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

Hsiang-Chu Pai, Yi-Fang Hu, Shu-Yuan Chao and Hsiao-Mei Chen
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Hsiang-Chu Pai: Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan
Yi-Fang Hu: Department of Nursing, Kuang Tien General Hospital, Taichung 43303, Taiwan
Shu-Yuan Chao: Department of Nursing, Hungkuang University, Taichung 43302, Taiwan
Hsiao-Mei Chen: Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan

IJERPH, 2020, vol. 17, issue 23, 1-14

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: coronary heart disease; continuity of care; quality of life; instrumental activities of daily living (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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