Factors Predicting Quality of Life among Young Adult Patients with Myocardial Infarction
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Abstract
Objectives: This study aimed to examine 1) level of quality of life (QoL) among young adult patients with myocardial infarction (MI), and 2) factors (heart functional capacity, smoking, alcohol consumption, physical activity, and social support) predicting QoL among young adult patients with myocardial infarction. Methods: The sample consisted of 90 young adult patients aged 18-45 years, and were diagnosed with MI. Four instruments were used for data collection: 1) Demographic data, health conditions, and data related to myocardial infarction. 2) Physical activity questionnaire 3) Multidimensional Scale of Perceived Social Support (MSPSS), and 4) Quality of life questionnaire (QoL). The content validity of questionnaires was performed by three experts. The Cronbach’s alpha coefficients indicating reliability for Physical activity questionnaire, MSPSS, and QoL were .88, .94, and .96, respectively. Data were analyzed using descriptive statistics and multiple linear regression. Results: The results showed that 1) level of QoL among young adult patients with MI was at a high level (M = 20.45, SD = 4.10), 2) heart function capacity, physical activity, and social support could significantly predict quality of life among young adult patients with MI with a coefficient of determination of 26.30% (Adjusted R2 = .26, F = 11.62, p = .029). The results also showed that social support could significantly predict QoL (β = .414, p < .001), followed by physical activity (β = .264, p = .001), and heart function capacity (β = -.160, p = .037). Conclusion: The results provide
the basic information for developing a program to promote QoL among young adult patients with myocardial infarction.
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References
World Health Organization. Cardiovascular diseases (CVDs) [Internet]. Geneva: World Health Organization; 2019 [cited 2022 Jan 22]. Available from: https://www.who.int/newsroom/fact-sheets/detail/cardiovascular-diseases-(cvds).
Ge J, Li J, Yu H, et al. Acute myocardial infarction in young adults: Risk factors, clinical features, and management strategies. Cardiol Plus. 2017; 2(1): 21-5. doi: 10.4103/2470-7511.248220.
Gulati R, Behfar A, Narula J, et al. Acute myocardial infarction in young individuals. Mayo Clin Proc. 2020; 95(1): 136-56. doi: 10.1016/j.mayocp.2019.05.001.
Division of Non-Communicable Diseases, Department of Disease Control, Ministry of Public Health. Defense operation situation control non-communicable diseases (NCDs). Division of Non-Communicable Diseases, Department of Disease Control; 2019. Thai.
Strategy and Planning Division. Public health statistics 2019 [Internet]. Bangkok: Ministry of Public Health; 2020 [cited 2021 Jan 15]. Available from: https://bps.moph.go.th/new_bps/sites/default/files/statistic62.pdf. Thai.
Mitsungnern T, Sukeepaisarncharoen W, Kiatchusakul S, et al. Acute myocardial infarction in the young age group patients in Srinagarind Hospital: A descriptive study. Srinagarind Med J. 2013; 28(3): 274-81. Thai.
Tamrakar R, Bhatt YD, Kansakar S, et al. Acute myocardial infarction in young adults: Study of risk factors, angiographic features and clinical outcome. NHJ. 2013; 10(1): 12-6. doi: https://doi.org/10.3126/njh.v10i1.9740.
Wannapo P, Kunsongkeit W, Duangpaeng S. Factors influencing physical activity among patients with acute myocardial infarction receiving percutaneous coronary intervention. J Hlth Sci Res. 2018; 12(2): 10-8. Thai.
Sanprasan P, Prekbunjun J, Kesornsuwan C. Caring for acute myocardial infarction patients in the epidemic situation with Coronavirus Disease 2019 (COVID-19). Thai J. Cardio-Thorac Nurs. 2020; 31(2): 17-28. Thai.
Naekeaw N. Stress, anxiety and nursing of acute myocardial infarction in cardiac intensive care units. SMB. 2017; 10(2): 103-8. Thai.
Saengsiri A, Wattradul D, Kangchanakul S, et al. The factors influencing the self-care agency and quality of life of patients with coronary artery disease. Thai J. Cardio-Thorac Nurs. 2015; 26(1): 104-18. Thai.
Kim Y. Health-related quality of life in patients with coronary artery disease undergoing percutaneous coronary intervention: A cross-sectional study. J Nurs Res. 2022; 30(1): 1-9. doi: 10.1097/jnr.0000000000000465.
Du R, Wang P, Ma L, et al. Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: A cross sectional study. Health Qual. 2020; 18(1): 1-10. doi: 10.1186/s12955-020-01447-4.
Hawkes AL, Patrao TA, Ware R, et al. Predictors of physical and mental health-related quality of life outcomes among myocardial infarction patients. BMC Cardiovasc. Disord. 2013; 13(1): 1-9. doi: 10.1186/1471-2261-13-69.
Soleimani MA, Zarabadi-Pour S, Chan YH, et al. Factors associated with hope and quality of life in patients with coronary artery disease. J Nurs Res. 2022; 30(2): 1-9. doi: 10.1097/jnr.0000000000000476.
Taghadosi M, Ghanbari-Afra L, Ghanbari-Afra M, et al. Quality of life and its influencing factors in patients with acute coronary syndrome. NPT. 2016; 3(2): 63-9.
Endalew HL, Liyew B, Baye Z, et al. Health-related quality of life and associated factors among myocardial infarction patients at cardiac center, Ethiopia. BioMed Res Int. 2021; 1-15. doi: 10.1155/2021/6675267.
Wang W, Chow A, Thompson DR, et al. Predictors of health-related quality of life among patients with myocardial infarction. West J Nurs Res. 2016; 38(1): 43-56. doi: 10.1177/0193945914546201.
Puttasomsri T, Leelukkanaveera Y, Lawang W. Factors predicting quality of life among patients with postpercutaneous coronary intervention in Chonburi province. JNAE. 2022; 15(1): 59-75. Thai.
Ferrans CE, Powers MJ. Quality of life index cardiac version-IV [internet]. Chicago: University of Illinois Chicago, College of Nursing; 1998. [cited 2020 Apr 12]. Available from: http://qli.org.uic.edu/questionaires/pdf/cardiacversionIV/Cardiac4english.pdf
Cohen J. Statistical power analysis for the behavioral sciences. New York: Routledge Academic; 1988.
Srisatitnarakul B. The methodology in nursing research. Bangkok: You & I intertech; 2010. Thai.
Charoenpattanaphak P, Masingboon K, Kunsongkeit W. Factors influencing health-related quality of life in patients with acute myocardial infarction. Graduate Research Conference. 2013; 1008-20. Thai.
Namphonkrung P. Factors relate to exercise behavior in coronary artery disease patients [master’s thesis]. [Bangkok]: Chulalongkorn University; 2002. 173 p.
Zimet GD, Dahlem NW, Zimet SG, et al. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52(1): 30-41. doi: 10.1207/s15327752jpa5201_2.
Wongpakaran N, Wongpakaran T. A revised Thai multidimensional scale of perceived social support. Span J Psychol. 2012; 15(3): 1503-9. doi: 10.5209/revsjop.2012.v15.n3.39434.
Saengsiri A. The effects of a self-care promotion program on quality of life and reduction of risk factor of coronary heart disease patients [master’s thesis]. [Bangkok]: Mahidol University; 2002. 143 p.
Bujang MA, Omar ED, Baharum NA. A review on sample size determination for Cronbach’s alpha test: A simple guide for researchers. Malays J Med Sci. 2018; 25(6): 85-99. doi: 10.21315/mjms2018.25.6.9.
Gasecka A, Rzepa B, Skwarek A, et al. Health-related quality of life increases after first-time acute myocardial: A population-based study. NIPH. 2022; 61(1): 24-31. doi: 10.2478/sjph-2022-0005.
Peric V, Borzanovic M, Stolic R, et al. Quality of life in patients related to gender differences before and after coronary artery bypass surgery. Interact Cardiovasc Thorac Surg. 2010; 10(2): 232-38. doi: 10.1510/icvts.2009.208462.
Beckman AL, Bucholz EM, Zhang W, et al. Sex differences in financial barriers and the relationship to recovery after acute myocardial infarction. J Am Heart Assoc. 2016; 5(10): 1-15. doi: 10.1161/JAHA.116.003923.
Yeesakun C, Phommad S, Chanwisad A, et al. Selfmanagement and quality of life in patients with ischemic heart disease in Songklanagarind Hospital. Songklanagarind J Nurs. 2012; 30(2): 1-16. Thai.
World Health Organization. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020.
Buchanan DM, Arnold SV, Gosch KL, et al. Association of smoking status with angina and health-related quality of life after acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2015; 8(5): 493-500. doi: 10.1161/CIRCOUTCOMES.114.001545.