Study on the Correlation between Continuity of Care and Quality of Life for Patients with Coronary Heart Disease

Int J Environ Res Public Health. 2020 Dec 7;17(23):9125. doi: 10.3390/ijerph17239125.

Abstract

Background: As coronary heart disease (CHD) is a highly complex disease, complex continuity of care (CoC) service should be provided for the patients, and the quality of life (QoL) needs to be regarded as an important measuring indicator for the health-care outcome. Purpose: To understand the general situation of CHD QoL and important predictors. Method: A cross-sectional study design was adopted from August 2019 to July 2020 by structured questionnaires. A total of 163 patients were enrolled, and data were statistically analyzed using SPSS 25.0. Result: The average score of the QoL questionnaire is 56.56/80, and the CoC is 4.32. The overall regression model can explain 58.7% of the variance regarding QoL. Patients' instrumental activities of daily living (IADLs) (26.1%), age (18.1%), living situation (7%), information transfer (4.8%), main source of income (1.8%), and risk of disability are significantly different from their overall QoL in depression (0.9%). Conclusions: In order to improve the QoL of patients, it is suggested that medical teams should assess the needs of patients immediately upon hospitalization, provide patients with individual CoC, encourage them to participate in community health promotion activities, and strengthen the function of IADL to improve the QoL of patients.

Keywords: continuity of care; coronary heart disease; instrumental activities of daily living; quality of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Child
  • Continuity of Patient Care*
  • Coronary Disease* / epidemiology
  • Coronary Disease* / therapy
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Quality of Life*
  • Surveys and Questionnaires