Relationship between chronic disease resource utilization and quality of life in coronary heart disease patients: A latent profile analysis

J Adv Nurs. 2024 May;80(5):1826-1837. doi: 10.1111/jan.15935. Epub 2023 Oct 31.

Abstract

Aims: This study aimed to identify different profiles of chronic disease resource utilization among patients with coronary heart disease in Tibet and explore the relationship between these profiles and quality of life.

Design: A cross-sectional study.

Methods: Patients with coronary heart disease who were treated in a tertiary hospital in Tibet and its cooperative points from January 2021 to July 2021 were selected as the study participants. All participants completed a general information questionnaire, the Chronic Disease Resource Utilization Questionnaire (CIRS) and the Health Status Survey Short Form (SF-36). Chronic disease resource utilization was profiled, and its relationship to quality of life was explored using hierarchical linear regression.

Results: A total of 382 patients were enrolled in this study. Regarding chronic disease resource utilization, the participants were divided into three latent profiles: 'Poor utilization group' (n = 151), 'Effective utilization group' (n = 155) and 'Full utilization group' (n = 76). Different profiles of chronic disease resource utilization of patients were significantly associated with quality of life (R2 = .126, p < .001).

Conclusion: Healthcare providers should identify patients with different profiles, define their utilization features of chronic disease resources and adopt targeted interventions to guide them in acquiring enough disease support resources to improve their quality of life.

Implication: Understanding different resources using preferences of coronary heart disease patients can help healthcare providers and related sectors to provide other supports based on different profiles of patients, thus enhancing their quality of life.

Reporting method: The study followed the STROBE guideline.

No patient or public contribution: There was no patient or public involvement in the design of the study.

Keywords: chronic disease resource utilization; coronary heart disease; quality of life.

MeSH terms

  • Chronic Disease
  • Coronary Disease*
  • Cross-Sectional Studies
  • Humans
  • Quality of Life*
  • Surveys and Questionnaires