Health-related Quality of Life of Elderly Men and Women After a Heart Attack

Background: The most common aging change is increased arteriosclerosis, which can prone the elderly to heart attacks. Physiological and psychological changes deteriorate the health-related quality of life (QoL) of the survivors of heart attacks. However, gender differences may affect the health-rela...

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Main Authors: Farideh Bastani, Ghasem Ehsani, Parvaneh Samady kia, Hamid Haghani
Format: Article
Language:English
Published: Iran University of Medical Sciences 2022-11-01
Series:Journal of Client-centered Nursing Care
Subjects:
Online Access:http://jccnc.iums.ac.ir/article-1-382-en.html
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author Farideh Bastani
Ghasem Ehsani
Parvaneh Samady kia
Hamid Haghani
author_facet Farideh Bastani
Ghasem Ehsani
Parvaneh Samady kia
Hamid Haghani
author_sort Farideh Bastani
collection DOAJ
description Background: The most common aging change is increased arteriosclerosis, which can prone the elderly to heart attacks. Physiological and psychological changes deteriorate the health-related quality of life (QoL) of the survivors of heart attacks. However, gender differences may affect the health-related QoL of the survivors. The present study aimed to compare the health-related QoL of elderly men and women after a heart attack in selected educational-therapeutic centers of Iran University of Medical Sciences in 2020. Methods: This was a cross-sectional study with descriptive comparative design conducted on 196 elderly patients (98 men and 98 women in each group) who were referred to the heart clinics of selected educational-therapeutic centers of Iran University of Medical Sciences in Tehran, Iran in 2020. The subjects were selected through continuous sampling. Data were collected by abbreviated mental test (AMT) and MacNew Heart Disease health-related QoL (HRQoL) questionnaire and analyzed by Chi-square test, independent t-test, analysis of variance, Pearson correlation coefficient, and multiple linear regression using SPSS software, version 26. The significance level was set at P≤0.05. Results: The Mean±SD age of elderly women and men was 72.59±7.87 and 69.6±8.24 years, respectively. The Mean±SD health-related QoL of the elderly women was 3.89±0.58 and that of elderly men was 4.16±0.82. The results of the independent t-test showed that the scores of health-related QoL and its dimensions were significantly higher in men than in women (P<0.001). The results of the Pearson correlation coefficient revealed a negative and significant correlation between age and health-related QoL in elderly men (r=-0.253, P=0.012). The results of simultaneous multiple linear regression revealed that 26.8% of the changes in men’s health-related QoL were explained by their individual characteristics. Conclusion: Considering the lower health-related QoL of women compared to men after a heart attack, more support for women after a heart attack seems necessary. Further research is also recommended to find out the causes of this difference.
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spelling doaj.art-7ccb158ac8f746079164f3d0610edbe52022-12-22T03:02:31ZengIran University of Medical SciencesJournal of Client-centered Nursing Care2476-41322022-11-0184281290Health-related Quality of Life of Elderly Men and Women After a Heart AttackFarideh Bastani0Ghasem Ehsani1Parvaneh Samady kia2Hamid Haghani3 Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Background: The most common aging change is increased arteriosclerosis, which can prone the elderly to heart attacks. Physiological and psychological changes deteriorate the health-related quality of life (QoL) of the survivors of heart attacks. However, gender differences may affect the health-related QoL of the survivors. The present study aimed to compare the health-related QoL of elderly men and women after a heart attack in selected educational-therapeutic centers of Iran University of Medical Sciences in 2020. Methods: This was a cross-sectional study with descriptive comparative design conducted on 196 elderly patients (98 men and 98 women in each group) who were referred to the heart clinics of selected educational-therapeutic centers of Iran University of Medical Sciences in Tehran, Iran in 2020. The subjects were selected through continuous sampling. Data were collected by abbreviated mental test (AMT) and MacNew Heart Disease health-related QoL (HRQoL) questionnaire and analyzed by Chi-square test, independent t-test, analysis of variance, Pearson correlation coefficient, and multiple linear regression using SPSS software, version 26. The significance level was set at P≤0.05. Results: The Mean±SD age of elderly women and men was 72.59±7.87 and 69.6±8.24 years, respectively. The Mean±SD health-related QoL of the elderly women was 3.89±0.58 and that of elderly men was 4.16±0.82. The results of the independent t-test showed that the scores of health-related QoL and its dimensions were significantly higher in men than in women (P<0.001). The results of the Pearson correlation coefficient revealed a negative and significant correlation between age and health-related QoL in elderly men (r=-0.253, P=0.012). The results of simultaneous multiple linear regression revealed that 26.8% of the changes in men’s health-related QoL were explained by their individual characteristics. Conclusion: Considering the lower health-related QoL of women compared to men after a heart attack, more support for women after a heart attack seems necessary. Further research is also recommended to find out the causes of this difference.http://jccnc.iums.ac.ir/article-1-382-en.htmlquality of lifeelderlyheart attackgender role
spellingShingle Farideh Bastani
Ghasem Ehsani
Parvaneh Samady kia
Hamid Haghani
Health-related Quality of Life of Elderly Men and Women After a Heart Attack
Journal of Client-centered Nursing Care
quality of life
elderly
heart attack
gender role
title Health-related Quality of Life of Elderly Men and Women After a Heart Attack
title_full Health-related Quality of Life of Elderly Men and Women After a Heart Attack
title_fullStr Health-related Quality of Life of Elderly Men and Women After a Heart Attack
title_full_unstemmed Health-related Quality of Life of Elderly Men and Women After a Heart Attack
title_short Health-related Quality of Life of Elderly Men and Women After a Heart Attack
title_sort health related quality of life of elderly men and women after a heart attack
topic quality of life
elderly
heart attack
gender role
url http://jccnc.iums.ac.ir/article-1-382-en.html
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AT parvanehsamadykia healthrelatedqualityoflifeofelderlymenandwomenafteraheartattack
AT hamidhaghani healthrelatedqualityoflifeofelderlymenandwomenafteraheartattack