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Journal : Journal of Educational, Health and Community Psychology

PREDICTING HEALTH RELATED QUALITY OF LIFE IN INDONESIAN POST MYOCARDIAL INFARCTION PATIENTS Devi Wulandari; Adriana Soekandar Ginanjar; Urip Purwono; Baydhowi Baydhowi; Fredrick Dermawan Purba
Journal of Educational, Health and Community Psychology Vol 8 No 3 September 2019
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.v8i3.13377

Abstract

Myocardial infarction is one of chronic illnesses that has a major impact to patient’s health related quality of life. This study tested three psychosocial factors (i.e. religious coping behaviour, cardiac anxiety and marital satisfaction) and two disease-related factors (i.e. left ventricular ejection fraction, comorbidity) in predicting health related quality of life in patients with post myocardial infarction in Indonesia. A cross sectional study included 170 patients with myocardial infarction was conducted. The patients completed four questionnaires: MacNew Health Related Quality of Life, Couple Satisfaction Index, Cardiac anxiety Questionnaire, and religious coping behaviour. The theoretical model was tested using structural equation modelling.  Results revealed that cardiac anxiety was negatively associated with health-related quality of life. Marital satisfaction was a significant moderator in the relationship between cardiac anxiety and health related quality of life. There were no significant relationships among patient’s comorbidity, left ventricular ejection fraction, religious coping behaviour and health related quality of life. Results of the study shed the light of the importance of protective effects of patient’s immediate environment in shaping patient’s health related quality of life.
Adaptation of MacNew Heart Disease Health-Related Quality of Life Instrument in Indonesian Myocardial Infarction Patients Devi Wulandari; Adriana Soekandar Ginanjar; Urip Purwono
Journal of Educational, Health and Community Psychology Vol 8 No 4 December 2019
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.218 KB) | DOI: 10.12928/jehcp.v8i4.14253

Abstract

AbstractLack of adapted health-related quality of life measurement in Bahasa Indonesia may create difficulties in concluding the effects of heart disease and its treatment on a patient's health-related quality of life in Indonesia. MacNew heart disease health-related quality of life questionnaire (MacNew) has been proven a valid and reliable health-related quality of life measurement. It also has been adapted in several languages.  This study aimed at translating and assessing the Indonesian version of MacNew questionnaire validity evidence based on the relation with other variables on and internal consistency. Validity evidence based on the relation with other variables was assessed by correlating the Indonesian version of the MacNew questionnaire score with cardiac anxiety, gender, age, education level, left ventricular ejection fraction score, and comorbidity. Two hundred thirty-six patients diagnosed with myocardial infarction (MI) filled out the questionnaire at a one-time intake. Results from confirmatory factor analysis revealed three domains of health-related quality of life, namely emotional, physical, and social. The three-domain explained 42.31% of the health-related quality of life total variance. The internal consistency of the questionnaire was good (0.816-0.900). Health-related quality of life was negatively correlated with cardiac anxiety. Male patients had a higher health-related quality of life compare to female patients. However, there was no significant correlation between health-related quality of life and left ventricular ejection fraction and comorbidity. The Indonesian version of MacNew questionnaire demonstrated satisfactory psychometric properties and can be recommended to measure HRQOL in heart patients in Indonesia. Keywords: Health-related quality of life, MacNew Heart Disease HRQOL                    instrument, instrument adaptation