Lamesgin Endalew Helen, Liyew Bikis, Kassew Tilahun, Ewnetu Tarekegn Gebrekidan, Dejen Tilahun Ambaye, Sewunet Alamneh Tesfa
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Emergency and Critical Care Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
J Multidiscip Healthc. 2021 Jun 22;14:1543-1552. doi: 10.2147/JMDH.S296064. eCollection 2021.
Myocardial infarction is the fifth leading causes of disability-adjusted life years in low-income countries including Ethiopia. The aim of this study was to construct a hypothetical model to determine the factors affecting the health-related quality of life of myocardial infarction survivors at the cardiac center Ethiopia.
A cross-sectional study design was employed, and 421 myocardial infarction patients were enrolled through consecutive sampling technique from the outpatient clinic at the cardiac center of Ethiopia. The World Health Organization Quality of Life-BREF-26 tool was used to assess the problem. It consists of four domains such as physical, psychological, social relationships, and environmental health domains. The structural equation modeling (SEM) analysis was employed using STATA-14 software to examine the relationship between various exogenous and endogenous or mediating variables with overall quality of life.
Psychological, physical, environmental health domains and sex had significant association with health-related quality of life (β=0.708, p<0.001, β= 0.237, p=0.046, β=0.242, p=0.020, and β=0.189, p=0.017, respectively), whereas age had direct, negative association with health-related quality of life (β=-0.007, p=0.026). Residence and level of education were not directly associated with health-related quality of life. Residence indirectly, negatively influenced health-related quality of life (β= -0.379, p<0.001). On the other hand, level of education indirectly, positively affects health-related quality of life (β=i0.133, p<0.001).
Psychological health factors had the most substantial causal effect on health-related quality of life, which was larger than the causal effects of physical and environmental health-related factors. Developing and providing comprehensive interventions are necessary to assess and manage psychological, physical, and environmental health factors and to improve the quality of life in myocardial infarction patients.
在包括埃塞俄比亚在内的低收入国家，心肌梗死是导致伤残调整生命年的第五大主要原因。本研究的目的是构建一个假设模型，以确定影响埃塞俄比亚心脏中心心肌梗死幸存者健康相关生活质量的因素。
采用横断面研究设计，通过连续抽样技术从埃塞俄比亚心脏中心门诊招募了421名心肌梗死患者。使用世界卫生组织生活质量简表-26工具来评估该问题。它由四个领域组成，即身体、心理、社会关系和环境卫生领域。使用STATA-14软件进行结构方程模型（SEM）分析，以检验各种外生变量、内生变量或中介变量与总体生活质量之间的关系。
心理、身体、环境卫生领域和性别与健康相关生活质量有显著关联（β分别为0.708，p<0.001；β为0.237，p=0.046；β为0.242，p=0.020；β为0.189，p=0.017），而年龄与健康相关生活质量有直接的负相关（β=-0.007，p=0.026）。居住地和教育水平与健康相关生活质量没有直接关联。居住地间接对健康相关生活质量有负面影响（β=-0.379，p<0.001）。另一方面，教育水平间接对健康相关生活质量有积极影响（β=0.133，p<0.001）。
心理健康因素对健康相关生活质量的因果效应最大，大于身体和环境卫生相关因素的因果效应。开展并提供全面的干预措施对于评估和管理心理、身体和环境卫生因素以及改善心肌梗死患者的生活质量是必要的。
