Kim Yujeong
PhD, RN, APRN, Associate Professor, College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Republic of Korea.
J Nurs Res. 2021 Oct 29;30(1):e186. doi: 10.1097/jnr.0000000000000465.
The percutaneous coronary intervention (PCI) is the most common treatment for coronary artery disease. Health-related quality of life (HRQoL), alongside mortality and recurrence rates, is a key outcome indicator for PCI.
The aim of this study was to investigate the factors influencing HRQoL in patients with coronary artery disease who had received PCI.
A convenience sample from the cardiovascular center of a tertiary hospital in South Korea was recruited for this descriptive, cross-sectional study. This study was conducted using a structured questionnaire and patients' medical records on a sample of 210 patients with coronary artery disease who were ≥ 18 years old and > 1 month post-PCI. The questionnaire collected information on general, clinical, and psychosocial characteristics. Data were analyzed using descriptive statistics, independent t test, one-way analysis of variance, the Scheffé test, and the Pearson correlation test. A multiple linear regression, together with the significant variables in univariate analysis, was used to determine the variables that significantly influenced HRQoL.
HRQoL was found to vary significantly with age, marital status, subjective economic status, primary caregiver, duration since first PCI, New York Heart Association class, anxiety, depression, and social support. The significant general characteristics shown to affect HRQoL in patients who had undergone PCI included age, marital status, and primary caregiver. The significant clinical characteristics shown to affect HRQoL included duration from first PCI and New York Heart Association class. The significant psychosocial characteristics shown to affect HRQoL included anxiety and depression. Primary caregiver and New York Heart Association class were identified as having the greatest impact on HRQoL in the PCI patients in this study.
To enhance HRQoL in patients who had received PCI, their post-PCI physical and psychological symptoms should be regularly assessed. Furthermore, intervention strategies aimed to improve quality of life in patients with severe functional limitations and those receiving family care are necessary.
经皮冠状动脉介入治疗（PCI）是冠状动脉疾病最常见的治疗方法。与健康相关的生活质量（HRQoL）以及死亡率和复发率，是PCI的关键结局指标。
本研究旨在调查接受PCI的冠状动脉疾病患者中影响HRQoL的因素。
本描述性横断面研究从韩国一家三级医院的心血管中心选取了便利样本。本研究使用结构化问卷和210例年龄≥18岁且PCI术后超过1个月的冠状动脉疾病患者的病历进行。问卷收集了一般、临床和社会心理特征方面的信息。数据采用描述性统计、独立t检验、单因素方差分析、谢费检验和皮尔逊相关检验进行分析。采用多元线性回归以及单因素分析中的显著变量，来确定对HRQoL有显著影响的变量。
发现HRQoL在年龄、婚姻状况、主观经济状况、主要照顾者、首次PCI后的时长、纽约心脏协会心功能分级、焦虑、抑郁和社会支持方面存在显著差异。在接受PCI的患者中，显示出影响HRQoL的显著一般特征包括年龄、婚姻状况和主要照顾者。显示出影响HRQoL的显著临床特征包括首次PCI后的时长和纽约心脏协会心功能分级。显示出影响HRQoL的显著社会心理特征包括焦虑和抑郁。在本研究中，主要照顾者和纽约心脏协会心功能分级被确定为对PCI患者的HRQoL影响最大。
为提高接受PCI患者的HRQoL，应定期评估其PCI术后的身体和心理症状。此外，针对功能严重受限患者和接受家庭护理患者改善生活质量的干预策略是必要的。
