Health related quality of life in patients with coronary heart disease: psychological and socio-demographical determinants

ABSTRACT

Coronary heart disease is the universal principal cause for decreased quality of life, morbidity, and mortality in adulthood. This study seeks to indicate the psychological and socio-demographical determinants of the health related quality of life in patients with coronary heart disease in Iran. In this cross-sectional descriptive design, 205 patients with coronary heart disease among the patients diagnosed with coronary heart disease in Shahid Rajayee heart hospital were selected by compliance sampling and were completed the demographical questionnaire, The WHOQOL-BREF, Tehran-Stockholm marital stress scale [TSMSS] and Mental Health Inventory [MHI-38]. Then, data analyzed by stepwise multiple regression analysis by using of the PASW-18. Findings revealed that psychological wellbeing and socio-economic status had significantly positive predictive role on health related quality of life and marital stress, psychological distress, and gender had negatively significant predictive role on health related quality of life [p< 0.001]. There was no significant role at prediction of health related quality of life in terms of patient's age. It concluded that adverse socio-economic status, female gender, decreased psychological well-being, higher psychological distress and higher marital stress might make patients with coronary heart disease more prone to decreased health related quality of life. Thus, it is important to emphasize the worth of tailored intervention for addressing these issues in therapeutic and rehabilitation agendas. Likewise, the identification and treatment of psycho-social correlates in these patients could be very important