Treatment Satisfaction and Health Related Functional Outcomes among Patients with Coronary Artery Disease in Palestine
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Date
2018-07-03
Authors
Salameh, Shurooq
Journal Title
Journal ISSN
Volume Title
Publisher
جامعة النجاح الوطنية
Abstract
Background: coronary artery disease (CAD) is considered the main reason of death worldwide. Patients after myocardial infarction (MI) may have symptoms- fatigue which is the most common of them- that worsen health related functional status. It has been found that improving treatment satisfaction can improve outcomes and survival of patients after acute coronary syndrome
Objectives: The purposes of this study were to assess treatment satisfaction and health related functional outcome among CAD patients.
Methodology: A cross sectional, observational study carried out at Dr. Khalil Suleiman Hospital. TSQM scale was used to evaluate treatment satisfaction, and 36-item short form health survey(SF-36) was used to evaluate health related functional outcomes among CAD patients in Palestine.
Results: 303 patients were participated in the study. Majority of them were males (66.3%). Their ages ranging from 36to 93 years. Most of them had co-morbidities and used poly pharmacy. In general most of the patients were satisfied in treatment, 38.9% of patients were satisfied in the ability of the medications to treat or to prevent their disease, also most of them (71.9%) had no side effects. Treatment satisfaction scores were lower in elderly (p < 0.001) female gender (p <0.001), patients with lower educational level (p < 0.001), patients with lower income level (p <0.005), unemployed patients (p < 0.005) and patients with more co-morbidities or used more medications (p <0.001). In regard to health related functional outcomes, most of patients (38.3%) described their health as fair, most of patients had physical and emotional limitations. In addition, 91.9% of the patients had limitations in doing vigorous activities and 60.7% of them had a limitation in doing moderate activities, 11.6% of patients felt downhearted most of the time and 21.5% of them felt downhearted some of the time. Poorer functional outcomes were associated with elderly (p < 0.001) female gender (p < 0.001), lower educational level (p <0.001), lower income (p < 0.005), unemployed patients (p < 0.001), patients not married (p < 0.005), and patients with more co-morbidities and poly pharmacy (p <0.001). There was a significant positive correlation between global domain in TSQM scale and the domains of SF-36 scale (p < 0.001)
Conclusion: The results concluded that most of CAD patients were satisfied in their medications. On the other hand, most of them had physical and emotional limitations also this study revealed the impact of socio-demographic and clinical factors on treatment satisfaction and health related functional outcomes. Also the study concluded that there was a significant positive relationship between treatment satisfaction and health related functional outcomes among CAD patients. HealthCare providers should be aware of factors associated with poor treatment satisfaction and health related functional outcomes in CAD patients, in order to make early interventions that improve them.