title: Quality of life in women with coronary artery disease.
abstract: BACKGROUND
  Coronary artery disease (CAD) as a chronic disease can affect physical, mental, and social aspects of health as well as the perception of wellbeing. Advanced treatments of the disease emphasize on functionality and quality of life (QOL).
  
  
  OBJECTIVE
  The present study aimed to investigate the QOL and its related factors among women with CAD.
  
  
  METHODS
  This was a descriptive cross-sectional study conducted on 200 women with CAD, referring to the Heart Clinic of Shahid Rajaei Cardiovascular Center in Tehran, Iran. The participants were selected by convenient sampling method. Data were collected using the Persian version of Ferrans and Powers QOL index (QLI) cardiac version and then analyzed using descriptive statistics and statistical tests (independent t-test, one-way ANOVA, and Scheffe's test).
  
  
  RESULTS
  The mean score of overall QOL was 16.91 ± 3.54, ranging between 7.17-27.63. Regarding the instrument subscales, the mean scores were as follows: health and functioning: 15.48 ± 4.32, social and economic: 16.18 ± 3.65, psychological/spiritual: 18.04 ± 4.36, and familial: 20.12 ± 4.57. There was a significant relationship between QOL and marital status (P = 0.004), education (P = 0.007), income (P < 0.001) and disease duration (P = 0.047). However, there was no significant association between QOL and age, job and comorbidity.
  
  
  CONCLUSIONS
  Based on the findings, participants had average levels of overall QOL. Some domains showed the need to improve QOL of women with CAD. Results of the present study revealed the necessity of designing and performing educational and supportive interventions to improve the QOL in women with CAD, especially among patients with low socio-economic status.
authors.affiliation: Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Elham
authors.initials: E
authors.lastname: Ghasemi
authors.affiliation: Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Jaleh
authors.initials: J
authors.lastname: Mohammad Aliha
authors.affiliation: Department of Geriatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Farideh
authors.initials: F
authors.lastname: Bastani
authors.affiliation: School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Haghani
authors.affiliation: Heart Valve Disease Research Center, Rajaei Cardiovascular Medical Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Niloufar
authors.initials: N
authors.lastname: Samiei
keywords: Coronary Artery Disease; Quality of Life; Women