坚持治疗对心脏病患者生活质量的影响

Ashutosh Vijay Chavhan, Ranjana Verma, Mamta Verma, Priyanshi Dixit
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引用次数: 0

摘要

背景:不坚持治疗与不良预后和生活质量受损有关。本研究的目的是了解坚持治疗对心血管疾病患者生活质量的影响:在博帕尔各城市中心的手术室就诊的 130 名心脏病患者中开展了一项描述性横断面研究。数据收集工作于 2022 年 9 月至 10 月进行,采用了目的性抽样框架。分别使用自填式 MAS-CAD 和 WHOQOL-BREF 对医疗依从性和生活质量进行了评估。统计分析:采用卡方检验(Chi-squared test)、费雪精确检验(Fisher's exact test)、克鲁斯卡尔-沃利斯检验(Kruskal Wallis)和曼-惠特尼检验(Mann Whitney test)。使用斯皮尔曼等级相关系数分析了服药依从性与生活质量之间的相关性:大多数参与者的服药依从性较高(58.0%),且与性别、职业状况、体力活动水平和手术史等变量显著相关。Qol(<0.001)及其领域(身体、心理和环境)也与医疗依从性明显相关:结论:CAD 患者较好的医疗依从性与较高的生活质量有关。男性、家庭主妇或失业者的医疗依从性更好。有必要更好地了解影响医疗依从性和生活质量的因素。
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Efficacy of Medical Adherence on Quality of Life Among Cardiac Patients
Background: Nonadherence is linked to poor outcomes and impaired QOL. The objective is to find out the efficacy of medical adherence on quality of life among CAD Patients. Methodology: A descriptive cross-sectional study was conducted among 130 cardiac patients, who were coming in OPD of various urban centres of Bhopal. Data collection was done from September to October 2022 using a purposive sampling framework. Medical adherence and quality of life were assessed using self-administered MAS-CAD and WHOQOL-BREF respectively. Statistical analysis: Chi-squared test, Fisher's exact test, Kruskal Wallis and Mann Whitney test were used. The correlation between medication adherence and quality of life was analysed using the Spearman rank correlation coefficient. Results: The majority of the participants reported high (58.0%) medical adherence and were significantly correlated with variables like gender, occupational status, level of physical activity, and surgical history. Qol (<0.001), and its domains (physical, psychological and environmental) were also significantly correlated with medical adherence. Conclusion: Better Medical adherence was associated with a high quality of life among CAD patients. Males and Homemakers or unemployed had better medical adherence. A better understanding of the factors affecting medical adherence and quality of life is necessary.
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