Did the Anxiety Levels and Sleep Quality of Patients with Cardiovascular Diseases Affect Their Quality of Life During the Pandemic Period?: A Cross-Sectional Study
Erkan Demirci1, Bekir Calapkorur11Departmant of Cardiology, Kayseri City Hospital, Kayseri, Türkiye
Objectives: There is an increasing number of studies showing that anxiety levels and sleep disorders should be considered as risk factors for cardiovascular diseases (CVD). Also, it is known that there is an increase in anxiety and sleep disorders during the pandemic period. In our study, we aimed to evaluate whether the anxiety levels and sleep quality deteriorations, which are thought to increase in patients with CVD, affect the patients' quality of life (QoL) and treatment compliance and response, and whether the deterioration in clinical parameters predicts the OoL. Methods: A total of 150 patients were included in the study during the pandemic. Sleep quality was evaluated with the Pittsburg Sleep Quality Index (PSQI) scale, and anxiety levels were evaluated with the Beck Anxiety Inventory. QoL scores were also evaluated with the World Health Organization Quality of Life Scale-Short Form Turkish Version (WHOQOL-BREF-TR). The blood pressure patterns of the individuals participating in the study were assessed with 24-hour ambulatory blood pressure measurement, and Ejection fraction (EF) was measured with an echocardiogram. After the evaluations, the patients were classified as those with hypertension (HT), those with coronary artery disease (CAD), and those with congestive heart failure (CHF). Results: A negative correlation observed between Beck anxiety scores and total QoL scores, in patients with CVD (p=0.029, r=-.287). Regression analyzed showed that older age, higher average diastolic blood pressure, higher Beck anxiety scores, higher maximum heart rate were factors that could predict lower Physical health QoL scores in patients with CVD. Conclusion: There is a need for new studies with large samples to be conducted in this area. During the pandemic period, not only increased anxiety levels, but also sleep level and many factors negatively affect the quality of life in patients with CVD. These factors, especially anxiety, should be taken into account in treatment and follow-up. Keywords: Anxiety, CVD, CAD, CHF, HT, sleep quality, QoL
Cite This Article
Demirci E, Calapkorur B. Did the Anxiety Levels and Sleep Quality of Patients with Cardiovascular Diseases Affect Their Quality of Life During the Pandemic Period?: A Cross-Sectional Study. EJMI. 2022; 6(3): 340-345
Corresponding Author: Erkan Demirci