A Study of Participation and Autonomy in Cardiovascular Patients with Positive Angiography Results in the City of Rafsanjan in 2017

Heart diseases are among the major health problems in the world, whose complications lead to disability reduced participation in one's life. Therefore, it is necessary to identify the aspects of life in which the patient participates weakly. Thus, the aim of this study was to investigate the participation and autonomy of cardiovascular patients with positive angiography results.

This descriptive study was performed on 202 patients with positive angiography results in Rafsanjan in 2017. The Impact on Participation and Autonomy Scale-Persian (IPA-p) questionnaire was used to assess participation and autonomy in the patients. Independent two-sample t-tests, Pearson’s correlation coefficients, one-way ANOVAs, and multiple linear regression models were used to analyze the data.

The patients' mean score for participation was used to measure the total participation score for the questionnaire. The mean and standard deviation of the scores for participation in the questionnaire was 3.09 ± 0.66. The highest score for participation was related to social relations domain (3.63 ± 0.67), and the lowest score was obtained for Leisure domain (2.50 ± 1.00). The multiple linear regression analysis showed that the mean score for participation in females was lower than in males (B = -0.419, p = 0.036). Also, the mean score for participation in patients with a diploma and higher degrees was higher than illiterate patients (B = 0.262, p = 0.040). Furthermore, the variables explained 21.2% of the changes in the score for participation.

The results showed that patients in more than half of the domain of the IPA questionnaire had a participation level of less than 60% (a score 3 out of 5), and the Leisure domain was the weakest of all. Therefore, it is suggested that plans be developed to strengthen these domains.