Quality of Life in the Pathology of the Cardiovascular System
Keywords:
myocardial infarction, gender characteristics, coronary heart disease in women, quality of life, psychoemotional status, risk factorsAbstract
Goal. To study the features of the psychoemotional state of middle-aged patients with acute coronary syndrome (ACS) without st segment elevation in the period of 6 months after hospitalization.
Material and methods. 101 patients with ACS without st segment elevation with non-obstructive coronary lesion were included. The groups were formed by gender: group 1 — 51 women, group 2 — 50 men. The average age of women is 50.5±4.7 years, men 46.7±6.8 years. Patients were distributed depending on the outcome of ACS without st segment elevation: subgroup A — patients with unstable angina (NS), subgroup B — with myocardial infarction. The patients were interviewed by phone six months after discharge from the hospital. The questionnaire included the main indicators of health, emotional balance, physical activity, quality of life.
Results. There are gender differences in the components of quality of life between men and women. In the survey on well—being, 6% in the group of women replied that they were dissatisfied with their condition, in the group of men 2%; 27% of women and 38% of men feel satisfactory, 47% and 46% feel good, 20% and 14% are excellent, respectively, 45% have maintained their physical activity at work. group 1 and 32% in group 2, while 47% of women and 42% of men lead an active lifestyle. Men were more likely to feel hopeless (43% and 12%; p<0.01), while women indicated irritability and insomnia more (35% and 28%, p>0.05) and were dissatisfied with their state of mind (31% and 6%; p<0.05). In both groups, patients experienced a lack of meaning to live, women — slightly more (7% and 4%; p>0.05), in turn, men noted a loss of interest in familiar things (13% and 22%; p>0.05). Differences in the type of ACS were also shown.
Conclusion. Despite the individuality of the concepts of quality of life, experiences, coping with the disease, it is possible to distinguish features by gender, as well as depending on the course of ACS without st elevation. Such features can become part of patient-centered work with patients after a coronary event.
