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Published on: January 28, 2020
Factors associated with quality of life in patients undergoing coronary angioplasty
Azar Darvishpour1,2, Nazila Javadi-Pashaki1,3, Arsalan Salari4
1Department of Nursing, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Insights
Age, number of diseased vessels, and comorbidities significantly impact the quality of life for patients after percutaneous coronary intervention. Healthcare providers should focus on these factors for comprehensive patient care.
Area of Science:
- Cardiology
- Quality of Life Research
- Health Services Research
Background:
- Percutaneous coronary intervention (PCI) improves longevity in cardiovascular disease patients.
- However, suboptimal quality of life (QoL) persists post-PCI.
- Identifying QoL determinants is crucial for effective patient management.
Purpose of the Study:
- To investigate the quality of life in patients following coronary angioplasty.
- To identify key factors influencing QoL in this patient cohort.
Main Methods:
- A cross-sectional study involving 106 patients who underwent coronary angioplasty.
- Data collected using a self-structured questionnaire and the MacNew Quality of Life questionnaire.
- Analysis included descriptive and inferential statistics.
Main Results:
- Multivariate linear regression revealed age (P=0.0001), number of diseased vessels (P=0.0001), and comorbidities (P<0.05) as significant predictors of QoL.
- These factors collectively influence the post-angioplasty experience.
Conclusions:
- Healthcare professionals can enhance QoL by addressing age, vessel disease extent, and comorbidities.
- Lifestyle modification and tailored care programs are recommended, particularly for elderly patients.
- Comprehensive care strategies are essential for improving patient outcomes after PCI.
Objective:
Percutaneous coronary intervention has been effective in increasing longevity of patients with cardiovascular disease. However, the evidence shows that the quality of life after the intervention is still lower than optimal level. The quality of life can be affected by various factors. The aim of this study is to determine the quality of life and its related factors in patients undergoing coronary angioplasty.
Methods:
This cross-sectional study was performed on 106 patients undergoing coronary angioplasty during 2015-2016. This study population included all patients who referred to a cardiac clinic in Rasht, Iran, were passed 3 months after their angioplasty. Research samples met the inclusion criteria and were willing to participate to the study, were selected gradually (continually). Research tools were a self-structured questionnaire regarding factors associated with the quality of life and the MacNew quality of life questionnaire. Data were collected through asking patients questions and using patient's medical records. Data analysis was conducted using descriptive and inferential statistics.
Results:
The results of multivariate linear regression analysis showed that independent variables of age (P = 0.0001), the number of diseased vessels (P = 0.0001), and the number of comorbidities (P < 0.05) were the most important factors associated with the quality of life.
Conclusion:
Health-care professionals can play an effective role in promoting the quality of life of patients undergoing coronary angioplasty by modifying lifestyle based on the related factors and to provide comprehensive care programs, especially for elderly.
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