Abstract

In Indonesia, cardiovascular disease (CVD) ranks ninth among 22 types of diseases that result in death. Patients with history of CVD may experience various physical and emotional symptoms such as fatigue, edema, and sleeping difficulties that limit their physical and social activities which will in turn result in poor quality of life. Hospitalization and mortality has been associated with poor quality of life therefore people with history of CVD should be assessed appropriately to determine its impact on patients’ daily lives. This study aimed to examine the quality of life in older people with history of heart diseases. This study was conducted in an outpatient department of a private hospital in Tangerang, Banten Province, Indonesia. This quantitative, descriptive study involved 397 older patients. Data were collected via purposive sampling. Older patients with a history of CVD (cardiovascular diseases), aged 60–74 years, who could communicate and understand the Indonesian language and were not in a state that hindered completing a questionnaire were included in the study. Quality of life was measured using the WHOQOL-BREF questionnaire, which comprises four domains: physical health, psychological aspects, social relationships, and environment. Data were analyzed using a descriptive analysis. The results showed that 94% of respondents with a history of CVD had a good quality of life, with 85% having an adequate environmental aspect, 60.7% having active social relationships, 54.7% having good physical health, and 44.8% having a stable psychological condition. Despite having a history of CVD, most respondents in this study reported a good quality of life. However, the measurement tool used in this study measured quality of life in general. Future research should consider using a tool that is specific for measuring the quality of life of people with cardiac diseases.

Highlights

  • IntroductionAccording to World Population Prospect (2017), globally, the number of people age 60 years and over will more than double, rising from 962 million in 2017 to 2.1 billion by 2050

  • An older person is defined as someone who is 60 years old and above

  • Using a score of 50 as the cut-off for question 1 and 2 on the WHOQOL-BREF, the majority of the participants perceived their quality of life to be good (94.5%) and only 5.5% participants perceived it to be poor

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Summary

Introduction

According to World Population Prospect (2017), globally, the number of people age 60 years and over will more than double, rising from 962 million in 2017 to 2.1 billion by 2050. Like countries across the world, Indonesia is facing an ageing structured population as it has more than 7 percent of older population (Kementerian Kesehatan Indonesia, 2017). There was an estimated 23.66 million older people in Indonesia in 2017, and this number is expected to be 27.08 million by 2020 and 48.19 million by 2035 (Kementerian Kesehatan Indonesia, 2017). Banten is amongst the 34 provinces in Indonesia with increased older population from 488,202 in 2010 to 599,090 in 2014 (Badan Pusat Statistik, 2016). Life expectancy in Indonesia has increased from 59.4 in 2000 to 62.1 in 2015 (World Health Organization, 2017), indicating good improvement of the overall health of the population. Cardiovascular disease (CVD) refers to conditions affecting the heart a Lecturer of Sekolah Tinggi Ilmu Kesehatan Tarumanagara, Jakarta, Indonesia b Staff at Siloam Hospitals, Jakarta, Indonesia c Lecturer of Faculty of Nursing, University of Pelita Harapan, Jakarta, Indonesia

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