Evaluation of quality of life among patients with ischemic heart disease who practiced self-care activities at home afte
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ORIGINAL ARTICLE
Evaluation of quality of life among patients with ischemic heart disease who practiced self-care activities at home after elective percutaneous coronary intervention Yuriko Takematsu • Yukari Hasebe • Yoshimi Moriwaki • Naomi Kotera • Chie Yamada • Tomoko Nakagami • Kozo Shinoda • Akira Furubayashi • Sayoko Kato • Ikuko Sugimoto • Kenzo Shibayama
Received: 29 November 2013 / Accepted: 30 July 2014 Ó Japanese Association of Cardiovascular Intervention and Therapeutics 2014
Abstract The present study compares health-related QOL between patients who practiced self-care activities comprising exercise and diet at home for at least 6 months (SA group; n = 84) after elective PCI and those who did not (NA group; n = 54). Health-related (HR) QOL was measured using the SF-36 questionnaire. Scores for two mental and three physical parameters of the HRQOL were increased in the SA, but not in the NA group. These findings indicated that the QOL was far superior among patients who exercised and consumed an appropriate diet at home for at least 6 months after elective PCI compared with those who did not. Y. Takematsu (&) Graduate School of Health Medicine, Fujita Health University School of Health Sciences, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, Aichi 470-1192, Japan e-mail: [email protected] Y. Hasebe Faculty of Nursing, Seisen University, Hikone, Shiga, Japan Y. Moriwaki T. Nakagami Department of Nursing, Sugiyama Jogakuen University, Nagoya, Aichi, Japan N. Kotera Yokkaichi Nursing and Medical Care University, Yokkaichi, Mie, Japan C. Yamada Faculty of Nursing, Fujita Health University School of Sciences, Toyoake, Aichi, Japan K. Shinoda A. Furubayashi S. Kato I. Sugimoto Department of Nursing, Gifu Heart Center, Gifu, Japan K. Shibayama Aichi Medical University College of Nursing, Nagakute, Aichi, Japan
Keywords Elective percutaneous coronary intervention Health-related quality of life SF-36 Lifestyle Self-care activities at home
Introduction Percutaneous coronary intervention (PCI) can improve the prognosis and quality of life (QOL) of patients with ischemic heart disease (IHD). Studies of the QOL of patients treated by PCI have indicated that PCI improves the QOL of patients with IHD more than medical therapy [1, 2]. Furthermore, the post-PCI QOL of such patients is better than that before PCI [3]. Zhang reported increased QOL scores at 6, 12, 24 and 36 months after PCI compared with those of patients with IHD treated with medical therapy [4, 5]. Hasebe et al. reported improved mental and physical health-related QOL at 12 months after elective PCI, and that excellent status continued for 3 years thereafter [6]. However, post-PCI QOL does not necessarily improve relative to pre-PCI in all patients. Factors affecting QOL among patients after elective PCI include smoking, weight gain, depression, unemployment and lack of family help [7–15]. Among these factors, smoking and weight gain are closely associated with lifestyle. Nurses play an important role in modifying lifestyle and
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