Influencing factors of quality of life and their pathways of action in patients with cardiovascular disease
10.3760/cma.j.cn371468-20241118-00547
- VernacularTitle:心血管疾病患者生命质量的影响因素及其作用路径分析
- Author:
Junyan HE
1
;
Dongdong WANG
;
Zili QIN
;
Minghui HUANG
;
Yanyao JIA
;
Zhemin MA
;
Zhongmin TANG
Author Information
1. 广西医科大学附属柳州市人民医院健康管理中心，柳州市全生命周期健康研究重点实验室，柳州 545006
- Publication Type:Journal Article
- Keywords:
Cardiovascular disease;
Quality of life;
Influencing factor;
Pathways analysis
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(2):138-145
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the current status, influencing factors and action pathways of quality of life in patients with cardiovascular disease.Methods:From July 2023 to June 2024, a convenience sampling method was used to obtain 2 702 patients with cardiovascular disease from 9 hospitals in Guangxi Zhuang Autonomous Region.The general information questionnaires, item short form health survey, self-rating depression scale, self-rating anxiety scale, type D personality scale-14, and type A behavior pattern scale were used for investigation.SPSS 26.0 and AMOS 24.0 softwares were used for data statistical analysis.The current status of quality of life were analyzed through descriptive statistics, the influencing factors of quality of life were analyzed using multiple linear regression analysis models, and the relationship between statistical variables was analyzed through paths.Results:The overall quality of life score of patients with cardiovascular disease was (59.29±17.59).Compared with the domestic normal population norm, the 8 factors had statistically significant differences ( t=16.50-44.16, all P<0.001).The results of multiple regression analysis showed that age, marital status, low per capita monthly income, lack of exercise, irregular daily life, poor appetite, unhealthy diet, poor sleep quality, hypertension, coronary heart disease, chronic heart failure, heart valve disease, multiple types of medication taken daily, anxiety level, depression level, type D personality, and type A personality all had negative predictive effects on quality of life ( B=-0.862--0.205, all P<0.05).Demographic and life factors affected the quality of life through 4 paths, and their direct effect and indirect effect were -0.183, 0.224 respectively (there was a masking effect).Disease-related factors affected life through 2 paths, and its direct effect and indirect effect were -0.341, 0.255 respectively (there was a masking effect).Psychological factors directly and negatively affected the quality of life through one path, and its effect value was -0.651. Conclusion:The quality of life of patients with cardiovascular disease is generally at a moderate to low level.The factors that affect the quality of life of patients with cardiovascular disease produce effects through multiple pathways in a multi-combined state.
