skip to main content

The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention

*Emil Huriani orcid scopus  -  Faculty of Nursing, Universitas Andalas, Indonesia
Fitri Mailani orcid  -  Faculty of Nursing, Universitas Andalas, Indonesia
Open Access Copyright (c) 2023 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Percutaneous coronary intervention (PCI) for myocardial infarction patients has been shown to provide outstanding results, yet research has shown that patient quality of life varies. However, few studies have been done on the physical and emotional symptoms that impact health-related quality of life (HRQoL) of patients who have undergone PCI.

Purpose: This study aimed to identify physical (fatigue, angina, dyspnea) and emotional (stress, anxiety, depression) symptoms related to HRQoL of myocardial infarction patients after PCI.

Methods: This study used a cross-sectional approach. A total of 154 patients, who were recruited using a purposive sampling method, participated in this study. The Fatigue Assessment Scale (FAS), the Seattle Angina Questionnaire-7 (SAQ-7), the Dyspnea scale (modified MRC score), the Depression, Anxiety, Stress Scale 21 (DASS-21), and the MacNew Quality of Life Questionnaire were all used to collect the data. Linear regressions were used to analyze the data.

Results: The mean of the global HRQoL score was 5.11(0.90). Results on physical symptoms showed that a total of 49.4% of participants reported fatigue; the mean angina score was 69.6(12.06), and the mean score of dyspnea level was 0.63(0.92). Emotional symptoms reported that stress was at an average level (83.1%), anxiety was at a moderate level (63%), and depression was at a standard level (72.7%). The multiple linear regression analyses revealed fatigue (β=-0.22), angina (β=0.30), and anxiety (β=-0.32) as the factors related to HRQoL.

Conclusion: Despite having a PCI after an acute myocardial infarction, the patients’ HRQoL was above the middle score. It was discovered that anxiety, angina, and fatigue predicted HRQOL in patients with myocardial infarction after PCI.

Fulltext View|Download
Keywords: Angina; anxiety; fatigue; Indonesia; myocardial infarction
Funding: Faculty of Nursing Universitas Andalas

Article Metrics:

  1. Alsén, P., & Brink, E. (2013). Fatigue after myocardial infarction - A two-year follow-up study. Journal of Clinical Nursing, 22(11–12), 1647–1652. https://doi.org/10.1111/jocn.12114
  2. American Heart Association. (2017). Cardiovascular disease: A costly burden for America - projections through 2035. AHA. https://www.heart.org/-/media/Files/About-Us/Policy-Research/Fact-Sheets/Public-Health-Advocacy-and-Research/CVD-A-Costly-Burden-for-America-Projections-Through-2035.pdf
  3. Arjanto, P. (2022). Uji reliabilitas dan validitas depression anxiety stress scales 21 (DASS-21) pada mahasiswa [Reliability and validity tests of depression anxiety stress scales 21 (DASS-21) on the university students]. Jurnal Psikologi Perseptual, 7(1), 60-80. https://doi.org/10.24176/perseptual.v7i1.6196
  4. Arnold, S. V., Masoudi, F. A., Rumsfeld, J. S., Li, Y., Jones, P. G., & Spertus, J. A. (2014). Derivation and validation of a risk standardization model for benchmarking hospital performance for health-related quality of life outcomes after acute myocardial infarction. Circulation, 129(3), 313–320. https://doi.org/10.1161/CIRCULATIONAHA.113.001773
  5. Basuki, N., El-Ansary, D., Höfer, S., Dwiputra, B., & Nualnim, N. (2021). The validity and reliability of the MacNew heart disease health related quality of life questionnaire: The Indonesian version. Acta Medica Indonesiana, 53(3), 276–281
  6. Bestall, J. C., Paul, E. A., Garrod, R., Garnham, R., Jones, P. W., & Wedzicha, J. A. (1999). Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax, 54(7), 581–586. https://doi.org/10.1136/thx.54.7.581
  7. Chan, P. S., Jones, P. G., Arnold, S. A., & Spertus, J. A. (2014). Development and validation of a short version of the Seattle angina questionnaire. Circulation Cardiovascular Quality and Outcomes, 7(5), 640–647. https://doi.org/10.1161/CIRCOUTCOMES.114.000967
  8. Crane, P. B., Abel, W. M., & McCoy, T. P. (2015). Fatigue and physical activity after myocardial infarction. Biological Research for Nursing, 17(3), 276–284. https://doi.org/10.1177/1099800414541961
  9. De Vries, J., Michielsen, H., Van Heck, G. L., & Drent, M. (2004). Measuring fatigue in sarcoidosis: The fatigue assessment scale (FAS). British Journal of Health Psychology, 9(3), 279–291. https://doi.org/10.1348/1359107041557048
  10. Du, R., Wang, P., Ma, L., Larcher, L. M., Wang, T., Wang, T., & Chen, C. (2020). Health-related quality of life and associated factors in patients with myocardial infarction after returning to work: A cross-sectional study. Health and Quality of Life Outcomes, 18, 190. https://doi.org/10.1186/s12955-020-01447-4
  11. Fredriksson-larsson, U., Alsen, P., Karlson, B. W., & Brink, E. (2015). Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms , sleep quality and coping strategies. Journal of Clinical Epidemiology, 24, 2192–2200. https://doi.org/10.1111/jocn.12876
  12. Hawkes, A. L., Patrao, T. A., Ware, R., Atherton, J. J., Taylor, C. B., & Oldenburg, B. F. (2013). Predictors of physical and mental health-related quality of life outcomes among myocardial infarction patients. BMC Cardiovascular Disorders, 13(1), 69. https://doi.org/10.1186/1471-2261-13-69
  13. Höfer, S., Lim, L., Guyatt, G., & Oldridge, N. (2004). The Macnew heart disease health-related quality of life instrument: A summary. Health and Quality of Life Outcomes, 2, 3. https://doi.org/10.1186/1477-7525-2-3
  14. Imam, H., & Jitpanya, C. (2022). Factors related to health-related quality of life in patients with acute coronary syndrome in West Java, Indonesia: A correlational study. Belitung Nursing Journal, 8(4), 349–356. https://doi.org/10.33546/bnj.1247
  15. Jankowska-Polańska, B., Uchmanowicz, I., Dudek, K., & Łoboz-Grudzień, K. (2016). Sex differences in the quality of life of patients with acute coronary syndrome treated with percutaneous coronary intervention after a 3-year follow-up. Patient Preference and Adherence, 10, 1279–1287. https://doi.org/10.2147/PPA.S106577
  16. Kang, K., Gholizadeh, L., Inglis, S. C., & Han, H. R. (2017). Correlates of health-related quality of life in patients with myocardial infarction: A literature review. International Journal of Nursing Studies, 73(August), 1–16. https://doi.org/10.1016/j.ijnurstu.2017.04.010
  17. Kessing, D., Denollet, J., Widdershoven, J., & Kupper, N. (2015). Fatigue and self-care in patients with chronic heart failure. European Journal of Cardiovascular Nursing, 15(5), 337–344. https://doi.org/10.1177/1474515115575834
  18. Kharame, Z. T., Heravi-Karimooi, M., Rejeh, N., Montazeri, A., & Hajizadeh, E. (2014). Quality of life in angina pectoris patients: Assessing with the Seattle Angina Questionnaire (SAQ). Iranian Journal of Critical Care Nurse, 7(2), 124–131
  19. Kim, Y. (2022). Health-related quality of life in patients with coronary artery disease undergoing percutaneous coronary intervention: A cross-sectional study. Journal of Nursing Research, 30(1), E186. https://doi.org/10.1097/jnr.0000000000000465
  20. Kumar, M., & Nayak, P. K. (2017). Psychological sequelae of myocardial infarction. Biomedicine and Pharmacotherapy, 95, 487–496. https://doi.org/10.1016/j.biopha.2017.08.109
  21. Liu, N., Liu, S., Yu, N., Peng, Y., Wen, Y., Tang, J., & Kong, L. (2018). Correlations among psychological resilience, self-efficacy, and negative emotion in acute myocardial infarction patients after percutaneous coronary intervention. Frontiers in Psychiatry, 9, 1. https://doi.org/10.3389/fpsyt.2018.00001
  22. Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
  23. Ministry of Health RI. (2018). Hasil utama Riskesdas 2018 [National report of basic health research 2018]. Ministry of Health RI. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
  24. Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anaesthesia, 22(1), 67–72. https://doi.org/10.4103/aca.ACA_157_18
  25. Mollon, L., & Bhattacharjee, S. (2017). Health related quality of life among myocardial infarction survivors in the United States: A propensity score matched analysis. Health and Quality of Life Outcomes, 15, 235. https://doi.org/10.1186/s12955-017-0809-3
  26. Moreno, P. R., Stone, G. W., Gonzalez-Lengua, C. A., & Puskas, J., & D. (2020). The hybrid coronary approach for optimal revascularization: JACC review topic of the week. Journal of the American College of Cardiology, 76(3), 321–333. https://doi.org/10.1016/j.jacc.2020.04.078
  27. Mujtaba, S. F., Sial, J. A., Shaikh, S. A., Naeem, M., Soomro, I., Karim, M., Abbas, K., Ahmed, M., & Hussain, K. A. (2019). Quality of life at six months after primary percutaneous coronary intervention performed at a predominantly rural population. International Journal of Advances in Medicine, 6(5), 1456. https://doi.org/10.18203/2349-3933.ijam20193621
  28. Murphy, J., Baber, U., Aquino, M., Barman, N., Sweeny, J., Mehran, R., Khan, A., Hasan, C., Kapur, V., Dangas, G., Patel, N., Sharma, S., & Kini, A. (2019). Synergistic impact of coronary calcification and bifurcation target lesions on adverse cardiovascular events following PCI: Insights from a large single-center PCI registry. Journal of the American College of Cardiology, 73(9), 1187. https://doi.org/10.1016/s0735-1097(19)31794-2
  29. Niakan, M., Paryad, E., Kazemnezhad Leili, E., & Sheikholeslami, F. (2015). Depressive symptoms effect on self care behavior during the first month after myocardial infarction. Global Journal of Health Science, 7(4), 382–391. https://doi.org/10.5539/gjhs.v7n4p382
  30. Paternostro-Sluga, T., Grim-Stieger, M., Posch, M., Schuhfried, O., Vacariu, G., Mittermaier, C., Bittner, C., & Fialka-Moser, V. (2008). Reliability and validity of the Medical Research Council (MRC) scale and a modified scale for testing muscle strength in patients with radial palsy. Journal of Rehabilitation Medicine, 40(8), 665–671. https://doi.org/10.2340/16501977-0235
  31. Pino, E. C., Zuo, Y., Pc, C., Henderson, D. C., & Kalesan, B. (2018). Clinical depression and anxiety among ST-elevation myocardial infarction hospitalizations: Results from nationwide inpatient sample 2004–2013. Psychiatry Research, 266, 291–300. https://doi.org/10.1016/j.psychres.2018.03.025
  32. Rančić, N. K., Petrović, B. D., Apostolović, S. R., Kocić, B. N., & Ilić, M. V. (2013). Health-related quality of life in patients after the acute myocardial infarction. Central European Journal of Medicine, 8(2), 266–272. https://doi.org/10.2478/s11536-012-0118-5
  33. Saengsiri, A. O., Thanasilp, S., & Preechawong, S. (2014). Factors predicting quality of life for coronary artery disease patients after percutaneous coronary intervention. Asian Biomedicine, 8(1), 31–42. https://doi.org/10.5372/1905-7415.0801.259
  34. Serdar, C. C., Cihan, M., Yücel, D., & Serdar, M. A. (2021). Sample size, power and effect size revisited: Simplified and practical approachin pre-clinical, clinical and laboratory studies. Biochemia Medica, 31(1), 1–27. https://doi.org/10.11613/BM.2021.010502
  35. Tulloch, H., Greenman, P. S., & Tassé, V. (2015). Post-traumatic stress disorder among cardiac patients: Prevalence, risk factors, and considerations for assessment and treatment. Behavioral Sciences, 5(1), 27–40. https://doi.org/10.3390/bs5010027
  36. Van Nguyen, H., Khuong, L. Q., Nguyen, A. T., Nguyen, A. L. T., Nguyen, C. T., Nguyen, H. T. T., Tran, T. T. H., Dao, A. T. M., Gilmour, S., & Van Hoang, M. (2021). Changes in, and predictors of, quality of life among patients with unstable angina after percutaneous coronary intervention. Journal of Evaluation in Clinical Practice, 27(2), 325–332. https://doi.org/10.1111/jep.13416
  37. Wantiyah, W., Saputra, M. R., & Deviantony, F. (2020). Self-efficacy and health status in coronary artery disease patients. Jurnal Ners, 15(1), 14–18. https://doi.org/10.20473/jn.v15i1.17628
  38. Wasson, L. T., Shaffer, J., Alcántara, C., Schwartz, J. E., & Edmondson, D. (2014). The association of posttraumatic stress disorder and quality of life during the first year after acute coronary syndrome. International Journal of Cardiology, 176(3), 1042–1043. https://doi.org/10.1016/j.ijcard.2014.07.290
  39. World Health Organization. (2021). World health statistics 2021: Monitoring health for the SDGs, sustainable development goals. WHO. https://apps.who.int/iris/handle/10665/342703
  40. Wulandari, D., Ginanjar, A. S., & Purwono, U. (2019). Health related quality of life model among patients with myocardial infarction in indonesia. Journal of Educational, Health and Community Psychology, 8(3), 194–214
  41. Xu, X., Bao, H., Strait, K. M., Edmondson, D. E., Davidson, K. W., Beltrame, J. F., Bueno, H., Lin, H., Dreyer, R. P., Brush, J. E., Spertus, J. A., Lichtman, J. H., D’Onofrio, G., & Krumholz, H. M. (2017). Perceived stress after acute myocardial infarction: A comparison between young and middle-aged women versus men. Psychosomatic Medicine, 79(1), 50–58. https://doi.org/10.1097/PSY.0000000000000429
  42. Yazdani-Bakhsh, R., Javanbakht, M., Sadeghi, M., Mashaiekhi, A., Ghaderi, H., & Rabiei, K. (2016). Comparison of health-related quality of life after percutaneous coronary intervention and coronary artery bypass surgery. ARYA Atherosclerosis, 12(3), 124–131
  43. Ybarra, L. F., Dautov, R., Gibrat, C., Dandona, S., & Rinfret, S. (2017). Midterm angina-related quality of life benefits after percutaneous coronary intervention of chronic total occlusions. Canadian Journal of Cardiology, 33(12), 1668–1674. https://doi.org/10.1016/j.cjca.2017.08.008
  44. Zuraida, R., & Chie, H. H. (2014). Pengujian skala pengukuran kelelahan (SPK) pada responden di Indonesia [Testing the fatigue assessment scale among Indonesian respondents]. ComTech: Computer, Mathematics and Engineering Applications, 5(2), 1012. https://doi.org/10.21512/comtech.v5i2.2357

Last update:

No citation recorded.

Last update: 2024-12-10 07:43:48

No citation recorded.