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Physical and mental component summaries score of the SF-36 in coronary patients
María Soto1, Inmaculada Failde, Soledad Márquez
1Hospital Universitario Puerta del Mar de Cádiz, Servicio de Medicina Preventiva, Spain. mariasoto@andaluciajunta.es
Insights
Clinical and sociodemographic factors significantly impact health-related quality of life (HRQL) in coronary heart disease (CHD) patients. Mental health and specific patient characteristics are key to improving HRQL.
Area of Science:
- Cardiology
- Psychosomatic Medicine
- Public Health
Background:
- Health-related quality of life (HRQL) is a crucial outcome in managing coronary heart disease (CHD).
- Understanding factors influencing HRQL in cardiac patients is essential for targeted interventions.
- Sociodemographic and clinical variables play a role in the physical and mental well-being of these patients.
Purpose of the Study:
- To identify clinical and sociodemographic factors associated with physical and mental components of HRQL in patients with coronary artery disease.
- To analyze the relationship between mental health status and HRQL in acute myocardial infarction (AMI) and unstable angina patients.
Main Methods:
- A cohort of 132 patients with Acute Myocardial Infarction (AMI) or unstable angina was studied over 18 months.
- Health-related quality of life (HRQL) was assessed using the Short Form 36 Health Survey (SF-36).
- Mental disorders were screened using the General Health Questionnaire (GHQ-28), with multiple linear regression models analyzing SF-36 physical (PCS) and mental (MCS) component summaries.
Main Results:
- A General Health Questionnaire (GHQ-28) score of 6 or higher was strongly linked to a lower physical component summary (PCS).
- Age influenced PCS differently based on personal history of coronary heart disease (CHD); it increased PCS in those with a history and decreased it in those without.
- Lower mental component summary (MCS) scores were associated with being unmarried, female sex, a GHQ-28 score of 6 or higher, and younger age.
Conclusions:
- Key factors influencing HRQL in coronary patients include age, sex, marital status, personal history of CHD, and presence of mental disorders.
- Identifying and focusing medical attention on these specific patient groups can enhance their overall quality of life.
- The study highlights the interconnectedness of mental health, sociodemographic factors, and HRQL in cardiac care.
Background:
The aim of the study was to determine the clinical and sociodemographic factors related to the physical and mental components of the health-related quality of life (HRQL) in coronary patients.
Methods:
We studied 132 patients diagnosed with Acute Myocardial Infarction (AMI) and unstable angina admitted to a cardiology unit over a period of 18 months. The HRQL was assessed with the Short Form 36 Health Questionnaire (SF-36) and the presence of possible mental disorders was measured using the General Health Questionnaire (GHQ-28). In order to study the variables related to both physical and mental summary components of the SF-36, two multiple linear regression models were constructed with the physical (PCS) and the mental component summary (MCS) as outcome variables.
Results:
The GHQ-28 score > or = 6 was the variable most associated with the lowest PCS in the patients studied. Moreover in the patients with a personal history of coronary heart disease (CHD), age tended to increase the PCS of the HRQL, whereas in those with no such history, age diminished the PCS score. For the MCS, not being married, being of female sex, having GHQ-28 scores > or = 6 and being of younger age were the four variables most related to the lowest MCS score in the patients studied.
Conclusion:
Age, sex, marital status, personal history of CHD and the presence of a possible mental disorder were the factors most related to HRQL in the coronary patients studied. Focusing medical attention on these groups could contribute to improving their quality of life.
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