The Predictors of Quality of Life of Coronary Heart Disease Patients: A Study in Türkiye

Abstract

Aim: The aim of this study was to examine the predictors of the quality of life of patients who have coronary heart disease in Turkey. Methods: The sample consisted of 796 participants with coronary heart disease selected from a nation-ally representative 2019 Turkey Health Survey. The effects of individual-level, individuallevel healthy behaviors, household-level, and regional-level characteristics on quality of life were analyzed by using nested regression in STATA Results: The majority of respondents were male (62.3%), relatively more aged (41.0%), married (70.5%), and primary school educated (50.6%). More than 18 percent of respondents (144 people) said that they were unable to pay for the needed medical care. The variables lessening the quality of life for patients with coronary heart disease were found to be as female gender, increasing age, decreasing education level, living with a person with bad health status in the same house, inability to pay for medical care and living in statistical region-8 of Türkiye. Conclusion: The results of this study contribute to the debate concerning the expected and unexpected relationships between QoL and its predictors among respondents with patients who have coronary heart disease. The study suggests that appropriate local and national policies should be developed to improve quality of life of coronary heart disease patients.

Keywords

• patient
• coronary heart disease
• quality of life
• predictors
• Türkiye

References

1. Alaofè, H., Amoussa, H.W., Djrolo, F., Ehiri, J. and Rosales, C. (2022). Factors associated with quality of life in patients with type 2 diabetes of South Benin: a cross-sectional study. IJERPH, 19(4),1-13
2. Annac, S. (2018). Investigation of healthy lifestyle behaviors and quality of life in individuals with coronary artery disease. Nursing Master’s Degree Program with Thesis Gaziantep. Retrieved January 1 2023, https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=-hC5tq_t6W1UGOOLGMdIg&no=7UzgTuDJUkMB8Wf-guNezQ
3. Çağlar, A. (2020). Quality of life of the provinces: an index based on data envelopment analysis with Turkish statistical institute data. Eskişehir Osmangazi University İİBF Journal,15(3),875–902
4. Çelik, S.S. (2020). Covid-19 pandemic process: the state of women's health work (in Turkish: COVID-19 pandemi süreci: kadin sağlik çalişanlarinin durumu). Retrieved January 7 2023, https://kockam.ku.edu.tr/covid-19-pandemi-sureci-kadin-saglik-calisanlarin-durumusevilay-senol-celik/
5. Conradie, A., Atherton, J., Chowdhury, E., Duong, M., Schwarz, N., Worthley, S. and Eccleston, D. (2022). Health-related quality of life (HRQoL) and the effect on outcome in patients presenting with coronary artery disease and treated with percutaneous coronary intervention (PCI): differences noted by sex and age. J. Clin. Med, 11(17),5231. https://doi.org/10.3390/jcm11175231S
6. Davranovna, M.K., Alisherovna, K.M., Erkinovna, K.Z. and Nizamitdinovich, K.S. (2022). Assessment of the quality of life of patients with coronary heart disease. The Peerian Journal, 11,2-7
7. Dou, L., Mao, Z., Fu, Q., Chen, G. and Li, S. (2022). Health-related quality of life and its influencing factors in patients with coronary heart disease in China. Patient Preference and Adherence, 16,781–795
8. Endalew, H.L., Liyew, B., Baye, Z. and Tarekegn, G.E. (2021). Health-related quality of life and associated factors among myocardial infarction patients at cardiac center, Ethiopia. Hindawi BioMed Research International,15 pages. https://doi.org/10.1155/2021/6675267

9. EUROQOL. (2021). EQ-5D-5L about 2021. Retrieved January 7 2023, https://euroqol.org/eq-5dinstruments/eq-5d-5l-about/
10. Fanning, J., Brooks, A.K., Hsieh, K.L., Kershner, K., Furlipa, J., Nicklas, B.J. and Rejeski, W.J. (2022). The effects of a pain management-focused mobile health behavior intervention on older adults’ self-efficacy, satisfaction with functioning, and quality of life: a randomized pilot trial. IJBM, 29(2),240-246
11. IHME. (2019). Institute for health metrics and evaluation–IHME. Country profiles: Turkey. Retrieved January 10 2023, https://www.healthdata.org/turkey
12. Imam, H. and Jitpanya, C. (2022). Factors related to health-related quality of life in patients with acute coronary syndrome in West Java, Indonesia: a correlational study. BNJ, 8(4),349- 356.
13. Kähkönen, O., Oikarinen, A., Miettinen, H., Vähänikkilä, H., Kyngäs, H. and Hartikainen, J. (2022). Perceived health among percutaneous coronary intervention patients over a sixyear follow-up period. J Clin Nurs, https://doi.org/10.1111/jocn.16545
14. Lapid, M.I., Atherton, P.J., Kung, S., Sloan, J.A., Shahi, V., Clark, M.M. and Rummans, TA. (2016). Cancer caregiver quality of life: need for targeted intervention. Psycho‐Oncology, 25(12),1400-1407
15. Lei, D.L., Mao, Z., Fu, Q., Chen, G. and Li, S. (2022). Health-related quality of life and its influencing factors in patients with coronary heart disease in China. Patient Preference and Adherence, 16,781–795
16. Li, M.Y., Yang, Y.L., Liu, L. and Wang, L. (2016). Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: A cross-sectional study. Health and Quality of Life Outcomes, 14(73),1-9
17. Mandal, S., Ghosh, S.K., Rahman, M., Majumder, A., Ranjan, R., Adhikary, D., and Adhikaryet, A.B. (2016). Health related quality of life among the coronary heart disease patients. Cardiovasc. J, 9(1),43–48
18. Mei, Y., Wu, H., Zhang, H., Hou, J., Zhang, Z., Liao, W., Liu, X., Sang, S., Mao, Z,, Yang, D.,
19. Wang, C. and Zhanget, W. (2021). Health‑related quality of life and its related factors in coronary heart disease patients: results from the Henan rural cohort study. Sci Rep, https://doi.org/10.1038/s41598-021-84554-6
20. Mert, K.U., Mert, G.Ö., Dural, M. and Ünalır, A. (2016). Health related quality of life after ST elevation myocardial infarction (EQ5D). MN Kardiyoloji Dergis, 4,182-191
21. Meesoonthorn, K., Nilmanat, K., Boonyasopun, U., Campbell, C. and Logan, J. (2022). Predictors of health-related quality of life among thai people with coronary heart disease: a preliminary study. J Health Sci Med Res, 40,367-378
22. Moonaghi, H.K., Mojalli, M. and Khosravan, S. (2014). Psychosocial complications of coronary artery disease. Iran Red Crescent Med J, 16,e18162. https://doi.org/10.5812/ircmj
23. Morys, J., Bellwon, J., Höfer, S., Rynkiewicz, A. and Gruchała, M. (2016). Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure. Arch Med Sci, 12:326–333
24. Motton, S., Vergriete, K., VanPhi, L.N., Lambaudie, E., Berthoumieu, A., Pous, J. and Pillard, F. (2022). Evaluation of the impact of the COVID-19 lockdown on the quality of life of patients monitored for cancer who practice an adapted physical activity: Rugby for health. J Cancer Res Clin Oncol, 148,425-439
25. MPhil, S.M., Riaz, A., MPhil, A.A., MPhil, S.K., Bilal, A. and Ali, H. (2021). Predictors of healthrelated quality-of-life status among elderly patients with cardiovascular diseases. Value in Health Regional, 24,130-140
26. Sajobi, T., Wang, M., Awosoga, O., Santana, M., Southern, D., Liang, Z., Galbraith, D., Wilton, S.B., Quan, H., Graham, M.M., James, M.T., Ghali, W.A., Knudtson, M.L. and Norris, C. (2018). Trajectories of health-related quality of life in coronary artery disease. Circ Cardiovasc Qual Outcomes, 11: e003661. https://doi.org/10.1161/CIRCOUTCOMES.117.003661
27. Sawan, M.A., Calhoun, A.E., Fatade, Y.A. and Wenger, N.K. (2022). Cardiac rehabilitation in women, challenges and opportunities. Progress in Cardiovascular Diseases, 70,111-118
28. Shukla, A., Jain, S., Mohammed, N., Hussain, T. and Banerjee, I. (2021). Lived experiences of patients with coronary artery disease: a qualitative study from a cardiac center of a regional hospital in Mauritius. Glob J Med Pharm Biomed Update, 16,1-9
29. Smedt, D.D., Clays, E., Höfer, S., Oldridge, N., Kotseva, K., Bacquer, D.D. and EUROASPIRE Investigators. (2016). Validity and reliability of the HeartQoL questionnaire in a large sample of stable coronary patients: The EUROASPIRE IV Study. Eur J Prev Cardiol, 23,714-21
30. Soleimani, M.A., Zarabadi-Pour, S., Huak, C.Y., Allen, K.A. and Shamsizadeh, M. (2022). Factors associated with hope and quality of life in patients with coronary artery disease. Journal of Nursing Research, 30:p e200. https:// doi.org/10.1097/jnr.0000000000000476
31. STATA. (2022). nestreg — Nested model statistics. Retrieved December 28 2023, https://www.stata.com/manuals/rnestreg.pdf
32. Sudevan, R., Raj, M., Vasudevan, D.M., Thachathodiy, R., Vijayakumar, M., Abdullakutty, J., Thomas, P., George, V. and Kabali, C. (2020). Health-related quality of life of coronary artery disease patients under secondary prevention: a cross-sectional survey from South India. The Heart Surgery Forum, 326124. https://doi.org/10.1532/hsf.3261
33. Şeker, M., Saldanli, A. and Bektaş, H. (2014). TRC2 Bölgesi yaşam kalitesi araştırması. Retrieved January 6 2023, https://www.karacadag.gov.tr/Planlama/Dosya/www.karacadag.gov.tr_2_LX3Y17UE_trc 2_bolgesi_yasam_kalitesi_arastirmasi.pdf
34. TUIK. (2019). Ölüm ve ölüm nedeni istatistikleri, 2019. Retrieved January 7 2023, https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019 Vaduganathan, M., Mensah, G.A. and Varieur T.J, et al. (2022). The global burden of cardiovascular diseases and risk: a compass for future health. J Am Coll Cardiol, 80,2361– 2371 https://doi.org/10.1016/j.jacc.2022.11.005.
35. Virtanen, M., Elovainio, M., Josefsson, K., Batty, G.D., Singh-Manoux, A. and Kivimäki, M. (2017). Coronary heart disease and risk factors as predictors of trajectories of psychological distress from midlife to old age. Heart, 103,659–665.
36. WHO (2020). The top 10 causes of death. Retrieved January 7, 2023, https://www.who.int/newsroom/fact-sheets/detail/the-top-10-causes-of-death
37. WHO. (2012). WHOQOL user manual. Retrieved January 6 2023, https://www.who.int/tools/whoqol#:~:text
38. Zhang, M., Chen, P., Zhang, Y., Su, X., Chen, J., Xu, B., Tao, J., Wang, Z., Li, H. and Ma, A. (2021). Predictors of quality of life in patients with myocardial infarction combined with dyslipidemia. Frontiers in Public Health, 9,1-9 https://doi.org/10.3389/fpubh.2021.713480
39. Zhou, Z., Gao, J., Lai, S. and Chen, G. (2018). Urban-rural difference in the associations between living arrangements and the health-related quality of life (HRQOL) of the elderly in China-evidence from Shaanxi province. PLoS ONE, 13, e204118. https://doi.org/10.1371/journal.pone.0204118