de Carvalho Costa Ingrid Maria Novais Barros, da Silva Danielle Góes, Oliveira Joselina Luzia Meneses, Silva José Rodrigo Santos, de Andrade Fabrício Anjos, de Góes Jorge Juliana, de Oliveira Larissa Marina Santana Mendonça, de Almeida Rebeca Rocha, Oliveira Victor Batista, Martins Larissa Santos, Costa Jamille Oliveira, de Souza Márcia Ferreira Cândido, Pereira Larissa Monteiro Costa, Alves Luciana Vieira Sousa, Voci Silvia Maria, Almeida-Santos Marcos Antonio, Aidar Felipe J, Baumworcel Leonardo, Sousa Antônio Carlos Sobral
Graduation Program in Health Sciences, Federal University of Sergipe, São Cristóvão 49100-000, Brazil.
Federal Institute of Sergipe, São Cristóvão 49100-000, Brazil.
Clin Pract. 2022 Jul 8;12(4):513-526. doi: 10.3390/clinpract12040055.
(1) Background: Quality of life (QOL) is used as a health indicator to assess the effectiveness and impact of therapies in certain groups of patients. This study aimed to analyze the QOL of patients with acute coronary syndrome (ACS) who received medical treatment by a public or private health care system. (2) Methods: This observational, prospective, longitudinal study was carried out in four referral hospitals providing cardiology services in Sergipe, Brazil. QoL was evaluated using the Medical Outcomes Study 36-Item Short-Form Health Survey. The volunteers were divided into two groups (public or private health care group) according to the type of health care provided. Multiple linear regression models were used to evaluate QoL at 180 days after ACS. (3) Results: A total of 581 patients were eligible, including 44.1% and 55.9% for public and private health care, respectively. At 180 days after ACS, the public health care group had lower QoL scores for all domains (functional capacity, physical aspects, pain, general health status, vitality, social condition, emotional profile, and health) (p < 0.05) than the private group. The highest QoL level was associated with male sex (p < 0.05) and adherence to physical activity (p ≤ 0.003) for all assessed domains. (4) Conclusions: This shows that social factors and health status disparities influence QoL after ACS in Sergipe.
(1) 背景：生活质量（QOL）用作健康指标，以评估某些患者群体中治疗方法的有效性和影响。本研究旨在分析通过公共或私立医疗保健系统接受治疗的急性冠状动脉综合征（ACS）患者的生活质量。(2) 方法：这项观察性、前瞻性、纵向研究在巴西塞尔希培州提供心脏病学服务的四家转诊医院进行。使用医学结局研究36项简短健康调查评估生活质量。志愿者根据所提供的医疗保健类型分为两组（公共或私立医疗保健组）。使用多元线性回归模型评估ACS后180天的生活质量。(3) 结果：共有581名患者符合条件，其中分别有44.1%和55.9%接受公共和私立医疗保健。在ACS后180天，公共医疗保健组在所有领域（功能能力、身体方面、疼痛、总体健康状况、活力、社会状况、情绪状况和健康）的生活质量得分均低于私立组（p < 0.05）。在所有评估领域中，最高的生活质量水平与男性性别（p < 0.05）和坚持体育活动（p≤0.003）相关。(4) 结论：这表明社会因素和健康状况差异会影响塞尔希培州ACS后的生活质量。
