Original Article
Self-reported quality of life in patients with coronary heart disease and analysis of the associated factors
Liu Yefa, Ding Rongjing, Meng Xiaoping, Wang Lemin, Shen Xiaoyu, Shen Lin, Cai Xiaojun, Yue Ruihua, Shen Yuqin, Xu Danyan, Hu Dayi
Published 2023-04-01
Cite as Chin J Intern Med, 2023, 62(4): 384-392. DOI: 10.3760/cma.j.cn112138-20220524-00404
Abstract
ObjectiveTo investigate the quality of life and associated factors in patients with coronary heart disease (CHD) in China.
MethodsA cross-sectional study of 25 provinces and cities in China was performed from June to September 2020. A questionnaire was used to collect the socio-demographic and clinical information of patients with CHD, while the European Five-dimensional Quality of Life Scale (EQ-5D) was used to assess the quality of life. Multiple linear regression model was performed to analyze the associated factors.
ResultsThe median age of the 1 075 responders was 60 (52, 67) years, and 797 (74.1%) were men. The EQ-5D and EQ-VAS indices were 0.7 (0.5, 0.8) and 60.0 (40.0, 80.0). Among the five dimensions in the quality of life scale, the frequency of anxiety/depression was the highest (59.8%), while problems in self-care was the lowest (35.8%). In the multiple linear regression model, female, increasing age, obesity, comorbidity(ies), anxiety/depression, social media channels, and receiving the CABG therapy were associated with the lower EQ-5D index (all P<0.05). In addition, increasing age, obesity, comorbidity (ies), depression, anxiety and depression, social media channels, and receiving the CABG therapy were associated with lower EQ-VAS index (all P<0.05).
ConclusionOver half of the patients with CHD in China have a low quality of life, which is related to gender, age, obesity, treatment pathway, the presence or absence of comorbidity (ies), and psychological state. In addition to managing the adverse effects of traditional socio-demographic factors on the quality of life, clinical practices should pay attention to the psychological state of patients. Moreover, establishing a WeChat group for doctor-patient communication could improve the quality of life of CHD patients.
Key words:
Coronary heart disease; Quality of life; Associated factors
Contributor Information
Liu Yefa
Heart Center, Peking University People′s Hospital, Beijing 100044, China
Beijing Key Laboratory of Early Prediction and Intervention of Acute Myocardial Infarction, Beijing 100085, China
Ding Rongjing
Heart Center, Peking University People′s Hospital, Beijing 100044, China
Beijing Key Laboratory of Early Prediction and Intervention of Acute Myocardial Infarction, Beijing 100085, China
Meng Xiaoping
the First Hospital of Changchun Chinese Medicine University, Changchun 130000, China
Wang Lemin
Department of Cardiac Rehabilitation, Tongji Hospital Affiliated to Tongji University, School of Medicine, Tongji University, Shanghai 200092, China
Shen Xiaoyu
Department of Cardiology, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
Shen Lin
Department of Geriatric Medicine, Qilu Hospital of Shandong University, Jinan 250012, China
Cai Xiaojun
Department of Cardiology, Jinan Central Hospital, Jinan 250013, China
Yue Ruihua
Department of Cardiology, the Medical Emergency Center of Chongqing City, Chongqing 400014, China
Shen Yuqin
Department of Cardiac Rehabilitation, Tongji Hospital Affiliated to Tongji University, School of Medicine, Tongji University, Shanghai 200092, China
Xu Danyan
Department of Cardiology, Second Xiangya Hospital of Central South University, Changsha 410011, China
Hu Dayi
Heart Center, Peking University People′s Hospital, Beijing 100044, China
Beijing Key Laboratory of Early Prediction and Intervention of Acute Myocardial Infarction, Beijing 100085, China
