Abstract
Background: As coronary heart disease (CHD) is a highly complex disease, complex continuity of care (CoC) service should be provided for the patients, and the quality of life (QoL) needs to be regarded as an important measuring indicator for the health-care outcome. Purpose: To understand the general situation of CHD QoL and important predictors. Method: A cross-sectional study design was adopted from August 2019 to July 2020 by structured questionnaires. A total of 163 patients were enrolled, and data were statistically analyzed using SPSS 25.0. Result: The average score of the QoL questionnaire is 56.56/80, and the CoC is 4.32. The overall regression model can explain 58.7% of the variance regarding QoL. Patients’ instrumental activities of daily living (IADLs) (26.1%), age (18.1%), living situation (7%), information transfer (4.8%), main source of income (1.8%), and risk of disability are significantly different from their overall QoL in depression (0.9%). Conclusions: In order to improve the QoL of patients, it is suggested that medical teams should assess the needs of patients immediately upon hospitalization, provide patients with individual CoC, encourage them to participate in community health promotion activities, and strengthen the function of IADL to improve the QoL of patients.
Highlights
Health-related quality of life issues for coronary heart disease (CHD) patients has always been a topic of concern and attention in clinical health care [1]
CoC was applied to the cardiac rehabilitation of CHD patients, and the results showed that CoC can enhance patients’ prognosis and effectively improve the continuity of care information, management, and the relationship between the medical team and the patient [10]
The original scale’s Content validity index (CVI) value was 0.90, and the internal consistency Cronbach’s α value was 0.95 [17]; the scale [9] adopted in this study showed good reliability (Cronbach’s α value = 0.93), and the Cronbach’s α value of the quality of life (QoL) scale in this study is 0.90
Summary
Health-related quality of life issues for coronary heart disease (CHD) patients has always been a topic of concern and attention in clinical health care [1]. CHD patients will lose disability-adjusted life-years (DALYs) due to disability, resulting in an increase in the global burden of the disease (GBD) and affecting the quality of life (QoL) of patients [4]; it is necessary to prevent the risk factors of CHD patients in clinical practice. Those with severe disease will have dysfunction in daily activities, including the activities of daily living (ADL) and instrumental activities of daily living (IADL) [5,6], and patients often suffer from psychological distress [7], resulting in anxiety, depression, stress, or frustration [8].
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