scholarly journals Self-care and quality of life in comorbid patients with chronic coronary syndromes: is there any correlation?

2021 ◽  
Vol 2 (3) ◽  
pp. 40-47
Author(s):  
A. I. Kabargina ◽  
Yu. M. Lopatin
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Treatment Adherence ◽  
Self Care ◽  
The Self ◽  
Type D ◽  
Sf 36 ◽  
Coronary Syndromes

Aim: to assess self-care skills and quality of life in patients with chronic coronary syndromes (CCS). Material and methods: the study involved 100 consecutive patients with stable coronary heart disease (CHD) admitted to cardiology departments. All patients admitted to the clinic underwent standard examination and treatment, taken in the management of patients with CCS. Besides, we assessed socio-demographic properties (marital status, education level, profession, disability for all reasons, income level), quality of life (using SF-36, SAQ questionnaires), levels of anxiety and depression (HADS scale), type D personality (DS-14 questionnaire), treatment adherence (Four-Item Morisky-Green-Levine medication adherence scale), Charlson comorbidity index, The Self Care of Coronary Heart Disease Inventory. Data processing was carried out using descriptive statistics, correlation and variance analysis. results: type D personality was identified in 60 patients (10.2 ± 5.6) on the scale of negative excitability, in 59 people (10.4 ± 3.7) — on the scale of social inhibition. An increased level of anxiety was found in 48 patients (7.6 ± 3.5), depression — in 49 people (7.1 ± 3.4). The average values of the physical component of the quality of life according to the SF-36 questionnaire were 36.9 ± 18.7 and 45.9 ± 19.6 points, respectively. The quality of life associated with exertional angina pectoris, according to the SAQ questionnaire, was 48.8 ± 19.7 points on the scale of limiting physical activity, 49.7 ± 28.2 points for seizure stability, and 70.5 ± 17.8 points for satisfaction with treatment. Treatment adherence according to the Morisky-Green scale was, on average, 2.6 ± 1.2 (Me: 2, [2.4]). Self-care skills on the scale A was 61.3 ± 12.2 points, on the scale B — 49.0 ± 16.2 points, on the scale C — 32.3 ± 14.5 points. In groups of CCS, significant (p <0.05) differences were found on the scales A and B. Significant differences in the self-care skills were obtained among the groups of patients with and without a history of postinfarction cardiosclerosis. Conclusion: the capacity for self-care skills and the quality of life of Russian comorbid patients with CCS is unsatisfactory, which requires active medical intervention and the development of tools for their effective modification.

scholarly journals Quality of Life among Patients with Coronary Heart Disease Admitted in a Selected Tertiary Level Hospital

2017 ◽  
Vol 13 (1) ◽  
pp. 90-94
Author(s):  
Molla Muntasir Hossain ◽  
Md Abdul Wahab ◽  
Md Abdus Samad Al Azad ◽  
Rubaiya Reza Tumpa
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Mental Component Score ◽  
Study Group ◽  
Total Quality ◽  
Monthly Income ◽  
Sf 36 ◽  
Health Related

  Introduction: Coronary heart disease and cerebrovascular disease are the two main contributors of global morbidly and mortality. Coronary Heart Disease deaths in Bangladesh reached 1,63,769 or 17.11% of total deaths and reaches 25th in world. Importantly quality of life among them can modify the coronary heart disease. The opportunity for improved quality of life should be a factor in the health care provider's decision to recommend the treatment procedure. Objective: To ascertain the physical and mental health component of Quality of Life with sociodemographic characteristics and health-related morbidity status among admitted coronary heart disease patients. Materials and Methods: This cross-sectional study was conducted from January 2013 to December 2013 among coronary heart disease patients admitted in Cardiology department of Combined Military Hospital, Dhaka. The data were collected purposively by using Medical Outcomes short form SF-36 invented by RAND corporation, UK for measuring health-related quality of life among Bangladeshi patients where data were expressed as a score on a 0-100 scale. Data analysis was done by using software SPSS version 19. Results: A total of 105 cases were selected purposively amongst which majority were in the age group of 50-60 years with mean age of 55.27 years. Among the respondents 97.1% were males and 98.1% were Muslims. Majority (41%) of them were retired personnel. The mean monthly income was Tk. 16,393.56. Regarding education level 73% of the study population were SSC pass and below. Among the study group, 27(25.7%) patient had undergone coronary artery bypass graft operation. The study group possessed a total quality of life obtaining 63.4% score in their interviews as per SF-36. Among the whole study group, mental components score (63.61%) was found slightly higher than physical components score (63.2%). CABG operated patients mental component score (69.43%) was found relatively higher than Non CABG patients mental component score (60.01%). Patients having better monthly income as well as better educational level possess better mental component and total quality of life than others. Conclusion: It is of paramount importance to maintain the quality of life among coronary heart disease patients. Mental assurance and surgical intervention can improve quality of life among coronary heart disease patients. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 90-94

scholarly journals The Relationship Between Self Care and Quality of Life Among Coronary Heart Disease Patient After Receiving Percutaneous Coronary Intervention: A Systematic Review

2021 ◽  
pp. 155-171
Author(s):  
. Herdiman ◽  
Heri Harsono
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Coronary Heart Disease ◽  
Percutaneous Coronary Intervention ◽  
Heart Disease ◽  
Self Care ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
The Relationship

Coronary Heart Disease is a chronic disease with the highest morbidity and mortality rates in the world. Management is needed in the form of self-care management as a core element for CHD patients in order to improve the quality of life. Until now, there has been no comprehensive summary regarding self-care and quality of life for CHD patients with stents attached. This study aims to summarize research studies that link self-care and QOL in CHD patients after receiving Percutaneous coronary intervention. Systematic review using three databases (PubMed, ScienDirect, Google Scholar) for previous studies published in the last 10 years (2010–2020). The Joana Bright Institute format and PRISMA guidelines were used to assess the quality of studies and assist in the selection of articles. Data was extracted and summarized by the author using data extraction tools from JBI. Five articles from 2,729 studies were included. The results show inconsistency, namely three studies have a significant relationship and two studies have an insignificant relationship. All questionnaire domains used in the five articles state that the self-care domain of smoking cessation and exercise are correlated with the QOL domain of physical function, body pain, vitality, mental health, symptom domains and satisfaction. Only three articles reported the strength of the relationship (r = 0.117–0.64) and two articles didn’t report the strength of the relationship. By knowing self-care and QOL of CHD patients after receiving PCI, it’s hoped that the hospital can better understand and provide promotive/preventive education related to self-care management so that the patient’s QOL increases significantly.   Keywords: Self-care, quality of life, Coronary Heart Disease, Percutaneous Coronary Intervention, Systematic Review

scholarly journals Application Effect of Meticulous Nursing on Community Elderly Patients with Coronary Heart Disease under the Background of Medical Treatment Partnerships

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Wei Hao ◽  
Tian Ma ◽  
Chun Feng
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Elderly Patients ◽  
Medical Treatment ◽  
Self Care ◽  
Control Group ◽  
Experimental Group ◽  
Care Agency

Objective. To explore the application effect of meticulous nursing on community elderly patients with coronary heart disease (CHD) under the background of medical treatment partnerships. Methods. A total of 96 elderly CHD patients treated in the community from July 2019 to July 2020 were selected as the research objects and divided into the experimental group (n = 48) and control group (n = 48) by the medical personnel according to their admission order. Clinical routine nursing was performed to the patients in the control group, and meticulous nursing under the background of medical treatment partnerships was conducted to the patients in the experimental group, so as to evaluate their quality of life (QOL) and self-care agency after intervention by the Chinese Questionnaire on Quality of Life in Patients with Cardiovascular Disease (CQQC) and Exercise of Self-Care Agency (ESCA) scale. Results. Compared with the control group after intervention, the patients in the experimental group presented significantly higher ESCA scores, HHI scores, and CQQC scores and longer 6 min walking distance ( P < 0.001 ) and remarkably lower POMS scores ( P < 0.001 ) and had obviously higher numbers of cases with various health-related actions ( P < 0.05 ). Conclusion. Meticulous nursing under the background of medical treatment partnerships is a reliable method for improving the QOL and mood state of community elderly CHD patients, which greatly promotes patients’ self-care agency and expectation. Further research will be conducive to establishing a better solution for patients.

The Evaluation of Type d Personality, Depression and Quality of Life in Patients with Acute Coronary Syndromes

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J. Prata ◽  
S. Ramos ◽  
F. Rocha-Gonçalves ◽  
R. Coelho
Keyword(s):  
Quality Of Life ◽  
Acute Coronary Syndromes ◽  
Negative Impact ◽  
High Risk Group ◽  
Type D Personality ◽  
Industrialized Countries ◽  
Type D ◽  
Sf 36 ◽  
Coronary Syndromes

Background:Acute coronary syndromes (ACS) are a major cause of morbidity and mortality in western industrialized countries and account for disability and loss of productivity. Type D personality and depression are established psychosocial factors with a negative impact on prognosis following acute events.Methods:We evaluated 65 patients admitted to a coronary unit with ACS regarding type D personality (DS-14), depression (BDI-II, HADS), anxiety (HADS), clinical depression (clinical interview following DSM-IV-TR criteria) and quality of life (SF-36). SPSS 12.0 was used for statistical analysis and significance considered for p< 0.05.Results:We found that 38.5% of patients had type D personality and divided the sample into two groups. No significant differences were found regarding social and demographic factors but differences were found regarding diagnosis on admission: type D patients had more AMI with ST elevation (p< 0.05). Type D patients had significantly higher scores in depression and anxiety scales of the HADS (p< 0.01) and worse quality of life in most SF-36 subscales (p< 0.01). There was a negative and significant correlation between the HADS and all the SF-36 subscales, strongest in the mental health subscale (p< 0.01).Conclusions:Type D patients have higher indices of anxiety and depression and worse quality of life when compared with other patients, and constitute a high risk group of worse prognosis. Our results also suggest differences between groups regarding the type of acute event but these results require further confirmation.

Influence of Human-oriented Nursing Mode on Self-Care Ability, Unhealthy Emotion and Quality of Life of Patients with Benign Prostatic Hyperplasia

2021 ◽  
Vol 7 (4) ◽  
pp. 635-646
Author(s):  
Feifei Peng ◽  
Guangchi Xu ◽  
Caihong Zhu ◽  
Lanchun Sun ◽  
Bo Dong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Benign Prostatic Hyperplasia ◽  
Postoperative Complications ◽  
Self Care ◽  
Nursing Intervention ◽  
Prostatic Hyperplasia ◽  
The Self ◽  
Nursing Satisfaction ◽  
Before And After

To explore the influence of human-oriented nursing mode on the self-care ability, unhealthy emotion and quality of life of patients with benign prostatic hyperplasia (BPH), 147 patients with BPH admitted to our hospital from February 2018 to August 2019 were selected and all patients were separated into two groups on the basis of the nursing intervention mode. 77 cases in the research group (RG) were given the human-oriented nursing mode and 70 cases in the control group (CG) were given the conventional nursing mode. The bladder irrigation time (BIT), indwelling catheter time (ICT), postoperative hospitalization time (PHT) and the incidence rate of postoperative complications were observed in the two groups after nursing intervention. Before and after nursing intervention, the self-care ability of patients was evaluated in the two groups by Exercise of Self-Care Agency Scale (ESCA). In the two groups, the anxiety and depression status were evaluated by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The Quality of Life Scale for Benign Prostatic Hyperplasia Patient (BPHQLS) was applied to evaluate the quality of life in both groups before and after nursing intervention. The International Prostate Symptom Score (IPSS) was used to assess the lower urinary tract symptoms (LUTS) of patients in the two groups before and after nursing intervention. The self-made nursing satisfaction questionnaire was used to evaluate the nursing satisfaction in the two groups. The BIT, ICT and PHT in RG after nursing intervention were obviously lower than those in CG, and the incidence of postoperative complications in RG was also obviously lower than that in CG (p < 0.05). The ESCA score of patients in RG after nursing intervention was significantly higher than that in CG (P < 0.05). The SAS and SDS scores of patients in RG after nursing intervention were significantly lower than those in CG (P < 0.05). The BPHQLS score in RG after nursing intervention was obviously higher than that in CG (P < 0.05). The IPSS score of patients in RG after nursing intervention was obviously lower than that in CG (p < 0.05). The nursing satisfaction score in RG after nursing intervention was obviously higher than that in CG (p < 0.05).Condusion: The application effect of the human-oriented nursing mode on patients with BPH is definite, which can improve self-care ability, unhealthy emotion and effectively ameliorate the quality of life.

scholarly journals Multivariate Meta-Analysis of Preference-Based Quality of Life Values in Coronary Heart Disease

PLoS ONE ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. e0152030 ◽  
Author(s):  
Jelena Stevanović ◽  
Petros Pechlivanoglou ◽  
Marthe A. Kampinga ◽  
Paul F. M. Krabbe ◽  
Maarten J. Postma
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Meta Analysis ◽  
Life Values
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