Abstract
Introduction. Myocardial infarction is the most frequent manifestation of coronary heart disease and one of the leading causes of death worldwide. The sudden and often profound physiological and psychological effect of the acute onset of myocardial infarction hurts the health-related quality of life. Objective. To assess health-related quality of life and associated factors among myocardial infarction patients at Cardiac Center, Ethiopia, Addis Ababa, Ethiopia, 2020. Method. Institution-based cross-sectional study was conducted from April 10 to June 25, 2020, at the Cardiac Center-Ethiopia, Addis Ababa, Ethiopia. The sample consisted of 421 myocardial infarction patients. Data were collected through an interviewer-administered structured questionnaire by using the World Health Organization Quality of Life Questionnaire. Samples were selected using a consecutive sampling technique. The linear regression analysis model was fitted using SPSS 26 and STATA 14, and the unstandardized beta (𝛽) coefficient with a 95% confidence interval was used. A p value <0.05 was considered statistically significant for all analyses. Results. The mean score of the overall health-related quality of life was found to be 49.29 ± 14.83 , and the mean score for the physical domain was 47.96 ± 16.50 ; for the psychological domain, it was 50.91 ± 16.07 , and for environmental and social relationship domains, it was 48.30 ± 16.54 and 52.02 ± 24.61 , respectively. In the multiple regression analysis, increased age, living in a rural area, heart failure, and hypertension were inversely associated with overall health-related quality of life, while secondary and higher education were associated with better overall health-related quality of life. Conclusion. Patients with myocardial infarction at Cardiac Center, Ethiopia, had lower health-related quality of life. Hence, the finding of this study suggests the implementation of a cardiac rehabilitation program and comprehensive service given by healthcare providers.
Highlights
Myocardial infarction is the most frequent manifestation of coronary heart disease and one of the leading causes of death worldwide
Acute coronary syndrome (ACS) is one of the leading causes of morbidity and mortality globally [1]. It can be classified into three intensity categories: unstable angina (UA); non-ST-segment elevation myocardial infarction (NSTEMI), in which coronary arteries are partially or intermittently occluded; and ST-segment elevation myocardial infarction (STEMI), in which there is full arterial occlusion [2, 3]
Identifying factors significantly associated with Health-related quality of life (HRQoL) may serve as useful pointers for health professionals in providing customized interventions to improve the HRQL of this group of people
Summary
Myocardial infarction is the most frequent manifestation of coronary heart disease and one of the leading causes of death worldwide. The sudden and often profound physiological and psychological effect of the acute onset of myocardial infarction hurts the health-related quality of life. To assess health-related quality of life and associated factors among myocardial infarction patients at Cardiac Center, Ethiopia, Addis Ababa, Ethiopia, 2020. Patients with myocardial infarction at Cardiac Center, Ethiopia, had lower health-related quality of life. Acute coronary syndrome (ACS) is one of the leading causes of morbidity and mortality globally [1]. Health-related quality of life (HRQoL) is a construct used to understand the impact of chronic disease on patients’ wellbeing. Patients after MI are at higher risk of subsequent physical consequences, such as malignant arrhythmias, reduced left ventricular function, angina pectoris, and adverse psychological reactions [15,16,17]
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