Quality of life 18 months after myocardial infarction

Amaç: Akut miyokard infarktüs (AMI) sonrası hangi hastaların düşük yaşam kalitesi açısından risk altında olduğunun tanımlanması amaçlanmıştır. Yöntem: Bu çalışma AMI tanısı ile taburcu edilmiş 49 hastanın 18 ay sonra değerlendirildiği kesitsel bir çalışmadır. Yaşam kalitesi, SF-36 kullanılarak değerlendirilmiştir. Bulgular: Bayan hastalar ve komorbiditesi olanlar SF-36 alt ölçeklerinde düşük skorlar elde etmişlerdir ki bu da düşük yaşam kalitesini göstermektedir. Çalışma durumlarına göre de anlamlı farklar saptanmıştır. Üç yaşam kalitesi alanı ile yaş ve çocuk sayısı arasında anlamlı derecede negatif korelasyon saptanmıştır. Eğitim süresi açısından beş alanda, enfarktüs olmadan geçen süre için sadece tek anlamda anlamlı düzeyde pozitif korelasyon bulunmuştur. Sonuç: Cinsiyet, yaş, sosyoekonomik faktörler, komorbidite ve enfarktüs olmaksızın geçen süre; AMI sonrası yaşam kalitesinin önemli belirleyicileridir.

Miyokard enfarktüsü 18 ay sonrası yaşam kalitesi

Purpose: To identify patients who are at risk for poor health related quality of life after acute myocardial infarction (AMI). Methods: This is a cross-sectional study of 49 patients with the discharge diagnosis of acute myocardial infarction after 18 months period of time. The quality of life was assessed by using SF-36 questionnaire. Results: Female patients and patients with comorbidity had lower scores in SF-36 subscales implying poorer quality of life. Significant differences were also observed in working status. The three quality of life domains were significantly negatively correlated with age and the number of children. In terms of education time length; five domain scores and in terms of time span without infarction; only one domain was significantly positively correlated. Conclusion: Sex, age, socioeconomic factors, comorbidity, time span without infarction are the most important predictors of health related quality of life after AMI.

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  • 1. Thompson D R, Roebuck A: The measurement of health-related quality of life in patients with coronary heart disaese. J Cardiovasc Nurs. 16(1):28-33, 2001.
  • 2. Westin L, Nilstun T, Carlsson R, Erhardt L: Patients with ischemic heart disease: quality of life predicts long-term mortality.Scand Cardiovasc J. Apr;39 (1-2):50-4, 2005.
  • 3. Brown N, Melville M, Gray D, Young T, Munro J, Skene A M: Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. Heart. 81:352-8, 1999.
  • 4. Failde I, Ramos I: Validity and reliability of the SF-36 health survey questionnaire in patients with coronary artery disaese. J Clin Epidemiol. 53:359-365, 2000.
  • 5. Soto M, Failde I, Márquez S, Benítez E, Ramos I, Barba A, López F: Physical and mental component summaries score of the SF-36 in coronary patients. Qual Life Res. 14(3):759-68, 2005.
  • 6. Dempster M, Donnelly M: Measuring the health related quality of life of people with ishaemic heart disease. Heart. 83(6):641- 4, 2000.
  • 7. Müller-Nordhorn J, Kulig M, Binting S, Völler H, Gohlke H, Linde K: Change in quality of life in the year following cardiac rehabilitation. Qual Life Res.13: 399-410, 2004.
  • 8. McHorney CA, Ware JE, Raczek AE. The MOS 36-item shortform health survey (SF-36). II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 31:247-63, 1993.
  • 9. Mortensen OS, Madsen JK, Haghfelt T, Grande P, Saunamaki K, Haunsa S: Health related quality of life after conservative or invasive treatment of inducible postinfarction ischaemia. Heart. 84;535-540, 2000.
  • 10. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A: Kısa Form-36 (KF-36)nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi. 12:102-6, 1999.
  • 11. McBurney CR, Eagle KA, Kline-Rogers EM, Cooper JV, Mani OCM, Smith DE: Health related quality of life in patients 7 months after a myocardial infarction: Factors affecting the short form-12. Pharmacotherapy. 22(12):1616-22, 2002.
  • 12. Brink E, Grankvist G, Karlson BW, Hallberg LR: Healthrelated quality of life in women and men one year after acute myocardial infarction. Qual Life Res. 14(3):749-57, 2005.
  • 13. Fukuoka Y, Lindgren TG, Rankin SH, Cooper BA, Carroll DL: Cluster analysis: a useful technique to identify elderly cardiac patients at risk for poor quality of life.Qual Life Res. 16(10):1655-63, 2007.
  • 14. Agewall S, Berglund M, Henareh L: Reduced quality of life after myocardial infarction in women compared with men.Clin Cardiol. 27(5):271-4, 2004.
  • 15. Stern M: Psychological rehabilitation following myocardial infarction and coronary bypass surgery. In:Wenger NK, Hellerstein H, eds. Rehabilitation of the Coronary Patient. New York,NY:John Wiley;1984:453-471.
  • 16. Rankin SH, Fukuoka Y: Predictors of quality of life in women 1 year after myocardial infarction. Prog Cardiovasc Nurs. 18(1):6-12, 2003.
  • 17. Michelson H, Bolund C, Nilsson B: Health related quality of life measured by the EORTC QLQ-C30- reference values from a large sample of Swedish population. Acta Oncol. 39:477- 484, 2000.
  • 18. Failde II, Soto MM: Changes in Health Related Quality of Life 3 months after an acute coronary syndrome. BMC Public Health. 27(6):18, 2006.
  • 19. Coyne KS, Lundergan CF, Boyle D, Greenhouse SW, Draoui YC, Walker P, Ross AM: Relationship of infarct artery patency and left ventricular ejection fraction to health-related quality of life after myocardial infarction: the GUSTO-IAngiographic Study experience.Circulation. 102(11):1245-51, 2000.
  • 20. Michelson H, Bolund C, Brandberg Y: Multiple chronic problems are negatively associated with health related quality of life irrespective of age. Qual Life Res. 9:1093-1104, 2001.
  • 21. Beck CA, Joseph L, Belisle P, Pilote L: Predictors of quality of life 6 months and 1 year after acute myocardial infarction. Am. Heart J. 142(2):271-9, 2001.
  • 22.Brown N, Melville M, Gray D, Young T, Munro J, Skene AM: Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. Heart. 81(4):352-8, 1999.
  • 23. Lavie CJ, Milani RV: Effects of cardiac rehabilitation therapy programmes on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in a large elderly cohort. Am J Cardiol. 76:177-179, 1995.