In Sook Park; Rhayun Song; Sukhee Ahn; Hee Young So; Hyun Li Kim; Kyung Ok Joo

doi:10.4040/jkan.2008.38.6.866

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Original Article
Factors explaining Quality of Life in Individuals with Coronary Artery Disease: In Sook Park, Rhayun Song, Sukhee Ahn, Hee Young So, Hyun Li Kim, Kyung Ok Joo; Journal of Korean Academy of Nursing 2008;38(6):866-873.
DOI: https://doi.org/10.4040/jkan.2008.38.6.866
Published online: December 31, 2008

¹Professor, Department of Nursing, Chungnam National University, Daejeon, Korea.

²Associate professor, Department of Nursing, Chungnam National University, Daejeon, Korea.

³Assistant professor, Department of Nursing, Chungnam National University, Daejeon, Korea.

⁴Researcher, Department of Nursing, Chungnam National University, Daejeon, Korea.

Address reprint requests to: Song, Rhayun. Department of Nursing, Chungnam National University, 6 Munwha 1-dong, Jung-gu, Daejeon 301-747, Korea. Tel: 82-42-580-8831, Fax: 82-42-584-8915, songry@cnu.ac.kr

• Received: September 10, 2008 • Accepted: November 10, 2008

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Abstract
REFERENCES

Abstract

Purpose
The study was done to compare quality of life by gender, and to identify factors which explain quality of life in individuals with coronary artery disease.
Methods
For the survey, 91 individuals (53 men and 38 women) agreed to participate in the study. Cardiovascular risk factors, systolic blood pressure, body mass index, total cholesterol, triglyceride, high density lipoprotein-cholesterol, and low density lipoprotein-cholesterol, health behavior as well as quality of life, were measured. Descriptive statistics, t-test, correlation and hierarchical multiple regression with SPSS WIN 12.0 were used to analyze the data.
Results
Significant gender differences were found for education, smoking status, chronic disease, perceived health status, and quality of life within sub-dimensions. Hierarchical regression analysis showed gender (men), age, perceived health status, cardiovascular risk scores, and health behaviors together explained 40.2% (adjusted R²) of variance in quality of life.
Conclusion
As the factors explaining quality of life in individuals with coronary artery disease have been identified as gender (men), age, perceived health status, and health behaviors, health promotion programs designed for this population should focus on these factors for effective behavioral modification, and consequent improvement in quality of life.
Keywords: Quality of life; Health behavior; Gender; Risk factors; Coronary artery disease

REFERENCES

1. Borenstein M, Rothstein H, Cohen J. Power and precision. 1997;Mahwah, NJ, Lawrence Erlbaum Associates.
2. Ferrans CE, Powers MJ. Psychometric assessment of the quality of life index. Research in Nursing and Health. 1992;15:29–38.Article PubMed
3. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. Journal of Nursing Scholarship. 2005;37:336–342.Article PubMed
4. Frattaroli J, Weidner G, Merritt-Worden TA, Frenda S, Ornish D. Angina pectoris and atherosclerotic risk factors in the multi-site cardiac lifestyle intervention program. The American Journal of Cardiology. 2008;101:911–918.Article PubMed
5. Frijling BD, Lobo CM, Keus IM, Jenks KM, Akkermans RP, Hulscher ME, et al. Perceptions of cardiovascular risk among patients with hypertension or diabetes. Patient Education and Counseling. 2004;52:47–53.Article PubMed
6. Höfer S, Doering S, Rumpold G, Oldridge N, Benzer W. Determinants of health-related quality of life in patients with coronary artery disease. European Journal of Cardiovascular Prevention and Rehabilitation. 2006;13:398–406.Article PubMed
7. Johansson P, Brostrom A, Dahlström U, Alehagen U. Global perceived health and ten-year cardiovascular mortality in elderly primary care patients with possible heart failure. European Journal of Heart Failure. 2008;10:1040–1047.Article PubMed
8. Jo HS, Kim KJ. The effects of a cardiac rehabilitation program on health behavior compliance, cardiovascular function, and quality of life for the patients with ischemic heart disease. Journal of Korean Academy of Nursing. 2000;30:560–570.Article PDF
9. Koertge J, Weidner G, Elliott-Eller M, Scherwitz L, Merritt-Worden TA, Marlin R, et al. Improvement in medical risk factors and quality of life in women and men with coronary artery disease in the Multicenter Lifestyle Demonstration Project. The American Journal of Cardiology. 2003;19:1316–1322.
10. 2005 Health behavior and chronic disease statistics. Korea Centers for Disease Control and Prevention. 2008;Retrieved 2008 Aug 12, 2008. from http://www.cdc.gov/nchs/fastats/heart.htm.
11. Korea National Statistical Office. Yearly report for the causes of mortality. 2006;Seoul, Korea National Statistical Office.
12. Lee EH, Moon SM, Tahk SJ, Kim SH. Quality of life in patients with chronic cardiovascular disease. Journal of Korean Academy of Adult Nursing. 2007;19:12–23.
13. Lee EH, Tahk SJ, Shin JH, Lee YW, Song RY. Development and a psychometric evaluation of cardiovascular disease-specific quality of life scale for Koreans. Journal of Korean Academy of Nursing. 2007;37:313–323.Article PubMed PDF
14. Lee EH, Tahk SJ, Song YS. Analyses of the studies on cardiovascular disease-specific quality of life reported in Korea. Journal of Korean Academy of Adult Nursing. 2005;17:5–21.
15. Maddigan SL, Majumdar SR, Johnson JA. Understanding the complex association between patient-provider relationships, self-care behaviors, and health-related quality of life in type 2 diabetes: A structural equation modeling approach. Quality of Life Research. 2005;14:1489–1500.PubMed
16. Michalsen A, Grossman P, Lehmann N, Knoblauch NT, Paul A, Moebus S, et al. Psychological and quality of life outcomes from a comprehensive stress reduction and lifestyle program in patients with coronary artery disease: Results of a randomized trial. Psychotherapy and Psychosomatics. 2005;74:344–352.Article PubMed PDF
17. Pischke CR, Weidner G, Elliott-Eller M, Sherwitz L, Merritt-Worden TA, Marlin R, et al. Comparison of coronary risk factors and quality of life in coronary artery disease patients with versus without diabetes mellitus. The American Journal of Cardiology. 2006;97:1267–1273.Article PubMed
18. Shephard RJ, Franklin B. Changes in the quality of life: A major goal of cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation. 2001;21:189–200.Article PubMed
19. Song R, June KJ, Kim CG, Jeon MY. Comparisons of motivation, health behaviors, and functional status among elders in residential homes in Korea. Public Health Nursing. 2004;21:361–371.Article PubMed
20. Song RY, Lee HJ. Effects of the inpatient cardiac rehabilitation program on behavioral modification and quality of life in patients with coronary artery disease. Journal of Korean Academy of Nursing. 2000;30:463–475.Article PDF
21. Toobert DJ, Strycker LA, Glasgow RE, Barrera M, Bagdade JD. Enhancing support for health behavior change among women at risk for heart disease: The mediterranean lifestyle trial. Health Education Research. 2002;17:574–585.Article PubMed
22. Vaccarino V, Lin ZQ, Kasl SV, Mattera JA, Roumanis SA, Abramson JL, et al. Sex differences in health status after coronary artery bypass surgery. Circulation. 2008;108:2642–2647.Article
23. World Health Organization. Prevention of cardiovascular disease: Guidelines for assessment and management of cardiovascular risk. 2007;Geneva, Switzerland, World Health Organization.

Table 1

General Characteristics of Participants by Gender (N=91)

Table 2

Means and Standard Deviations of Study Variables by Gender (N=91)

SBP=systolic blood pressure; HDL=high density lipoprotein; LDL=low density lipoprotein.

Table 3

Correlations of Study Variables with Quality of Life (N=91)

SBP=systolic blood pressure; HDL=high density lipoprotein; LDL=low density lipoprotein; QOL=quality of life; SS=special symptoms; GS=general symptoms; DPA=daily physical activity; IR=interpersonal-relationships; ES=emotional status.

Table 4

Explanatory Factors for Quality of Life (N=91)

Figure & Data

REFERENCES

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