Family functioning and health-related quality of life of inpatients with coronary heart disease: a cross-sectional study in Lanzhou city, China

• Published in: BMC cardiovascular disorders Vol. 22; no. 1; pp. 1 - 397
• Main Authors: Zhang, Hongchen, Wang, Yanhong, Cai, Xiaoqing, Tang, Nan, Wei, Siqi, Yang, Yanwei
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 06.09.2022; BioMed Central; BMC
• Subjects: Apgar score; Cardiology; Cardiovascular disease; Care and treatment; Comorbidity; Coronary artery disease; Coronary heart disease; Cross-sectional studies; Data collection; Domestic relations; Economic aspects; Family APGAR index; Family functioning; Health aspects; Health care; Health-related quality of life; Heart diseases; Medical records; Mortality; Northwest China; Patient outcomes; Psychological aspects; Quality of life; Risk factors; Sickness impact profile; Social aspects; Sociodemographics; China
• ISSN: 1471-2261; 1471-2261
• DOI: 10.1186/s12872-022-02844-x

Abstract Background A key outcome in coronary heart disease (CHD) is Health Related Quality of Life (HRQoL), and family functioning is important in the management of CHD. But few studies have examined both together, and little is known about them among inpatients with CHD in less developed areas of China. Therefore, this study aimed to assess the HRQoL and family functioning status of inpatients with CHD in Lanzhou from Northwest China, and identify the factors that affect their HRQoL. Methods A cross‑sectional study was conducted in 224 CHD inpatients at one major hospital. Sociodemographic data and disease information of CHD inpatients were collected by face-to-face using a structured questionnaire and data were also obtained from patient medical records. HRQoL was measured using the Sickness Impact Profile (SIP). Family functioning was measured using the family APGAR index. Multiple binary logistic regression analysis (MBLRA) was used to explore potential risk factors associated with HRQoL, and Pearson’s correlations were used to assess the relationship between family functioning and HRQoL. Results The overall, physical and psychosocial SIP scores were 25.03 ± 8.52, 18.61 ± 9.90 and 28.08 ± 9.64, respectively. The total family APGAR score was 6.11 ± 2.45. MBLRA found older age, poorer cardiac function and more severe disease were associated with poorer HRQoL, while better family functioning, higher monthly income, and urban living were associated with better HRQoL. Family functioning was weakly to moderately correlated with total and psychosocial HRQoL. Conclusions Older and less affluent inpatients with lower educational level, less family support and more severe CHD have poorest quality of life, and health care providers should consider interventions to support them.