Socio-demographic and clinical predictors of health-related quality of life in patients after myocardial infarction
More details
Hide details
Department of Clinical Nursing, Faculty of Health Sciences, Medical University, Wrocław, Poland
University of Bielsko-Biała, Faculty of Health Sciences, Poland
II Cardiac Department, American Heart of Poland, Bielsko-Biała, Poland
Corresponding author
Ewelina Bąk   

University of Bielsko-Biała, Faculty of Health Sciences, ul. Willowa 2, 43-309, Bielsko-Biała, Poland
J Pre Clin Clin Res. 2019;13(1):13-18
Acute coronary syndrome is associated with a reduction in the patients’ own perception of their quality of life (QoL). QoL is an important measure of the effectiveness of treatment; however, some of the predictors may be associated with a lower QoL assessment. The evaluation of QoL of patients after myocardial infarctions takes into consideration the socio-demographic and clinical predictors which can affect the level of health-related QoL

The aim of this study is to determine which socio-demographic and clinical factors have a positive or negative impact on QoL.

Material and methods:
The study included 100 patients of the American Heart of Poland Clinic in Bielsko-Biała who had undergone ST-myocardial infarction. For the purpose of the study, the following instruments were used: demographic data sheet, the Nottingham Health Profile questionnaire, and items regarding clinical variables: gender, age, education, marital status, occupational activity, blood pressure and heart rate, BMI, physical activity.

Comparative analysis of QoL, depending on the selected variables, revealed statistically significant differences among respondents with reference to age. People above the age of 85 showed the lowest rating of QoL in domains: Energy (NHP=100), Pain (80.3), and Mobility restriction (78.7). People with primary and vocational education rated their QoL worse than those with secondary and high education. The lowest QoL was typical of the single and widowers, obese and physical inactive people.

Durmaz T, Özdemir Ö, Özdemir B.A, Keleş T, Bayram NA, Bozkurt E: Factors affecting quality of life in patients with coronary heart disease. Turk J Med Sci. 2009; 39(3): 343–51.
Paciorek M, Sochocka L. The impact of myocardial infarction on the lifestyle and well-being of patients. Care and clinical aspects of care for patients. 1st ed. Continuo, 2012, pp.101–108.
Talarska D. Prevention of cardiovascular diseases. Cardiac nursing. 1st ed. Lek. PZWL, Warszawa; 2011 pp. 27–43.
Mancia G, Laurent S, Agabiti-Rosei E, et al. Reappraisal of European guidelines of hypertension management: A European Society of Hypertension Task Force document. J Hypertens. 2009; 27: 2121–2158.
Michajlik A. The concept of risk factors. Guidance book. 1st ed. Lek. PZWL, Warszawa; 2005, pp. 24–56.
Hambrecht R, Wolf A, Gielen S, i wsp. Effect of exercise on coronary endothelial function in patients with coronary artery disease. N Engl J Med. 2007; 342: 454–460.
Uchmanowicz I, Łoboz-Grudzień K, Jankowska-Polańska B, Sokalski L. Influence of diabetes on health-related quality of life results in patients with acute coronary syndrome treated with coronary angioplasty. Acta Diabetol. 2013; 50(2) :217–25.
Mędrela-Kuder E. Anti-healing behaviors of patients with myocardial infarction. Med Sport. 2010; 26(4): 178–186.
Dąbrowska J, Jurek A, Krakowska A, Grąbczewska Z, Kubica A. Participation of the sick family in the rehabilitation of people after a heart attack. Cardiovasc Forum. 2007; 12(1/2): 18–22.
Hunt SM, McKenna SP, McEwen J, Backett EM, Williams J, Papp E. A quantitative approach to perceived health status: A validation study. J Epidemiol Community Health. 1980; 34(4): 281–6.
The European Group for Quality of Life and Health Measurement. European Guide to the Nottingham Health Profile. Montpellier 1992.
Wrzesniewski K. Examining the subjective health status using the Polish adaptation of the Nottingham Health Profile In: Karski J.B, Kirschner H, Leowski J. (eds.). Contemporary needs and possibilities of health measurement. Krajowa Konferencja Naukowa: Warszawa pp. 37–41; 1997.
Kubica J, Sinkiewicz W. Chory po zawale serca. Via Medica, 1st ed. Gdańsk, 2008.
Pałczak E, Uchmanowicz I. Analysis of factors affecting the quality of life after myocardial infarction. Piel Zdr Publ. 2012; 2(1): 29–37.
Kowman M, Sobów T, Kłoszewska I. Anxiety and anxiety disorders in heart disease. Wiad psychiatr. 2007; X: 2.
Brown N, Melville M, Gray D, Young T, Munro J, Skene AM, Hampton JR. Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. Heart. 1999; 81(4): 352–8.
Kwaśniewska M, Drygas W. Quality of life in patients with risk factors of coronary heart disease. Przegląd Lekarski. 2005; 62(9): 863–870.
Wilski M. The relationship between the acceptance of one’s disability and the rehabilitation readiness of patients after heart attacks. Post Rehab. 2006; (4): 39–45.
Verrill D, Barton C, Beasley W, Brennan M, Lippard M, King C. Quality of life measures and gender comparisons in North Carolina Cardiac Rehabilitation Programs. J Cardiopulm Rehabil. 2001; 21(1): 37–46.
Luckarinen H, Hentinen M. Assesment of quality of life the Nottingham health profile among patients with coronary heart disease, J Adv Nurs. 1997; 26(1): 73–84.
Luttik ML, Jaarsma T, Veeger N, van Veldhuisen DJ. Marital status, quality of life, and clinical outcome in patients with heart failure. Heart Lung. 2006; 35: 3–8.
Christian AH, Cheema AF, Smith SC, Mosca L. Predictors of quality of life among women with coronary heart disease. Qual Life Res. 2007; 16: 363–73.
Mizia-Stec K, Kańczuga K, Zwolińska W, Kumor P, Niedojadło-Kumor A, Gąsior Z. Patients after the first myocardial infarction in distant observation. Ann Acad Med Siles. 2006; 60: 6.
Pałuk W, Jakubowski K. Evaluation of the impact of cardiac rehabilitation on the quality of life of people after myocardial infarction. Pielęgniarstwo XXI wieku. 2008. 45–51.
Kupcewicz E, Sawlewicz M. Socio-demographic and medical determinants of the quality of life in patients after myocardial infarction. Balt J Health Phys Act. 2017; 9(2): 73–81.
Journals System - logo
Scroll to top