Huy Van Nguyen1,2, Long Quynh Khuong3, Anh Tuan Nguyen4, Anh Le Tuan Nguyen5,6, Cham Thi Nguyen7, Ha Thi Thu Nguyen5, Thu Thi Ha Tran5, An Thi Minh Dao2,8, Stuart Gilmour1, Minh Van Hoang2,3. 1. Graduate School of Public Health, St. Luke's International University, Tokyo, Japan. 2. Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA. 3. Hanoi University of Public Health, Hanoi, Vietnam. 4. Vietnam National Heart Institute, Hanoi, Vietnam. 5. Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam. 6. Faculty of Health, University of Tasmania, Hobart, Australia. 7. Training Center and Scientific Management, National Institute of Occupational Health and Environment, Hanoi, Vietnam. 8. Department of Epidemiology, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Abstract
RATIONALE, AIMS AND OBJECTIVES: Changes in, and predictors of, quality of life (QoL) among unstable angina patients are informative for both clinical and public health practice. However, there is little research on this topic, especially in health care settings with limited resources. This study aims to detect changes in QoL and its associated factors among patients with unstable angina after percutaneous coronary intervention. METHODS: A longitudinal design was conducted with two repeated rounds of measurements, 1 and 3 months after intervention, using the generic SF-36 questionnaire, in 120 patients from Vietnam National Heart Institute. A linear mixed-effects model was used to assess changes in patient QoL over time while adjusting for other covariates. RESULTS: Only two out of eight QoL subscales (social functioning and emotional well-being) declined after 1 month, but these tended to rise again after 3 months, while scores of all other QoL subscales increased. Adjusting for covariates, QoL increased slightly after 1 month of intervention (β = 0.65, 95%CI = -0.86 to 2.16) but improved by almost six QoL points after 3 months (β = 5.99, 95%CI = 4.48 to 7.50). Four confounders significantly associated with a decline in QoL were older age, being retired, living in rural areas, and having abnormal troponin level. CONCLUSION: QoL of the patients with unstable angina improves significantly 3 months after intervention, rather than after 1 month. More attention should be given to patients, who are old, retired, live in rural areas and have abnormal troponin level.
RATIONALE, AIMS AND OBJECTIVES: Changes in, and predictors of, quality of life (QoL) among unstable anginapatients are informative for both clinical and public health practice. However, there is little research on this topic, especially in health care settings with limited resources. This study aims to detect changes in QoL and its associated factors among patients with unstable angina after percutaneous coronary intervention. METHODS: A longitudinal design was conducted with two repeated rounds of measurements, 1 and 3 months after intervention, using the generic SF-36 questionnaire, in 120 patients from Vietnam National Heart Institute. A linear mixed-effects model was used to assess changes in patient QoL over time while adjusting for other covariates. RESULTS: Only two out of eight QoL subscales (social functioning and emotional well-being) declined after 1 month, but these tended to rise again after 3 months, while scores of all other QoL subscales increased. Adjusting for covariates, QoL increased slightly after 1 month of intervention (β = 0.65, 95%CI = -0.86 to 2.16) but improved by almost six QoL points after 3 months (β = 5.99, 95%CI = 4.48 to 7.50). Four confounders significantly associated with a decline in QoL were older age, being retired, living in rural areas, and having abnormal troponin level. CONCLUSION: QoL of the patients with unstable angina improves significantly 3 months after intervention, rather than after 1 month. More attention should be given to patients, who are old, retired, live in rural areas and have abnormal troponin level.
Authors: Huong Thi Le; Thao Thi Phuong Nguyen; Corey Jacinto; Cuong Tat Nguyen; Linh Gia Vu; Hien Thu Nguyen; Minh Ngoc Le Vu; Xuan Thi Thanh Le; Thao Thanh Nguyen; Quan Thi Pham; Nhung Thi Kim Ta; Quynh Thi Nguyen; Carl A Latkin; Cyrus S H Ho; Roger C M Ho Journal: Risk Manag Healthc Policy Date: 2022-03-08
Authors: Anna Meta Dyrvig Kristensen; Manan Pareek; Kristian Hay Kragholm; Thomas Steen Gyldenstierne Sehested; Michael Hecht Olsen; Eva Bossano Prescott Journal: Cardiology Date: 2022-05-10 Impact factor: 2.342
Authors: Thao Thi Phuong Nguyen; Tham Thi Nguyen; Vu Trong Anh Dam; Thuc Thi Minh Vu; Hoa Thi Do; Giang Thu Vu; Anh Quynh Tran; Carl A Latkin; Brian J Hall; Roger C M Ho; Cyrus S H Ho Journal: Front Psychol Date: 2022-09-02