Soo Hoo Soon Yeng, Gallagher Robyn, Elliott Doug
Faculty of Health, University of Technology, Sydney, Australia; Department of Cardiology, Royal North Shore Hospital, Sydney, Australia.
Nurs Health Sci. 2014 Dec;16(4):415-27. doi: 10.1111/nhs.12121. Epub 2014 Apr 30.
People aged over 60 years represent an increasingly high proportion of the population undergoing percutaneous coronary intervention. While risks are greater for older people in terms of major adverse cardiovascular events and higher mortality for this treatment, it is unclear if the benefits of health-related quality of life outcomes may outweigh risks. A search of the PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Excerpta Medica, and Cochrane databases was conducted for the period from January 1999 to June 2012 using key words "percutaneous coronary intervention"/"angioplasty," "older," "elderly," and "quality of life"/"health-related quality of life." Using a systematic review approach, data from 18 studies were extracted for description and synthesis. Findings revealed that everyone regardless of age reported better health-related quality of life, primarily from the relief of angina and improved physical and mental function. Age itself did not have an independent predictive effect when other factors such as comorbid conditions were taken into account. Assessment of older peoples' health status following percutaneous coronary intervention by nurses and other health professionals is therefore important for the provision of quality care.
60岁以上的人群在接受经皮冠状动脉介入治疗的人口中所占比例越来越高。虽然老年人在主要不良心血管事件方面风险更大，且这种治疗的死亡率更高，但尚不清楚与健康相关的生活质量改善所带来的益处是否可能超过风险。我们使用关键词“经皮冠状动脉介入治疗”/“血管成形术”、“老年人”、“年长的”以及“生活质量”/“与健康相关的生活质量”，对1999年1月至2012年6月期间的PubMed、PsycINFO、护理学与健康相关文献累积索引、医学文摘以及Cochrane数据库进行了检索。采用系统评价方法，提取了18项研究的数据进行描述和综合分析。研究结果显示，无论年龄大小，每个人的与健康相关的生活质量都有所改善，主要源于心绞痛的缓解以及身体和心理功能的改善。当考虑到合并症等其他因素时，年龄本身并没有独立的预测作用。因此，护士和其他医疗专业人员对老年人经皮冠状动脉介入治疗后的健康状况进行评估，对于提供高质量护理至关重要。
