuals with Coronary Artery Disease

관상동맥질환자의 삶의 질에 영향을 미치는 요소

  • Park, In-Sook (Department of Nursing, Chungnam National University) ;
  • Song, Rha-Yun (Department of Nursing, Chungnam National University) ;
  • Ahn, Suk-Hee (Department of Nursing, Chungnam National University) ;
  • So, Hee-Young (Department of Nursing, Chungnam National University) ;
  • Kim, Hyun-Li (Department of Nursing, Chungnam National University) ;
  • Joo, Kyung-Ok (Department of Nursing, Chungnam National University)
  • Published : 2008.12.31

Abstract

Purpose: The study was done to compare quality of life by gender, and to identify factors which explain quality of life in individuals with coronary artery disease. Methods: For the survey, 91 individuals (53 men and 38 women) agreed to participate in the study. Cardiovascular risk factors, systolic blood pressure, body mass index, total cholesterol, triglyceride, high density lipoprotein-cholesterol, and low density lipoprotein-cholesterol, health behavior as well as quality of life, were measured. Descriptive statistics, t-test, correlation and hierarchical multiple regression with SPSS WIN 12.0 were used to analyze the data. Results: Significant gender differences were found for education, smoking status, chronic disease, perceived health status, and quality of life within sub-dimensions. Hierarchical regression analysis showed gender (men), age, perceived health status, cardiovascular risk scores, and health behaviors together explained 40.2% (adjusted $R^2$) of variance in quality of life. Conclusion: As the factors explaining quality of me in individuals with coronary artery disease have been identified as gender (men), age, perceived health status, and health behaviors, health promotion programs designed for this population should focus on these factors for effective behavioral modification, and consequent improvement in quality of life.

Keywords

References

  1. Borenstein, M., Rothstein, H., & Cohen, J. (1997). Power and precision. Mahwah, NJ: Lawrence Erlbaum Associates
  2. Ferrans, C. E., & Powers, M. J. (1992). Psychometric assessment of the quality of life index. Research in Nursing and Health, 15, 29-38 https://doi.org/10.1002/nur.4770150106
  3. Ferrans, C. E., Zerwic, J. J., Wilbur, J. E., & Larson, J. L. (2005). Conceptual model of health-related quality of life. Journal of Nursing Scholarship, 37, 336-342 https://doi.org/10.1111/j.1547-5069.2005.00058.x
  4. Frattaroli, J., Weidner, G., Merritt-Worden, T. A., Frenda, S., & Ornish, D. (2008). Angina pectoris and atherosclerotic risk factors in the multi-site cardiac lifestyle intervention program. The American Journal of Cardiology, 101, 911-918 https://doi.org/10.1016/j.amjcard.2007.11.039
  5. Frijling, B. D., Lobo, C. M., Keus, I. M., Jenks, K. M., Akkermans, R. P., Hulscher, M. E., et al. (2004). Perceptions of cardiovascular risk among patients with hypertension or diabetes. Patient Education and Counseling, 52, 47-53 https://doi.org/10.1016/S0738-3991(02)00248-3
  6. Hofer, S., Doering, S., Rumpold, G., Oldridge, N., & Benzer, W. (2006). Determinants of health-related quality of life in patients with coronary artery disease. European Journal of Cardiovascular Prevention and Rehabilitation, 13, 398-406 https://doi.org/10.1097/00149831-200606000-00016
  7. Johansson, P., Brostrom, A., Dahlstrom, U., & Alehagen, U. (2008). Global perceived health and ten-year cardiovascular mortality in elderly primary care patients with possible heart failure. European Journal of Heart Failure, 10, 1040-1047 https://doi.org/10.1016/j.ejheart.2008.07.003
  8. Jo, H. S., & Kim, K. J. (2000). The effects of a cardiac rehabilitation program on health behavior compliance, cardiovascular function, and quality of life for the patients with ischemic heart disease. Journal of Korean Academy of Nursing, 30, 560-570 https://doi.org/10.4040/jkan.2000.30.3.560
  9. Koertge, J., Weidner, G., Elliott-Eller, M., Scherwitz, L., Merritt-Worden, T. A., Marlin, R., et al. (2003). Improvement in medical risk factors and quality of life in women and men with coronary artery disease in the Multicenter Lifestyle Demonstration Project. The American Journal of Cardiology, 19, 1316-1322
  10. Korea Centers for Disease Control and Prevention. (2008). 2005 Health behavior and chronic disease statistics. Retrieved August 12, 2008, from http://www.cdc.gov/nchs/fastats/heart.htm
  11. Korea National Statistical Office. (2006). Yearly report for the causes of mortality. Seoul: Author
  12. Lee, E. H., Moon, S. M., Tahk, S. J., & Kim, S. H. (2007). Quality of life in patients with chronic cardiovascular disease. Journal of Korean Academy of Adult Nursing, 19, 12-23
  13. Lee, E. H., Tahk, S. J., Shin, J. H., Lee, Y. W., & Song, R. Y. (2007). Development and a psychometric evaluation of cardiovascular disease-specific quality of life scale for Koreans. Journal of Korean Academy of Nursing, 37, 313-323 https://doi.org/10.4040/jkan.2007.37.3.313
  14. Lee, E. H., Tahk, S. J., & Song, Y. S. (2005). Analyses of the studies on cardiovascular disease-specific quality of life reported in Korea. Journal of Korean Academy of Adult Nursing, 17, 5-21
  15. Maddigan, S. L., Majumdar, S. R., & Johnson, J. A. (2005). Understanding the complex association between patient-provider relationships, self-care behaviors, and health-related quality of life in type 2 diabetes: A structural equation modeling approach. Quality of Life Research, 14, 1489-1500 https://doi.org/10.1007/s11136-005-0586-z
  16. Michalsen, A., Grossman, P., Lehmann, N., Knoblauch, N. T., Paul, A., Moebus, S., et al. (2005). Psychological and quality of life outcomes from a comprehensive stress reduction and lifestyle program in patients with coronary artery disease: Results of a randomized trial. Psychotherapy and Psychosomatics, 74, 344-352 https://doi.org/10.1159/000087781
  17. Pischke, C. R., Weidner, G., Elliott-Eller, M., Sherwitz, L., Merritt-Worden, T. A., Marlin, R., et al. (2006). Comparison of coronary risk factors and quality of life in coronary artery disease patients with versus without diabetes mellitus. The American Journal of Cardiology, 97, 1267-1273 https://doi.org/10.1016/j.amjcard.2005.11.051
  18. Shephard, R. J., & Franklin, B. (2001). Changes in the quality of life: A major goal of cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation, 21, 189-200 https://doi.org/10.1097/00008483-200107000-00001
  19. Song, R., June, K. J., Kim, C. G., & Jeon, M. Y. (2004). Comparisons of motivation, health behaviors, and functional status among elders in residential homes in Korea. Public Health Nursing, 21, 361-371 https://doi.org/10.1111/j.0737-1209.2004.21410.x
  20. Song, R. Y., & Lee, H. J. (2000). Effects of the inpatient cardiac rehabilitation program on behavioral modification and quality of life in patients with coronary artery disease. Journal of Korean Academy of Nursing, 30, 463-475 https://doi.org/10.4040/jkan.2000.30.2.463
  21. Toobert, D. J., Strycker, L. A., Glasgow, R. E., Barrera, M., & Bagdade, J. D. (2002). Enhancing support for health behavior change among women at risk for heart disease: The mediterranean lifestyle trial. Health Education Research, 17, 574-585 https://doi.org/10.1093/her/17.5.574
  22. Vaccarino, V., Lin, Z. Q., Kasl, S. V., Mattera, J. A., Roumanis, S. A., Abramson, J. L., et al. (2008). Sex differences in health status after coronary artery bypass surgery. Circulation, 108, 2642-2647 https://doi.org/10.1161/01.CIR.0000097117.28614.D8
  23. World Health Organization. (2007). Prevention of cardiovascular disease: Guidelines for assessment and management of cardiovascular risk. Geneva, Switzerland: Author

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