Dresden University: Coronary Disease Risks in Qatar

This master's thesis proposal investigates the association between coronary disease and psychosocial risks among the middle-aged population in Qatar. The research addresses the high prevalence of cardiovascular disorders in Qatar and their impact on the emotional, psychological, and social well-bei...Read More

Clinical Research
Association of coronary disease with the psychological
and social risks among the middle aged population of
Qatar

Name of the Speaker: ___________
I have the below mentioned potential conflicts of interest to the very
report:
 Employment in the industry
 Owner of a healthcare firm
 The Stockholder of a healthcare firm
 Others
× I do not have any potential conflict of interest

1.Introduction
2.Problem Statement
3.Research Question
4.Research Aim
5.Research Objective
6.Research Design and
Research Instrument
7.Research Framework
8.Research Philosophy
9.Literature Review
10.Literature Gap
11.Data Collection and
Sampling
12.Data Analysis
13.Research Findings
14.Conclusion
Table of Contents

Introduction
•Cardiovascular disorders are the leading cause of mortality and
morbidity in Qatar.
•Prevalence of cardiovascular disorders related to Acute Heart Failure in
Qatar is equal to 65.7% (Salam et al. 2015).
•It is mostly prevalent in the young adults between the age range of 35
to 45 years.
•The prevalence of strokes due to coronary and cardiovascular disorders
attributes in between 27.6% to almost 57% (Ghaffari et al. 2016).
•These negatively influence the emotional, psychological and social well-
being of individual and ultimately diminish the quality of life

Problem Statement
•Coronary disorders and cardiovascular disorders negatively
affect the holistic healthcare result.
•It diminish the quality of life among the middle aged adults.
•It is important to conduct research study to identify the
strategies and attaining positive healthcare result.

Research Questions
• RQ1: Is there a potential relationship between
the different stages of coronary disorders and
the different psychosocial factors?
• RQ2: What are the social and psychological
risk factors that alleviate the disease burden
associated with the coronary disease within
the middle aged population of Qatar?

Research Aim
• To identify a potential relationship between
the psychological and social risk factors and
the different stages of the coronary disease.

Research Objectives
•To identify the psychological and social risk factors that
result in alleviation of the disease burden in middle
aged patients within Qatar affected with coronary artery
disorder
•To identify the manner in which the identified
psychosocial factors impact symptom management and
recovery in patients suffering from coronary disease
within the middle aged population based at Qatar.

Research Design and Research
Instrument
•Quantitative Research Design would
be used for conducting the research study.
•Survey Questionnaire with 10 close-
ended questions would be conducted.

Research Framework
•The research study would be based on phenomenological
research framework.
•Phenomenological research framework helps in identifying
and exploring a specific human experience about a
different phenomenon described by some chosen
participants (Pedersen et al. 2017).

Research Philosophy
•The proposed research study would be based on
the interpretivism philosophy.
•Interpretivism philosophy is highly recommended
for quantitative research designs as it involves
investigation (McCusker and Gunaydin 2015).
•The chosen research approach is inductive
approach.

Literature Review
•Coronary artery disorder is one of the leading
causes of global death (Ambrose and Singh
2015)
•High deposition of cholesterol, fat and collagen
like materials result in obstruction of the
coronary arteries, also called atherosclerosis.
•Use of a chest X-ray or an electrocardiogram
helps to evaluate the stage of the disorder.

Literature Review
•A blockage less than 49% is low and that more than
50% is considered as mild in nature and that more
than 70% is severe (Mehta et al. 2015).
•Psychological factors like poor financial stability,
lack of family and social support and poor
mental health status influence the rise and extent
of the disorder (Sharkey 2017).

Literature Review
•Using psychological health and social wellness questionnaires
can help the care professionals to offer improved support
services to the patients so that they can lead an improved
quality of life. This can also manage the symptoms to
experience positive care outcome (Kessler et al. 2015;
Sharkey 2017).

Literature Gap
There is a gap in terms of the identification of the
psychosocial factors that contribute to the disease burden
in middle aged adults suffering from coronary disease
within Qatar.

Data Collection and Sampling
• The convenience sampling method is chosen for
selecting the participants.
• 3 healthcare organizations in Qatar would be short
listed and contacted.
• The three hospitals that were contacted by the
researchers comprised of the HMC Heart Hospital,
the Heart Hospital Qatar and the Qatar Heart
Centre.
• Ethical consent would be obtained from the
administrative board of the healthcare organizations.

Continuation• Medical records of the patients suffering from
coronary disorder would be obtained.
• Records would be thoroughly scrutinised, coded and
graded as per different stages of the coronary artery
disorder.
• Individual survey questionnaire forms would then be
mailed to 200 random patients suffering from the
three stages - low, moderate and high degree of the
disorder.
• Survey responses would be evaluated with Likert
scale and evaluation of the correlation coefficient
factor would be estimated.

Data Analysis• SPSS software package has would be used for the
research study.
• Based on survey responses, correlation factor would
be estimated among dependent and independent
variables.
• Correlation coefficient would be estimated among
two variables for understanding whether or not the
psychological factors influence the physical health
symptoms of people suffering from coronary
disorder.
• Analysis shall be discussed using scholarly literatures
and research findings.

Research findings
Age
Coun
t
Percenta
ge
35 to
37 40 20%
38 to
40 60 30%
41 to
43 50 25%
44 to
45 50 25%
Gender Count Percentage
Male 100 50%
Female 90 45%
Other 10 5%
Mean Std. Deviation
Coronary_disease_stage 2.95 1.120
Social_interaction 2.70 1.190
Mental_health 2.90 1.094
Financial_condition 2.85 1.065
Family_support 2.75 .996
Education_level 2.80 .982
Correlations
Coronary_disea
se_stage
Social
interaction
Mental
health
Financial
condition
Family
suppor
t
Education
level
Coronary_diseas
e_
stage
Pearson
Correlation
1 -.690** -.784** -.428** -.597*
*
-.146*
Sig. (2-
tailed)
.000 .000 .000 .000 .039
N 200 200 200 200 200 200
Social_interacti
on
Pearson
Correlation
-.690** 1 .556** .718** .657** .163*
Sig. (2-
tailed)
.000 .000 .000 .000 .021
N 200 200 200 200 200 200
Mental_health Pearson
Correlation
-.784** .556** 1 .289** .577** .122
Sig. (2-
tailed)
.000 .000 .000 .000 .086
N 200 200 200 200 200 200
Financial_condit
ion
Pearson
Correlation
-.428** .718** .289** 1 .533** .211**
Sig. (2-
tailed)
.000 .000 .000 .000 .003
N 200 200 200 200 200 200
Family_support Pearson
Correlation
-.597** .657** .577** .533** 1 .257**
Sig. (2-
tailed)
.000 .000 .000 .000 .000
N 200 200 200 200 200 200
Education_level Pearson
Correlation
-.146* .163* .122 .211** .257** 1
Sig. (2- .039 .021 .086 .003 .000

Conclusion
•Many affected individuals find it very difficult to communicate
about their social and psychological issues.
•This results in poor health care outcome and strain in the
family relationships.
•The rate of recovery doubles when the affected patient
receives holistic care.
•Proper assistance helps in fostering positive mental health
and in reducing the probabilities of attaining comorbid mental
health disorders.

References:Ambrose, J.A. and Singh, M., 2015. Pathophysiology of coronary artery disease leading to acute
coronary syndromes. F1000prime reports, 7.
Ghaffari, S., Aslanabadi, N., Kazemi, B., Ghojazadeh, M., Azami-Aghdash, S., Naghavi-Behzad, M.,
Piri, R. and Naghavi-Behzad, A., 2016. Prevalence, risk factors, and outcome of myocardial
infarction with angiographically normal and near-normal coronary arteries: A systematic review
and meta-analysis. International Cardiovascular Research Journal, 10(4).
Kessler, R. C., Sampson, N. A., Berglund, P., Gruber, M. J., Al-Hamzawi, A., Andrade, L., ... and
Gureje, O. 2015. Anxious and non-anxious major depressive disorder in the World Health
Organization World Mental Health Surveys. Epidemiology and psychiatric sciences, 24(3), 210-226.
McCusker, K. and Gunaydin, S., 2015. Research using qualitative, quantitative or mixed methods
and choice based on the research. Perfusion, 30(7), pp.537-542.
Mehta, N., Clement, S., Marcus, E., Stona, A. C., Bezborodovs, N., Evans-Lacko, S., ... and
Koschorke, M. 2015. Evidence for effective interventions to reduce mental health-related stigma
and discrimination in the medium and long term: systematic review. The British Journal of
Psychiatry, 207(5), 377-384.
Pedersen, S.S., Von Känel, R., Tully, P.J. and Denollet, J., 2017. Psychosocial perspectives in
cardiovascular disease. European journal of preventive cardiology, 24(3_suppl), pp.108-115.
Salam, A.M., Sulaiman, K., Al-Zakwani, I., Alsheikh-Ali, A., Aljaraallah, M., Al Faleh, H., Elasfar, A.,
Panduranga, P., Singh, R., Abi Khalil, C. and Al Suwaidi, J., 2016. Coronary artery disease
prevalence and outcome in patients hospitalized with acute heart failure: an observational report
from seven Middle Eastern countries. Hospital Practice, 44(5), pp.242-251.
Sharkey, T. 2017. Mental health strategy and impact evaluation in Qatar. BJPsych

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