Chatzinikolaou Aikaterini, Tzikas Stergios, Lavdaniti Maria
Nursing Department, International Hellenic University, Thessaloniki, GRC.
Third Department of Cardiology, Ippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Cureus. 2021 Sep 14;13(9):e17982. doi: 10.7759/cureus.17982. eCollection 2021 Sep.
Background Cardiovascular disease (CVD) is responsible for 18 million annual deaths worldwide. CVD affects patients' Quality of Life (QoL) mainly in physical, emotional and social dimension. Aim To assess the QoL of patients with CVD in Northern Greece, using three different instruments. Methods The study was conducted in one large hospital located in a major Greek city. A convenience sample of 80 patients participated. A questionnaire including Short Form-36 Health Survey (SF-36), EuroQoL 5-dimensions 5-levels (EQ-5D-5L), MacNew, demographic, and clinical characteristics was used to collect data. Results The mean age of the patients was 63.31±14.07. Analysis revealed statistically significant main effects of age on the physical limitations, emotional limitations, social functioning, and pain. Also, the analysis showed significant main effects of education on the MacNew Physical, MacNew Social, and the EQ-5D-5L index (p< 0.05). Participants who had graduated primary school had significantly lower quality of life scores than higher education graduates in the MacNew physical (p< 0.02). Furthermore, in the SF-36 pain subscale, the heart failure group had a significantly lower quality of life than the other heart diseases (p= 0.03) Conclusion Quality of life is affected by factors such as age, type of heart disease, therapy, and comorbidities. Health care providers should be knowledgeable of the factors that affect the quality of life sectors (physical, emotional, and social life) of patients with CVD in order to meet their needs and have the most suitable treatment.
心血管疾病（CVD）每年在全球导致1800万人死亡。心血管疾病主要在身体、情感和社会层面影响患者的生活质量（QoL）。目的：使用三种不同工具评估希腊北部心血管疾病患者的生活质量。方法：该研究在希腊一个主要城市的一家大型医院进行。便利抽样选取了80名患者参与。使用一份包含简短健康调查问卷36项（SF - 36）、欧洲五维健康量表5级（EQ - 5D - 5L）、MacNew量表、人口统计学和临床特征的问卷收集数据。结果：患者的平均年龄为63.31±14.07。分析显示年龄对身体限制、情感限制、社会功能和疼痛有统计学显著的主效应。此外，分析表明教育程度对MacNew身体量表、MacNew社会量表和EQ - 5D - 5L指数有显著主效应（p < 0.05）。小学毕业的参与者在MacNew身体量表方面的生活质量得分显著低于高等教育毕业者（p < 0.02）。此外，在SF - 36疼痛子量表中，心力衰竭组的生活质量显著低于其他心脏病组（p = 0.03）。结论：生活质量受年龄、心脏病类型、治疗和合并症等因素影响。医疗保健提供者应了解影响心血管疾病患者生活质量各方面（身体、情感和社会生活）的因素，以便满足他们的需求并进行最合适的治疗。
