Predictors of quality of life among women with coronary heart disease.

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  • Author(s): Christian AH;Christian AH; Cheema AF; Smith SC; Mosca L
  • Source:
    Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2007 Apr; Vol. 16 (3), pp. 363-73. Date of Electronic Publication: 2006 Nov 08.
  • Publication Type:
    Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Springer Netherlands Country of Publication: Netherlands NLM ID: 9210257 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0962-9343 (Print) Linking ISSN: 09629343 NLM ISO Abbreviation: Qual Life Res Subsets: MEDLINE
    • Publication Information:
      Publication: 2005- : Netherlands : Springer Netherlands
      Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-
    • Subject Terms:
      Patient Education as Topic* ; Quality of Life* ; Sickness Impact Profile* ; Women's Health*/ethnology; Coronary Disease/*psychology; Academic Medical Centers ; Aged ; Anger ; Comorbidity ; Coronary Disease/ethnology ; Depression ; Female ; Hospitalization ; Humans ; Middle Aged ; New York ; North Carolina ; Prospective Studies ; Time Factors
    • Abstract:
      Background: Health-related quality of life (HRQOL) is an increasingly relevant outcome as the population ages and associated morbidities increase. The purpose of this study was to evaluate predictors of HRQOL among ethnically diverse women hospitalized for coronary heart disease (CHD) and determine the impact of a brief, educational intervention on HRQOL 6 months post-hospitalization.
      Methods: Women (n = 160; mean age 63 years, 53% minority) admitted for CHD at three academic hospitals who completed a 6 month secondary prevention trial were studied. The SF-36 was administered at admission and 6 months. Multiple linear regressions were used to identify significant independent predictors of 6 month HRQOL.
      Results: Significant improvements in HRQOL were noted from admission to 6 months post-hospitalization. Subjects reporting better HRQOL at 6 months included those who were employed, married, physically active, enrolled in cardiac rehabilitation, and not depressed. Women who received an educational intervention had significantly less bodily pain at 6 months compared with usual care in a model adjusted for baseline HRQOL and physical activity goal adherence (p = 0.04).
      Conclusions: Baseline HRQOL (8 SF-36 subscales), physical activity (3 SF-36 subscales) and marital status (1 SF-36 subscale) were the major determinants of HRQOL at 6 months post-hospitalization. Future interventions and preventive efforts should be targeted to women with CHD who have impaired HRQOL and may be at increased risk of poor clinical outcomes.
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    • Grant Information:
      K24 HL076346-01A1 United States HL NHLBI NIH HHS; T32 HL007343-27 United States HL NHLBI NIH HHS
    • Publication Date:
      Date Created: 20061109 Date Completed: 20070605 Latest Revision: 20181113
    • Publication Date:
      20231215
    • Accession Number:
      10.1007/s11136-006-9135-7
    • Accession Number:
      17091358