Unit:
Department of NursingLibrary of the School of Health Sciences
Author:
Karavalaki Panagiota
Dissertation committee:
Κατσούλας Θεόδωρος, Καθηγητής (Επιβλέπων), Τμήμα Νοσηλευτικής, ΕΚΠΑ
Φιλντίσης Γεώργιος, Ομότιμος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Κωνσταντίνου Ευάγγελος, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Μυριανθεύς Παύλος, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Φώτος Νικόλαος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Γαλάνης Πέτρος, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Στεργιάννης Παντελής, Επίκουρος Καθηγητής, , Τμήμα Νοσηλευτικής, ΕΚΠΑ
Original Title:
Μεταβολές της σχετιζόμενης με την υγεία ποιότητα ζωής μετά από οξύ έμφραγμα του μυοκαρδίου και διαδερμική αγγειοπλαστική
Translated title:
Changes in health related quality of life of patients with myocardial infarction after percutaneous angioplasty.
Summary:
Introduction
Acute myocardial infarction is a disease with increasing frequency and is one of the main causes of death worldwide. In the care management of patients with acute myocardial infarction, in addition to the initial treatment with angioplasty, it is necessary to assess the quality of life as well as the psychosocial dimensions of their daily life, in order to achieve a holistic approach to their treatment.
Objective
To investigate changes in health- related quality of life in myocardial infarction patients one year after angioplasty intervention. Modifiable risk factors were associated with the quality of these patients lives. Anxiety and depression were associated with the quality of life of myocardial infarction patients.
Methods
The present study is a prospective study and was conducted in two General Hospital in Attica. The data collection was done between January 2018 and June 2019. Study population included 100 patients. Patients diagnosed with acute myocardial infarction treated with angioplasty were included in the study. The patients’ quality of life was assessed with immediately after the angioplasty, 6 and 12 months later. The patients’ quality of life was assessed with the questionnaire Mac- New Heart Disease Health- Related Quality of Life. This is a specific instrument for cardiovascular patients.
The research was conducted in 2 phases. During hospitalisation of patients diagnosed with acute myocardial infarction in cardiological clinic who were treated with angioplasty intervention and were subsequently reassessed by phone contact at 6 and 12 months after angioplasty.
In the first phase, patients filled in the Mac -New (specific) and EQ-5 D (general) questionnaires to evaluate the quality of life after myocardial infarction and for levels of depression and anxiety evaluation the respective questionnaires BECK II and State- Trait Anxiety Inventory. In the second phase, the questionnaires were filled in via phone contact.
Results
The overall quality of life score increased significantly in all patients regardless of their characteristics. The score at 6 months differed significantly according to gender (men had higher values), comorbidity (patients with comorbidities had lower values), smoking (patients who smoked had higher values) and exercising (patients who exercised had higher values). The score at 12 months differed significantly by gender (men had higher values), comorbidity (patients with comorbidities had lower values), and exercising (exercising patients had higher values). The better the patients' overall quality of life at baseline, the better it was at 6 and 12 months.
Temporary and permanent anxiety scores decreased significantly both between consecutive measurements and from baseline to 12 months later (p<0.001). In temporary anxiety the score at 12 months differed significantly according to alcohol consumption where patients who consumed alcohol had significantly lower values (p=0.050). In persistent anxiety, the score at 12 months differed significantly according to gender (p<0.008) with the highest values for women and with the duration of hospital stay after PCI (p<0.045) where patients who remained above 4 days had significantly higher values.
The depression score did not change significantly from baseline to 6 months, but at 12 months the score was significantly lower compared to both baseline and 6 months.
In the correlations of the scales, the more the symptoms of depression and anxiety (permanent/temporary), the worse was their health status and their quality of life.
Conclusion
Patients after PCI showed better quality of life at 6- and 12-months follow-up, while symptoms of anxiety and depression decreased significantly over time. Assessing patients’ quality of life after PCI is an important step for a holistic approach to patients whose physical and mental health are taken into account during the assessment.
Main subject category:
Health Sciences
Keywords:
Quality of life, Percutaneous coronary intervention, Myocardial infarction, Anxiety, Depressionn
Number of references:
197
