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Patient competence in relation with medical and psychosocial characteristics in cardiology context: A cross-sectional

Hamidreza Roohafza1, Masoumeh Sadeghi2, Azam Khani3

  • 1Assistant Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

ARYA Atherosclerosis
|February 21, 2019
PubMed

Insights

Patient competence in coronary artery disease (CAD) is crucial for treatment involvement. Higher self-regulation and stress management skills correlate with better outcomes, influenced by education and social support.

Area of Science:

  • Cardiology
  • Health Psychology
  • Medical Sociology

Background:

  • Rising cardiovascular disease (CVD) rates and patient empowerment necessitate understanding patient competence.
  • Coronary artery disease (CAD) patients increasingly seek active roles in treatment decisions.
  • Variations in healthcare and information access drive patient engagement.

Purpose of the Study:

  • To define and assess components of patient competence in coronary artery disease (CAD).
  • To investigate the relationship between patient competence and medical, demographic, and psychosocial factors.

Main Methods:

  • Cross-sectional study of 148 acute coronary syndrome (ACS) patients diagnosed over one year.
  • Data collection included demographics, depression, anxiety, quality of life (QOL), social support, and drug adherence.
  • Statistical analysis employed Pearson correlation, ANOVA, and multiple linear regression.

Main Results:

  • Higher self-regulation in patients correlated with increased education, social support, and reduced depression/anxiety.
  • Effective stress management and threat confrontation were linked to education, QOL, social support, and lower depression/anxiety.
  • Depression and anxiety were prevalent, affecting 39.5% and 41.5% of participants, respectively.

Conclusions:

  • Patient competence is essential for effective CAD treatment and emotional regulation.
  • Components of patient competence are significantly associated with demographic and psychosocial characteristics.
  • Interventions should consider these factors to enhance patient involvement and outcomes in CAD management.
Abstract

Keywords:
CardiologyCharacteristicsDecision-MakingPatient Competence

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