Relationship between physical activity, quality of life and psychosocial function in patients with acute coronary syndrome

Year 2013, Volume: 24 Issue: 2, 151 - 155, 01.08.2013

Abstract

Purpose: Physical activity and stress are the risk factors playing role in the development of acute coronary syndromes. The aim of the study was to investigate the relationship between physical activity, quality of life, and depression in patients with acute coronary syndromes. Methods: Thirty-seven patients with acute coronary syndromes (30 males, 7 females) were included in the study. Physical activity levels of the patients were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ). Anxiety and depression levels were assessed using the Hospital Anxiety and Depression Scale. Quality of life was evaluated using the MacNew Health-related Quality of Life Heart Disease Questionnaire (QMacNew).Results: There was a significantly positive correlation between IPAQ vigorous score and Q-MacNew emotional (r=0.46), physical (r=0.48) and total (r=0.58) scores (p<0.05). A significantly positive relationship was found between IPAQ walking score and Q-MacNew total score (r=0.39) (p<0.05). There was a significantly negative correlation between HADS depression (r=-0.39) and HADS total (r=-0.35) scores (p<0.05). There was a significantly positive correlation between IPAQ total score and Q-MacNew physical (r=0.38) and Q-MacNew total scores (r=0.54) (p<0.05). A significantly negative correlation was found between IPAQ total score and HADS depression (r=-0.38) and total (r=-0.37) scores (p<0.05). The IPAQ sitting score was negatively related with Q-MacNew physical (r=-0.37) score (p<0.05). There was significantly positive relationship between The IPAQ sitting and HADS depression (r=0.35) scores (p<0.05).Conclusion: In acute coronary syndromes, physical activity level is associated with health related quality of life and psychosocial function. Effects of cardiac rehabilitation programs on physical activity, psychosocial function, and quality of life in patients with acute coronary syndrome should be investigated

Keywords

Acute coronary syndrome; physical activity; quality of life; depression

Akut kroner sendromlu olgularda fiziksel aktivite, yaşam kalitesi ve psikososyal fonksiyon arasındaki ilişki

Abstract

Amaç: Fiziksel inaktivite ve stres, akut koroner sendrom gelişiminde rol oynayan risk faktörleridir. Çalışmanın amacı, akut koroner sendromu olan olgularda fiziksel aktivite, yaşam kalitesi ve depresyon düzeyi arasındaki ilişkiyi araştırmaktı. Yöntemler: Çalışmaya Akut koroner sendromu olan 37 hasta (30 erkek, 7 kadın) dahil edildi. Olguların fiziksel aktivite düzeyleri, Uluslararası Fiziksel Aktivite Anketi-Kısa Form (IPAQ) ile değerlendirildi. Anksiyete ve depresyon düzeyleri, Hastane Anksiyete Depresyon Skalası (HADS) ile belirlendi. Yaşam kaliteleri, MacNew Kalp Hastalığı Sağlıkla İlgili Yaşam Kalitesi Anketi (Q-MacNew) ile ölçüldü.Sonuçlar: IPAQ şiddetli puanı ile Q-MacNew emosyonel (r=0.46), fiziksel (r=0.48) ve toplam puanları (r=0.58) arasında pozitif bir ilişki olduğu bulundu (p<0.05). IPAQ yürüme puanı ile Q-MacNew toplam puanı (r=0.39) arasında pozitif bir ilişki olduğu saptandı (p<0.05). IPAQ yürüme puanı ile HADS depresyon (r=-0.39) ve HADS toplam puanları (r=-0.35) arasında negatif bir ilişki olduğu saptandı (p<0.05). IPAQ toplam puanı ile Q-MacNew (r=0.38) ve toplam puanları (r=0.54) arasında pozitif bir ilişki olduğu saptandı (p<0.05). IPAQ toplam puanı ile HADS depresyon (r=-0.38) ve HADS toplam puanları (r=-0.37) arasında negatif bir ilişki olduğu bulundu (p<0.05). IPAQ oturma puanı ile Q-MacNew fiziksel puanı (r=-0.37) arasında negatif bir ilişki olduğu saptandı. IPAQ oturma puanı ve HADS depresyon skoru (r=0.35) arasında pozitif bir ilişki olduğu belirlendi (p<0.05).Tartışma: Akut koroner sendromda, fiziksel aktivite düzeyi, sağlıkla ilişkili yaşam kalitesi ve psikososyal durumla ilişkilidir. Akut koroner sendromlu hastalarda uygulanacak kardiyak rehabilitasyonun fiziksel aktivite, psikososyal durum ve yaşam kalitesine etkisi araştırılmalıdır

Keywords

Akut koroner sendrom; fiziksel aktivite; yaşam kalitesi; depresyon

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