Impact of Coronary Artery Diseases on the Quality of Life and Psychological Well-Being

Abstract

Background: Globally, the major source of morbidity and mortality is Coronary Artery Disease (CAD). In addition to its direct physiological effects, CAD has a significant effect on people's psychological well-being and Quality of Life (QoL), influencing several areas of functioning and adjustment.Materials and Methods: A cross-sectional observational study on 100 patients was done to examine the impact of CAD on QoL and psychological well-being. Qol was assessed using WHOQOL BREF, and psychological well-being was assessed using the PSS scale in the medicine ward. Results and Discussion:A total of 100 patients were selected for the study (61% females and 39% males; 14% <40 years and 86% >40 years). Subjects that were elders of the age group of > 40 had lower HRQoL scores in the domains of psycho, social, and environmental than those in the age group of <40 (69.67±15.12, 64.20±26.59, and 62.91±16.72, respectively). As per WHOQOL BREF, the environmental domain has the highest mean score, and the psychological domain has the lowest. Females have lower QoL and have more retarded psychological well-being than males. Participants >40 years reported much higher mean scores of PSS as compared to those under 40. Males also showed substantially higher mean scores (146.2±13.03) than females (98.8±8.96).Conclusion: CAD patients, especially females, have poor Qol and psychological well-being.

Keywords: CAD; QoL; PROM; PSS; WHOQOL