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By: Vinod Bhatt and Mamta Bhandar.
Nursing Tutor, Department of Nursing, School of Nursing, Galgotias University, Noida, Uttar Pradesh, India.
Background: Globally, coronary artery disease (CAD) is a major cause of illness and death. Health-related quality of life (HRQoL) is becoming increasingly acknowledged as a crucial component of patient care, even though clinical management has improved results. Objectives: To determine and assess the main factors – such as behavioural, psychological, clinical, and sociodemographic ones – that affect HRQoL in patients with CAD. Methods: Three tertiary hospitals’ worth of 300 CAD patients participated in a cross-sectional study. Using the SF-36 questionnaire, HRQoL was assessed. Age, gender, income, educational attainment, smoking status, physical activity, comorbidities, and psychological distress (as assessed by the HADS) were all considered independent variables. To identify independent determinants of HRQoL, multivariate linear regression was used. Results: Age (β = –0.32, p < 0.01), depression scores (β = –0.45, p < 0.001), physical activity (β = 0.29, p < 0.01), and diabetes presence (β = –0.24, p = 0.03) were also significant predictors of HRQoL. There were also somewhat positive correlations between income and education. 58% of the variation in HRQoL was explained by the model (adjusted R2 = 0.58). Conclusion: Comorbidities, lifestyle choices, and psychological state – all have a big influence on HRQoL in CAD patients. By addressing these factors, holistic treatment may improve patient outcomes and well-being.
Keywords: Coronary artery disease (CAD), health-related quality of life (HRQoL), psychological distress, physical activity, comorbidities
Citation:
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