BibTex Citation Data :
@article{NMJN80773, author = {Emil Huriani and Fitri Mailani}, title = {Directional Model of Health-Related Quality of Life After Percutaneous Coronary Intervention: A Structural Equation Model Analysis}, journal = {Nurse Media Journal of Nursing}, volume = {16}, number = {2}, year = {2026}, keywords = {Acute coronary syndrome; quality of life; revised Wilson and Cleary model; self-efficacy; structural equation modeling}, abstract = { Background: Although percutaneous coronary intervention (PCI) improves survival and clinical outcomes in patients with acute coronary syndrome (ACS), many patients continue to experience impaired health-related quality of life (HRQoL). However, the direct determinants and mediating pathways influencing HRQoL among patients with ACS following PCI remain incompletely understood. Purpose: This study aimed to test the relationships among determinants of HRQoL based on the revised Wilson and Cleary’s model in patients with ACS following PCI. Methods: This cross-sectional study involved 240 patients recruited through consecutive sampling. Data were collected using the Cardiac Self-Efficacy Scale, Fatigue Assessment Scale, Seattle Angina Questionnaire-7, Depression Anxiety Stress Scale 21, Social Functioning Questionnaire, and MacNew Quality of Life Questionnaire. Structural equation modeling was performed with SmartPLS version 3.2.7. Results: Self-efficacy, fatigue, anxiety, and social functioning had significant direct effects on HRQoL ( β = 0.276, β = -0.151, β = -0.152, and β = 0.307, respectively; p < 0.05). Social functioning had the greatest direct effect ( β = 0.307, f 2 = 0.219), whereas self-efficacy had the greatest total effect on HRQoL ( β = 0.789, f 2 = 0.166). Conclusion: Self-efficacy, fatigue, anxiety, and social functioning were significant determinants of HRQoL in patients with ACS following PCI. These findings may inform comprehensive patient assessment and the development of targeted, patient-centered nursing care strategies to improve HRQoL. }, issn = {2406-8799}, pages = {390--406} doi = {10.14710/nmjn.v16i2.80773}, url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/80773} }
Refworks Citation Data :
Background: Although percutaneous coronary intervention (PCI) improves survival and clinical outcomes in patients with acute coronary syndrome (ACS), many patients continue to experience impaired health-related quality of life (HRQoL). However, the direct determinants and mediating pathways influencing HRQoL among patients with ACS following PCI remain incompletely understood.
Purpose: This study aimed to test the relationships among determinants of HRQoL based on the revised Wilson and Cleary’s model in patients with ACS following PCI.
Methods: This cross-sectional study involved 240 patients recruited through consecutive sampling. Data were collected using the Cardiac Self-Efficacy Scale, Fatigue Assessment Scale, Seattle Angina Questionnaire-7, Depression Anxiety Stress Scale 21, Social Functioning Questionnaire, and MacNew Quality of Life Questionnaire. Structural equation modeling was performed with SmartPLS version 3.2.7.
Results: Self-efficacy, fatigue, anxiety, and social functioning had significant direct effects on HRQoL (β = 0.276, β = -0.151, β = -0.152, and β = 0.307, respectively; p < 0.05). Social functioning had the greatest direct effect (β = 0.307, f2= 0.219), whereas self-efficacy had the greatest total effect on HRQoL (β = 0.789, f2= 0.166).
Conclusion: Self-efficacy, fatigue, anxiety, and social functioning were significant determinants of HRQoL in patients with ACS following PCI. These findings may inform comprehensive patient assessment and the development of targeted, patient-centered nursing care strategies to improve HRQoL.
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Last update: 2026-11-08 00:11:10
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