Factors Associated With Hope and Quality of Life in Patients With Coronary Artery Disease

10.1097/jnr.0000000000000476

Mohammad Ali SOLEIMANI；Simin ZARABADI-POUR；Yiong HUAK CHAN；Kelly-Ann ALLEN；Morteza SHAMSIZADEH

quality of life ； hope ； coronary artery disease

The Journal of Nursing Research

30卷2期（2022 / 04 / 01）

1 - 9

英文

Background: Psychological resources such as hope have been suggested to affect quality of life (QoL) positively in patients with heart disease. However, little information regarding the relationship between these two constructs is available. Purpose: This work was aimed at examining the factors associated with hope and QoL in patients with coronary artery disease. Methods: In this descriptive work, perceived QoL and hope were assessed in 500 patients with heart disease. The information was collected using the McGill QoL Questionnaire, demographic variables, and the Herth Hope Index. The Pearson correlation test and general linear model were used to examine correlations through SPSS Version 22. Results: A considerable correlation was discovered between QoL and hope (r = .337, p ＜ .001). Multivariate analyses with regression revealed that religious beliefs and social support both had significant and positive effects on the total perceived hope of patients and that patient age had a considerable negative impact on QoL ( p ＜ .05). None of these factors had a significant impact on hope ( p ＜ .05). In addition, the total QoL had a significant and positive effect on patient feelings and thoughts, whereas the physical problems component of QoL had a significant and negative effect on hope ( p ＜ .05). Participants with higher levels of education reported more hope. Conclusions: QoL relates significantly to self-perceived hope in patients. Understanding QoL and hopefulness in patients with coronary artery disease has implications for nurses and other healthcare professionals.

1. Abshire, M.,Xu, J.,Dennison Himmelfarb, C.,Davidson, P.,Sulmasy, D.,Kub, J.,Hughes, M.,Nolan, M.(2015).Symptoms and fear in heart failure patients approaching end of life: A mixed methods study.Journal of Clinical Nursing,24(21-22),3215-3223.
2. Adjaye-Gbewonyo, K.,Kawachi, I.,Subramanian, S. V.,Avendano, M.(2018).Income inequality and cardiovascular disease risk factors in a highly unequal country: A fixed-effects analysis from South Africa.International Journal for Equity in Health,17(1),Article 31.
3. Bovero, A.,Leombruni, P.,Miniotti, M.,Rocca, G.,Torta, R.(2016).Spirituality, quality of life, psychological adjustment in terminal cancer patients in hospice.European Journal of Cancer Care,25(6),961-969.
4. Broadhurst, K.,Harrington, A.(2016).A mixed method thematic review: The importance of hope to the dying patient.Journal of Advanced Nursing,72(1),18-32.
5. Brunet, J.,Burke, S.,Grocott, M. P.,West, M. A.,Jack, S.(2017).The effects of exercise on pain, fatigue, insomnia, and health perceptions in patients with operable advanced stage rectal cancer prior to surgery: A pilot trial.BMC Cancer,17(1),Article 153.
6. Buck, H. G.,Dickson, V. V.,Fida, R.,Riegel, B.,D'Agostino, F.,Alvaro, R.,Vellone, E.(2015).Predictors of hospitalization and quality of life in heart failure: A model of comorbidity, self-efficacy and self-care.International Journal of Nursing Studies,52(11),1714-1722.
7. Chan, K. S.,Li, H. C.,Chan, S. W.,Lopez, V.(2012).Herth Hope Index: Psychometric testing of the Chinese version.Journal of Advanced Nursing,68(9),2079-2085.
8. Chen, Y.,Fu, G.,Liang, F.,Wei, J.,He, J.,Bai, J.(2020).Symptoms, hope, self-management behaviors, and quality of life among Chinese preoperative patient with symptomatic valvular heart diseases.Journal of Transcultural Nursing,31(3),284-293.
9. Cherry, K. E.,Sampson, L.,Galea, S.,Marks, L. D.,Nezat, P. F.,Baudoin, K. H.,Lyon, B. A.(2017).Optimism and hope after multiple disasters: Relationships to health-related quality of life.Journal of Loss and Trauma,22(1),61-76.
10. Cohen, S. R.,Mount, B. M.,Strobel, M. G.,Bui, F.(1995).The McGill Quality of Life Questionnaire: A measure of quality of life appropriate for people with advanced disease. A preliminary study of validity and acceptability.Palliative Medicine,9(3),207-219.
11. Colby, D. A.,Shifren, K.(2013).Optimism, mental health, and quality of life: A study among breast cancer patients.Psychology, Health & Medicine,18(1),10-20.
12. Dufault, K.,Martocchio, B. C.(1985).Symposium on compassionate care and the dying experience. Hope: Its spheres and dimensions.The Nursing Clinics of North America,20(2),379-391.
13. Erceg, P.,Despotovic, N.,Milosevic, D. P.,Soldatovic, I.,Zdravkovic, S.,Tomic, S.,Markovic, I.,Mihajlovic, G.,Brajovic, M. D.,Bojovic, O.,Potic, B.,Davidovic, M.(2013).Health-related quality of life in elderly patients hospitalized with chronic heart failure.Clinical Interventions in Aging,2013,1539-1546.
14. Evangelista, L. S.,Doering, L. V.,Dracup, K.,Vassilakis, M. E.,Kobashigawa, J.(2003).Hope, mood states and quality of life in female heart transplant recipients.The Journal of Heart and Lung Transplantation,22(6),681-686.
15. Goldzweig, G.,Baider, L.,Andritsch, E.,Rottenberg, Y.(2016).Hope and social support in elderly patients with cancer and their partners: An actor-partner interdependence model.Future Oncology,12(24),2801-2809.
16. Gonzalez-Saenz de Tejada, M.,Bilbao, A.,Bare, M.,Briones, E.,Sarasqueta, C.,Quintana, J.,Escobar, A.(2016).Association of social support, functional status, and psychological variables with changes in health-related quality of life outcomes in patients with colorectal cancer.Psycho-Oncology,25(8),891-897.
17. Ishihara, K.,Izawa, K. P.,Kitamura, M.,Shimogai, T.,Kanejima, Y.,Morisawa, T.,Shimizu, I.(2019).Influence of mild cognitive impairment on activities of daily living in patients with cardiovascular disease.Heart and Vessels,34(12),1944-1951.
18. Kidd, T.,Poole, L.,Leigh, E.,Ronaldson, A.,Jahangiri, M.,Steptoe, A.(2016).Health-related personal control predicts depression symptoms and quality of life but not health behaviour following coronary artery bypass graft surgery.Journal of Behavioral Medicine,39(1),120-127.
19. Komalasari, R.,Yoche, M.(2019).Quality of life of people with cardiovascular disease: A descriptive study.Asian/Pacific Island Nursing Journal,4(2),92-96.
20. Krägeloh, C. U.,Henning, M. A.,Billington, R.,Hawken, S. J.(2015).The relationship between quality of life and spirituality, religiousness, and personal beliefs of medical students.Academic Psychiatry,39(1),85-89.
21. Krause, N.,Hayward, R. D.(2014).Religious involvement and death anxiety.Omega-Journal of Death and Dying,69(1),59-78.
22. Lathan, C. S.,Cronin, A.,Tucker-Seeley, R.,Zafar, S. Y.,Ayanian, J. Z.,Schrag, D.(2016).Association of financial strain with symptom burden and quality of life for patients with lung or colorectal cancer.Journal of Clinical Oncology,34(15),1732-1740.
23. Lee, D. S.,Chiu, M.,Manuel, D. G.,Tu, K.,Wang, X.,Austin, P. C.,Mattern, M. Y.,Mitiku, T. F.,Svenson, L. W.,Putnam, W.,Flanagan, W. M.,Tu, J. V.,Canadian Cardiovascular Outcomes Research Team(2009).Trends in risk factors for cardiovascular disease in Canada: Temporal, socio-demographic and geographic factors.Canadian Medical Association Journal,181(3-4),E55-E66.
24. Lemstra, M.,Rogers, M.,Moraros, J.(2015).Income and heart disease: Neglected risk factor.Canadian Family Physician,61(8),698-704.
25. Li, M. Y.,Yang, Y. L.,Liu, L.,Wang, L.(2016).Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: A cross-sectional study.Health and Quality of Life Outcomes,14,Article 73.
26. Medeiros, E. A.,Castañeda, S. F.,Gonzalez, P.,Rodríguez, B.,Buelna, C.,West, D.,Talavera, G. A.(2015).Health-related quality of life among cancer survivors attending support groups.Journal of Cancer Education,30(3),421-427.
27. Moryś, J. M.,Bellwon, J.,Höfer, S.,Rynkiewicz, A.,Gruchała, M.(2016).Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure.Archives of Medical Science,12,326-333.
28. Mosqueiro, B. P.,da Rocha, N. S.,de Almeida Fleck, M. P.(2015).Intrinsic religiosity, resilience, quality of life, and suicide risk in depressed inpatients.Journal of Affective Disorders,179,128-133.
29. Muhammad, I.,He, H.-G.,Kowitlawakul, Y.,Wang, W.(2016).Narrative review of health-related quality of life and its predictors among patients with coronary heart disease.International Journal of Nursing Practice,22(1),4-14.
30. Rosengren, A.,Smyth, A.,Rangarajan, S.,Ramasundarahettige, C.,Bangdiwala, S. I.,AlHabib, K. F.,Avezum, A.,Boström, K. B.,Chifamba, J.,Gulec, S.,Gupta, R.,Igumbor, E. U.,Iqbal, R.,Ismail, N.,Joseph, P.,Kaur, M.,Khatib, R.,Kruger, I. M.,Lamelas, P.,Yusuf, S.(2019).Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income countries: The Prospective Urban Rural Epidemiologic (PURE) study.The Lancet Global Health,7(6),e748-e760.
31. Sadoughi, M.,Mehrzad, V.,Mohammad Salehi, Z.(2017).The relationship between psychological capital and quality of life among patients with breast cancer.Razi Journal of Medical Sciences,24(156),111-119.
32. Saraçlı, Ö.,Akca, A. S. D.,Atasoy, N.,Önder, Ö.,Şenormancı, Ö.,Kaygisız, İ.,Atik, L.(2015).The relationship between quality of life and cognitive functions, anxiety and depression among hospitalized elderly patients.Clinical Psychopharmacology and Neuroscience,13(2),194-200.
33. Schiavon, C. C.,Marchetti, E.,Gurgel, L. G.,Busnello, F. M.,Reppold, C. T.(2017).Optimism and hope in chronic disease: A systematic review.Frontiers in Psychology,7,Article 2022.
34. Shahidi, J.,Khodabakhshi, R.,Gohari, M. R.,Yahyazadeh, H.,Shahidi, N.(2008).McGill Quality of Life Questionnaire: Reliability and validity of the Persian version in Iranian patients with advanced cancer.Journal of Palliative Medicine,11(4),621-626.
35. Soleimani, M. A.,Lehto, R. H.,Negarandeh, R.,Bahrami, N.,Nia, H. S.(2016).Relationships between death anxiety and quality of life in Iranian patients with cancer.Asia-Pacific Journal of Oncology Nursing,3(2),183-191.
36. Soleimani, M.,Allen, K.,Herth, K.,Sharif, S.(2019).The Herth Hope Index: A validation study within a sample of Iranian patients with heart disease.Social Health and Behavior,2(3),108-113.
37. Staniute, M.,Brozaitiene, J.,Bunevicius, R.(2013).Effects of social support and stressful life events on health-related quality of life in coronary artery disease patients.Journal of Cardiovascular Nursing,28(1),83-89.
38. Sunkarapalli, G.,Agarwal, A.,Agarwal, S.(2016).Hope and quality of life in caregivers of cancer patients.The International Journal of Indian Psychology,4(1),Article No. 69.
39. Valtorta, N. K.,Kanaan, M.,Gilbody, S.,Hanratty, B.(2018).Loneliness, social isolation and risk of cardiovascular disease in the English Longitudinal Study of Ageing.European Journal of Preventive Cardiology,25(13),1387-1396.
40. Van Allen, J.,Seegan, P. L.,Haslam, A.,Steele, R. G.(2016).Hope mediates the relationship between depression and quality of life among youths enrolled in a family-based pediatric obesity intervention.Children's Health Care,45(4),441-454.
41. Varaei, S.,Shamsizadeh, M.,Cheraghi, M. A.,Talebi, M.,Dehghani, A.,Abbasi, A.(2017).Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: A randomizedcontrolled trial.Nursing in Critical Care,22(1),19-28.
42. Vizehfar, F.,Jaberi, A.(2017).The relationship between religious beliefs and quality of life among patients with multiple sclerosis.Journal of Religion and Health,56,1826-1836.
43. Wang, W.,Lau, Y.,Chow, A.,Thompson, D. R.,He, H.-G.(2014).Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China.European Journal of Cardiovascular Nursing,13(1),48-54.
44. Yaghoobzadeh, A.,Soleimani, M. A.,Allen, K. A.,Chan, Y. H.,Herth, K. A.(2018).Relationship between spiritual well-being and hope in patients with cardiovascular disease.Journal of Religion and Health,57,938-950.
45. Zhang, Y.,Cui, C.,Wang, Y.,Wang, L.(2020).Effects of stigma, hope and social support on quality of life among Chinese patients diagnosed with oral cancer: A cross-sectional study.Health and Quality of Life Outcomes,18,Article No. 112.
46. Zipes, D. P.(2018).Braunwald's heart disease: A textbook of cardiovascular medicine.BMH Medical Journal,5(2),63.

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