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从约旦患者角度看经皮冠状动脉介入治疗(PCI)对健康结局的影响

Impact of Percutaneous Coronary Interventions (PCIs) on Health Outcomes from a Jordanian Patient's Perspective.

作者信息

Al-Duhoun Ahmad Hussein, Hjazeen Anees Adel, Atout Maha, Bani Salameh Amjad Wasfi Fadeel

机构信息

Faculty of Nursing, Mutah University, Al-Karak P.O. Box 61710, Jordan.

Royal Medical Services, Amman P.O. Box 855122, Jordan.

出版信息

Healthcare (Basel). 2025 Jun 23;13(13):1491. doi: 10.3390/healthcare13131491.

Abstract

Patients diagnosed with coronary artery disease (CAD) have been seen to exhibit increases in health-related quality of life (HRQoL) following percutaneous coronary interventions (PCIs). This study thus aimed to assess the impact of PCI on health outcomes among Jordanian patients three months post-procedure. This prospective descriptive study evaluated health outcomes three months post-PCI among Jordanian patients who had been originally diagnosed with Chronic Coronary Syndrome (CCS) before being scheduled for PCIs. Quantitative data was collected using the updated version of the Coronary Revascularization Outcome Questionnaire (CROQ v2) across a non-probability sample, based on accessibility, of Jordanian patients who had received the procedure at any of several hospitals in Jordan. Multivariate analysis of covariance (MANCOVA) was employed to examine the mean scores of patient-reported outcomes following revascularization, while partial correlations were employed to investigate associations among patients' age, weight, gender, and the reported results. A total of 101 patients participated in the study, with a predominance of males ( = 85, 84.2%) relative to females ( = 16, 15.8%). The results indicated a statistically significant improvement across all measures assessed across these patients. Furthermore, the results demonstrated that males showed higher physical function, psychological functioning, and cognitive performance relative to females following coronary revascularization surgery. Nevertheless, the results also revealed varied levels of adverse effects following coronary revascularization, with the most commonly reported being discomfort around the groin or arm wound, followed by pain in the same areas. Conversely, the least significant concerns pertained to the emergence of bruises and similar issues in the groin or arm areas where the catheter was inserted. This study shows that PCI improves CAD patients' quality of life over the initial three-month period post-procedure. Understanding the positive associations of this and the negative consequences that it entails may help healthcare practitioners better identify those patients likely to benefit or suffer from PCI, enabling more appropriate interventions. To understand how PCI affects HRQoL in CAD patients over time, more research based on rigorous study designs and validated metrics is required, however.

摘要

经诊断患有冠状动脉疾病(CAD)的患者在接受经皮冠状动脉介入治疗(PCI)后,其健康相关生活质量(HRQoL)有所提高。因此,本研究旨在评估PCI对约旦患者术后三个月健康状况的影响。这项前瞻性描述性研究评估了约旦患者PCI术后三个月的健康状况,这些患者最初被诊断为慢性冠状动脉综合征(CCS),之后安排接受PCI。基于可及性,在约旦几家医院接受该手术的约旦患者的非概率样本中,使用更新版的冠状动脉血运重建结果问卷(CROQ v2)收集定量数据。采用多变量协方差分析(MANCOVA)来检查血运重建后患者报告结果的平均得分,同时采用偏相关分析来研究患者年龄、体重、性别与报告结果之间的关联。共有101名患者参与了该研究,男性占主导(n = 85,84.2%),女性相对较少(n = 16,15.8%)。结果表明,在评估的所有这些患者的各项指标上都有统计学上的显著改善。此外,结果表明,冠状动脉血运重建手术后,男性在身体功能、心理功能和认知表现方面相对于女性表现更高。然而,结果还显示冠状动脉血运重建后存在不同程度的不良反应,最常报告的是腹股沟或手臂伤口周围不适,其次是相同部位疼痛。相反,最不显著的问题是腹股沟或插入导管的手臂部位出现瘀伤和类似问题。本研究表明,PCI在术后最初三个月内改善了CAD患者的生活质量。了解这一点的积极关联及其带来的负面后果,可能有助于医疗从业者更好地识别那些可能从PCI中受益或遭受痛苦的患者,从而进行更适当的干预。然而,为了了解PCI如何随时间影响CAD患者的HRQoL,需要更多基于严谨研究设计和经过验证的指标的研究。

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