Echteld M A, van Elderen T M, van der Kamp L J
Clinical and Health Psychology Department, Faculty of Social Sciences, University of Leiden, The Netherlands.
Qual Life Res. 2001;10(6):487-501. doi: 10.1023/a:1013083620565.
This article describes psychological correlates of quality of life (QOL) in patients on a waiting list for percutaneous transluminal coronary angioplasty (PTCA). Variables were selected based on a theoretical model describing psychological correlates of QOL in PTCA patients. This model was based on self-regulation and stress-coping theories. The variables in the model are stress appraisal, coping, coping resources, and general and disease-specific QOL variables. Respondents were 122 patients on a 3-month waiting list for a PTCA. Results indicated that PTCA patients had a poorer QOL than matched healthy controls. Using a path analysis approach to regression analysis, it appeared that goal disturbance, avoidant coping, approach coping, and chest pain were related to QOL. More specifically, chest pain and goal disturbance were only related to health-related QOL and negative affect. Both approach and avoidant coping were related to QOL variables. Results could be explained adequately using self-regulation theory. Recommendations for future research and for form and content of rehabilitation programmes were made.
本文描述了等待经皮腔内冠状动脉成形术（PTCA）患者的生活质量（QOL）的心理相关因素。基于一个描述PTCA患者生活质量心理相关因素的理论模型选择变量。该模型基于自我调节和应激应对理论。模型中的变量包括应激评估、应对方式、应对资源以及一般和疾病特异性生活质量变量。研究对象为122名等待PTCA手术3个月的患者。结果表明，PTCA患者的生活质量比匹配的健康对照组差。采用路径分析方法进行回归分析，结果显示目标干扰、回避应对、积极应对和胸痛与生活质量相关。更具体地说，胸痛和目标干扰仅与健康相关生活质量和消极情绪有关。积极应对和回避应对均与生活质量变量有关。使用自我调节理论可以充分解释研究结果。针对未来研究以及康复计划的形式和内容提出了建议。
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