TY - JOUR
T1 - Determinants of Health-Related Quality of Life in Outpatients with Myocardial Infarction
AU - Jarab, Anan S.
AU - Mansour, Razan Z.
AU - Muflih, Suhaib
AU - Al-Qerem, Walid
AU - Abu Heshmeh, Shrouq R.
AU - Alzoubi, Karem H.
AU - Al Hamarneh, Yazid N.
AU - Aburuz, Salah
AU - Al Momany, Enaam M.
N1 - Publisher Copyright:
© 2024 Jarab et al.
PY - 2024
Y1 - 2024
N2 - Background: The health-related quality of life (HRQOL) of patients with myocardial infarction (MI) is suboptimal because of the disease’s life-threatening nature, the requirement for long-term lifestyle modifications, and the treatment regimens following MI. This study aimed to evaluate HRQOL and its associated factors in MI patients. Material and Methods: This study was conducted on patients with MI who attended the outpatient cardiology clinic at a major teaching hospital in Jordan. The EQ-5D-3L questionnaire was used to assess HRQOL of the study participants. Quantile regression analysis was conducted to identify the variables associated with HRQOL. Results: The study included 333 patients with a history of MI, with a median age of 58 (57–60). The median of the total EQ-5D score was 0.65 (0.216–0.805). Regression results revealed that male patients (Coefficient= 0.110, 95%Cl (0.022–0.197), P=0.014) and not being diagnosed with diabetes (Coefficient= 0.154, 95%Cl (0.042–0.266), P=0.007) were associated with increased HRQOL. On the other hand, low income (Coefficient= −0.115, 95%Cl (−0.203-−0.026), P=0.011), not receiving DPP-4 (Dipeptidyl Peptidase −4) inhibitors (Coefficient= −0.321 95%Cl (−0.462-−0.180), P<0.001), and having low (Coefficient= −0.271, 95%Cl (−0.395-−0.147), P<0.001) or moderate (Coefficient= −0.123, 95%Cl (−0.202-−0.044), P=0.002) medication adherence was associated with decreased HRQOL. Conclusion: The current study demonstrated diminished HRQOL among patients with MI, highlighting the necessity of tailoring interventions to tackle medication adherence barriers in this population. Personalized interventions such as educational programs, counseling, and reminders that consider each patient’s needs and circumstances can greatly enhance medication adherence and, thus, the HRQOL of MI patients. Individuals with lower income levels, female patients, and those with diabetes should be the specific targets of these interventions.
AB - Background: The health-related quality of life (HRQOL) of patients with myocardial infarction (MI) is suboptimal because of the disease’s life-threatening nature, the requirement for long-term lifestyle modifications, and the treatment regimens following MI. This study aimed to evaluate HRQOL and its associated factors in MI patients. Material and Methods: This study was conducted on patients with MI who attended the outpatient cardiology clinic at a major teaching hospital in Jordan. The EQ-5D-3L questionnaire was used to assess HRQOL of the study participants. Quantile regression analysis was conducted to identify the variables associated with HRQOL. Results: The study included 333 patients with a history of MI, with a median age of 58 (57–60). The median of the total EQ-5D score was 0.65 (0.216–0.805). Regression results revealed that male patients (Coefficient= 0.110, 95%Cl (0.022–0.197), P=0.014) and not being diagnosed with diabetes (Coefficient= 0.154, 95%Cl (0.042–0.266), P=0.007) were associated with increased HRQOL. On the other hand, low income (Coefficient= −0.115, 95%Cl (−0.203-−0.026), P=0.011), not receiving DPP-4 (Dipeptidyl Peptidase −4) inhibitors (Coefficient= −0.321 95%Cl (−0.462-−0.180), P<0.001), and having low (Coefficient= −0.271, 95%Cl (−0.395-−0.147), P<0.001) or moderate (Coefficient= −0.123, 95%Cl (−0.202-−0.044), P=0.002) medication adherence was associated with decreased HRQOL. Conclusion: The current study demonstrated diminished HRQOL among patients with MI, highlighting the necessity of tailoring interventions to tackle medication adherence barriers in this population. Personalized interventions such as educational programs, counseling, and reminders that consider each patient’s needs and circumstances can greatly enhance medication adherence and, thus, the HRQOL of MI patients. Individuals with lower income levels, female patients, and those with diabetes should be the specific targets of these interventions.
KW - EQ-5D
KW - Jordan
KW - factor
KW - health-related quality of life
KW - myocardial infarction
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U2 - 10.2147/JMDH.S463789
DO - 10.2147/JMDH.S463789
M3 - Article
AN - SCOPUS:85193682659
SN - 1178-2390
VL - 17
SP - 2133
EP - 2145
JO - Journal of Multidisciplinary Healthcare
JF - Journal of Multidisciplinary Healthcare
ER -
