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Relationship Between the Quality of Life and the Coping Style of Patients with Coronary Heart Disease Undergoing Percutanneous Coronnary Intervention

Author: LiangXiaoMei
Tutor: ChenWuXian
School: Guangxi Medical University
Course: Nursing
Keywords: coronary heart disease quality of life percutaneous coronaryintervention
CLC: R541.4
Type: Master's thesis
Year: 2012
Downloads: 107
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Abstract

Objective To probe the relationship between the quality of life (QOL) and the coping style of patients with coronary heart disease(CHD) before and after percutaneous coronary intervention(PCI), access the influence factors of them before PCI, and compare their situations before and after PCI.Methods A cross-sectional study. A total of126CHD patients who had accepted PCI successfully were investigated by filling out The Medical outcomes Study8-Item Short-Form (SF-8), Seattle Angina Questionnaire (SAQ), and Medical Coping Modes Questionnaire (MCMQ)in24hours after entering hospital and six months follow-up. The patients’ general information was collected by the investigator by reading their medical records. The data was analyzed with t-test, ANOVA, Nonparametric tests and correlation of pearson or spearman according to its regularity of distribution. The description of the dimensions of SF-8,SAQ.MCMQ was mean±standard deviation.Results The QOL of CHD patients was generally low before PCI. Age was a factor which affected the dimension of Physical Limitation(PL) of SAQ, the patients who were older than60years (including60years) had lower score in PL than those who were under60years(p<0.05).Patients who had hospitalization insurance had got lower scores of the dimensions of Role Physical(RP) and Social Functioning (SF)(p<0.05)than the patients who hadn’t. The dimension of Anginal Stability (AS) was affected by the style of CHD. Patients who had angina pectoris got the lowest score,while patients who had myocardial infarction were in the second place(p<0.05).The score of Physical Functioning (PF) and RP was correlated negatively with the score of Gensini (p <0.05). All the dimensions of SF-8except for Mental Health (MH) and the all the dimensions of SAQ except for TS were significantly increased after PCI for six months(p<0.05). The major coping of CHD patients before PCI was confrontation(Relative score:0.61),the next was avoidance(Relative score:0.53),the last was acceptance(Relative score:0.39).The score of acceptance was significantly lower than the norms(P<0.01). The major coping style of CHD patients after PCI was confrontation (related score was0.60), avoidance was in the second place (related score was0.57),while acceptance was in the third place(related score was0.39).CHD patients accepted significantly more avoidance than the norms (p<0.05).The scores of avoidance and acceptance after PCI were significantly higher than before(p<0.05).Before PCI, the score of confrontation was correlated negatively with all the dimensions of SF-8(p <0.05), the score of avoidance was correlated positively with the dimension of Role Emotion (RE) of SF-8(p<0.05), and the score of acceptance was correlated negatively with the dimension of Treatment Satisfaction(TS) of SAQ(p<0.05).After PCI, the scores of avoidance were correlated negatively with the dimensions RP, or with Body Pain(BP),or with scores of RE of SF-8,or with the dimensions of PL and DP of SAQ (p<0.05);the scores of acceptance were correlated negatively with the dimensions of General Health(GH),or with SF, or with scores of RE of SF-8,or with the dimensions of AF, or with DP of SAQ(p<0.05).Conclusion1、Though the QOL was low before PCI, CHD patients still confronted the disease positively.2、PCI could significantly improve CHD patients’QOL.The coping style of CHD patients tended to be passive after PCI.3、There were different relationships between CHD patients’QOL and coping style before and after PCI. The relationships before PCI showed us the psychology of patients that they longed for recovery, while the relationships after PCI indicated that it might lead to poor QOL if passive coping style was taken.

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