Abstract
A better perception of the factors associated with patient activation, as a way to improve self-management, is the most important step in planning patient-centered education for chronic disease management. Therefore, the present study is aimed at investigating the relationship between activation, stress, anxiety, depression, and quality of life (QOL) in patients with chronic diseases. This correlational study was performed on 293 chronic patients admitted to coronary care units (CCUs) in one of the hospitals in Rafsanjan. The Patient Activation Measure (PAM), Quality of Life-BREF (WHOQOL-BREF), and Depression, Anxiety, and Stress Scale-21 Items (DASS-21) were used to collect data. The data were then analyzed using SPSS 22. A significant positive correlation was observed between general QOL and PAM (P < 0.001). In addition, a significant negative correlation was found between PAM, stress (P = 0.032), and depression (P = 0.025). The results of multivariate linear regression indicated that only physical and psychological subscales of QOL significantly predicted PAM (B = 0.24; 95% confidence interval; P value < 0.05). Owing to the fact that some subscales of QOL have a determinant role in the PAM of chronic patients, healthcare providers are recommended to plan and implement the necessary interventions to improve the QOL and the health outcomes of chronic patients.
Highlights
The silent pandemic of chronic diseases, one of the biggest public health challenges worldwide, is gradually spreading to all countries [1]
According to the Institute of Health Metrics and Evaluation (IHME), chronic diseases accounted for 72% of the causes of death in 2016 [1]
This cross-sectional correlational study was conducted on 293 chronic patients admitted to the Cardiac Care Unit (CCU) and medical wards in Ali Ibn Abitaleb Hospital of Rafsanjan
Summary
The silent pandemic of chronic diseases, one of the biggest public health challenges worldwide, is gradually spreading to all countries [1]. Chronic diseases have a high mortality rate and impose a heavy burden on healthcare systems [2]. According to the Institute of Health Metrics and Evaluation (IHME), chronic diseases accounted for 72% of the causes of death in 2016 [1]. Health Organization (WHO), chronic diseases caused 73 percent of deaths and 60% of the global burden of disease in 2020. 79% of these deaths will occur in developing countries [3]. The most common chronic diseases, including cardiovascular disease, cancer, chronic obstructive pulmonary disease (COPD), and type 2 diabetes have common and preventable risk factors such as hypertension, weight gain, and high-risk behaviors such as poor nutrition, sedentary lifestyle, and smoking [4]
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