Factors Predicting Health Related Quality of Life in Patients with Peripheral Arterial Disease
Main Article Content
Abstract
This correlational predictive study aimed to investigate the predictive relationships of pain, depression, severity of disease, and social support influencing quality of life. The samples comprised 92 patients with peripheral arterial disease who were treated in a tertiary hospital in Bangkok. Systematic random sampling was used to recruit the samples. Data collection was performed using the questionnaire on demographic data, the Pain Assessment Rating Scale, the Depression Rating Scale, the Social Support Questionnaire and the 36-Item Short Form Survey (SF-36). The CVIs were .86, 1.00, and .95. The Cronbach’s alpha coefficient was .70, .90, and .88. Data were analyzed using stepwise multiple regressions.
The results revealed that the samples had a high level of good health related quality of life ( = 52.93, S.D = 13.94). Depression, pain, and severity of disease could together predict the health related quality of life of patients by 42.50%. The pain could significantly predict the highest health related quality of life of patients with peripheral arterial disease, followed by depression and severity of disease (β = -.393, .313, .188, p-value < .05, respectively). The results suggested that assessing depression and effective pain management were approaches to encouraging patients to achieve a speedy recovery and have a better health related quality of life.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Aday AW, Matsushita K. Epidemiology of peripheral artery disease and polyvascular disease. Circulation Research 2021;128(12):1818-32. doi: 10.1161/CIRCRESAHA.121.318535.
Centers for Disease Control and Prevention (CDC). Peripheral arterial disease (PAD) [Internet]. 2020 [cited 2020 Oct 27]. Available from: https://www.cdc.gov/heartdisease/pad.htm?
Lamberti N, López SPJ, Rodríguez BMA, Straudi S, Basaglia N, Zamboni P, et al. Restless leg syndrome in peripheral artery disease: prevalence among patients with claudication and benefits from low-intensity exercise. Journal of Clinical Medicine 2019;8(9):1403. doi: 10.3390/jcm8091403.
Vasaroangrong T. Peripheral arterial occlusive disease: roles of nurses in screening. Journal of Nursing Science and Health 2014;8(2):26-37. (in Thai)
Suangtho S, Siripitayakunkit A, Panpakdee O. Professional nurses’ knowledge and practice for patients at risk of peripheral arterial occlusive disease. Thai Journal of Cardio-Thoracic Nursing 2018;29(2):68-80. (in Thai)
Ustundag H, Gul A, Findik UY. Quality of life and pain in patients with peripheral arterial disease. International Journal of Caring Sciences 2016;9(3):838-45.
Maksimovic M, Vlajinac H, Marinkovic J, Kocev N, Voskresensk T, Radak D. Health-related quality of life among patients with peripheral arterial disease. Angiology 2014;65(6):501-6. doi: 10.1177/0003319713488640.
Diaconescu LV, Diaconescu I. Psychological aspects of pain at patients with critical limb ischemia. Modern Medicine 2014;21(4):287-91.
Zahner GJ, Cortez A, Duralde E, Ramirez JL, Wang S, Hiramoto J, et al. Association of comorbid depression with inpatient outcomes in critical limb ischemia. Vascular Medicine 2020;25(1):25-32. doi: 10.1177/1358863X19880277.
Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. Journal of The American Medical Association 1995;273(1):59-65. doi: 10.1001/jama.1995.03520250075037.
Charoenpattanaphak P. Factors influencing health - related quality of life in patients with acute myocardial infarction [Dissertation]. Chonburi: Burapha University; 2013. (in Thai)
Trongsakul S. The prevalence of undiagnosed cognitive impairment and prevalence of undiagnosed depressive mood in over 60’s with type 2 diabetes in a Thai community: a cross-sectional study [Dissertation]. Norwich: University of East Anglia; 2012.
Kongsuk T, Arunpongpaisal S, Janthong S, Prukkanone B, Sukhawaha S, Leejongpermpoon J. Criterion-related validity of the 9 questions depression rating scale revised for Thai central dialect. Journal of the Psychiatric Association of Thailand 2018;63(4):321-34. (in Thai)
Boonyamalik P. Epidemiology of adolescent suicidal ideation: roles of perceived life stress, depression symptoms and substance Use [Dissertation]. Baltimore: Johns Hopkins University; 2005.
Leurmarnkul W, Meetam P. Properties testing of the retranslated SF-36 (Thai version). Thai Pharmaceutical and Health Science Journal 2005;29(1-2):69-88. (in Thai)
Tanyabut S, Khuwatsamrit K, Kanogsunthornrat N. Selected factors related to health-related quality of life in patients with peripheral arterial occlusive disease. Nursing Research and Innovation Journal 2022;28(1):59-74. (in Thai)
Bunnag C, Noona N, Prasungsit C. Factors associated with quality of life for the patients with limb ischemia. Journal of Nursing Science 2011;29(2):27-36. (in Thai)
Namyotha L, Danaidutsadeekul S, Wongkongkam K, Wongwanit C. Factors related to quality of life among patients after revascularization of peripheral artery disease within 6 months. Nursing Science Journal of Thailand 2021;39(2):64-76. (in Thai)
Malgor RD, Alalahdab F, Elraiyah TA, Rizvi AZ, Lane MA, Prokop LJ, et al. A systematic review of treatment of intermittent claudication in the lower extremities. Journal of Vascular Surgery 2015;61(3):54-73. doi: 10.1016/j.jvs.2014.12.007.
Panchoowong T, Utriyaprasit K, Kimpee S, Satayawiwat W. Ischemic leg pain experienced, management strategies, and outcomes in patients with peripheral arterial occlusion disease. Thai Journal of Nursing Council 2008;23(1):60-73. (in Thai)
Zaheer A, Sharif F, Khan Z, Batool S, Iqbal H. Quality of life and depression among lower limb amputees. Annals of King Edward Medical University 2020;26(2):364-68.
Amer MS, Alsadany MA, Tolba MF, Omar OH. Quality of life in elderly diabetic patients with peripheral arterial disease. Geriatrics and Gerontology International 2013;13(2):443-50. doi: 10.1111/j.1447-0594.2012.00928.x.
Lee HJ, Kim YK. Effects of uncertainty, social support, and sick role behavior on health-related quality of life in patients with peripheral arterial disease. Journal of Korean Clinical Nursing Research 2020;26(3):314-26. doi: 10.4069/kjwhn.2020.03.15.