Predictive factors of patients’ quality of life three months after post coronary artery bypass graft surgery
Keywords:
coronary artery bypass graft, quality of life, health literacy, learning needs, trustAbstract
This study aimed to determine the predictive power of cardiac operative risk, health literacy, learning needs, communication, and trust in healthcare personnel on quality of life among patients three months after coronary artery bypass graft surgery. The sample was randomly selected one hundred and sixteen patients who attended the outpatient heart surgical clinic three months after the coronary artery bypass graft surgery at a hospital specializing in the heart and lungs. Data were collected by means of a questionnaire package including the details of patients’ demographic characteristics, the cardiac operative risk, health literacy, learning needs, communication with health care providers, trust in healthcare personnel, and quality of life. Data were analyzed using descriptive statistics, Pearson’s product moment correlation coefficient, and multiple regression analysis by enter method.
Results indicated that the sample had good quality of life (mean+SD= 86.97±7.9). The multiple regression model with all five predictors produced R2= .195, F(5,110) = 5.33, p< .001. Only communication with healthcare providers was statistically significant predictor (β = 0.39, p < 0.001), indicating that those patients with better communication with health care providers were expected to have better quality of life during three months after coronary artery bypass graft.
This study suggested that healthcare providers should recognize the significance of patients’ communicative ability to convey helpful health information for promoting the patients’ quality of life during three months after coronary artery bypass graft.
References
2. Rumsfeld JS, MaWhinney S, McCarthy M, Jr., Shroyer AL, VillaNueva CB, O'Brien M, et al. Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the department of veterans affairs cooperative study group on processes, structures, and outcomes of care in cardiac surgery. JAMA.1999;281(14):1298-303.
3. Kawecka-Jaszcz K, Klocek M, Tobiasz-Adamczyk B, Bulpitt CJ. Health related quality of life in cardiovascular patients. New York: Springer Science & Business Media; 2010.
4. Baig K, Harling L, Papanikitas J, Attaran S, Ashrafian H, Casula R, et al. Does coronary artery bypass grafting improve quality of life in elderly patients?. Interact Cardiovasc Thorac Surg. 2013;17(3):542-53.
5. Kulik A. Secondary prevention after coronary artery bypass graft surgery: a primer. Curr Opin Cardiol. 2016;31(6):635-43.
6. Loponen P, Luther M, Nissinen J, Wistbacka JO, Biancari F, Laurikka J, et al. EuroSCORE predicts health-related quality of life after coronary artery bypass grafting. Interact Cardiovasc Thorac Surg. 2008;7(4):564-8.
7. Choocherd S, Wanitkun N, Danaidusadeekul S, Yottasurodom C. Relationships among health literacy, severity of disease, patient engagement, perception of person-centered care and quality of life in patients after coronary artery bypass graft surgery. J Nurs sci. 2016;34(Suppl 1):94 -106. (In Thai).
8. Thom DH, Wong ST, Guzman D, Wu A, Penko J, Miaskowski C, et al. Physician trust in the patient: development and validation of a new measure. Ann Fam Med. 2011;9(2):148-54.
9. Farin E, Meder M. Personality and the physician-patient relationship as predictors of quality of life of cardiac patients after rehabilitation. Health Qual Life Outcomes. 2010;8:100.
10. Weeger S, Farin E. The effect of the patient-physician relationship on health-related quality of life after cardiac rehabilitation. Disabil Rehabilitation. 2017;39(5):468-76.
11. Bachmann-Mettler I, Steurer-Stey C, Senn O, Wang M, Bardheci K, Rosemann T. Case management in oncology rehabilitation (CAMON): the effect of case management on the quality of life in patients with cancer after one year of ambulant rehabilitation. a study protocol for a randomized controlled clinical trial in oncology rehabilitation. Trials. 2011;12:103.
12. Knowles M, Holton E, Swanson R. Adult learner: the definitive classic in adult education and human resource development. 8th ed. ed. Oxon: Routlege; 2015.
13. Colak Z, Segotic I, Uzun S, Mazar M, Ivancan V, Majeric-Kogler V. Health related quality of life following cardiac surgery--correlation with EuroSCORE. Eur J Cardio thorac Surg. 2008;33(1):72-6.
14. Nashef SA, Roques F, Sharples LD, Nilsson J, Smith C, Goldstone AR, et al. EuroSCORE II. Eur J Cardio thorac Surg. 2012;41(4):734-44.
15. Wanitkun N, Pattaramongkolrit S. Health literacy of Thai people. Bangkok: Faculty of Nursing, Mahidol University; 2013. (in Thai)
16. Galloway SC, Bubela N, McKibbon A, McCay E, Ross E, Nagle L. Patient Learning Need Scale: Description and administration guidelines. Unpublished manuscript; 1993.
17. Spyropoulos V, Ampleman S, Miousse C, Purden M. Cardiac surgery discharge questionnaires: meeting information needs of patients and families. Can J Cardiovasc Nurs. 2011;21(1):13-9.
18. Brislin RW. Back-Translation for Cross-Cultural Research. J Cross Cult Psychol. 1970; 1(3):185-216.
19. Salt E, Crofford LJ, Studts JL, Lightfoot R, Hall LA. Development of a quality of patient-health care provider communication scale from the perspective of patients with rheumatoid arthritis. Chronic Illn. 2013;9(2):103-15.
20. Bova C, Fennie KP, Watrous E, Dieckhaus K, Williams AB. The health care relationship (HCR) trust scale: development and psychometric evaluation. Res Nurs Health. 2006;29(5):477-88.
21. Schroter S, Lamping DL. Coronary revascularisation outcome questionnaire (CROQ): development and validation of a new, patient based measure of outcome in coronary bypass surgery and angioplasty. Heart. 2004;90(12):1460-6.
22. Spicer J, Making sense of multivariate data analysis Thousand Oaks, CA: SAGE Publications; 2005.
23. Jitauraungkoon P, Wanitkun N, Danaidusadeekul S, Tocharoenchok T. Predictors of Quality of Life during 6-18 Weeks among Patients with Post Coronary Artery Bypass Graft. J Nurs Sci.. 2017;35(3):106-19. (In Thai).
24. Ernstmann N, Weissbach L, Herden J, Winter N, Ansmann L. Patient-physician communication and health-related quality of life of patients with localised prostate cancer undergoing radical prostatectomy - a longitudinal multilevel analysis. BJU Int. 2017; 119(3):396-405.
25. Ownby RL, Acevedo A, Jacobs RJ, Caballero J, Waldrop-Valverde D. Quality of life, health status, and health service utilization related to a new measure of health literacy: FLIGHT/VIDAS. Patient Educ Couns. 2014;96(3):404-10.
26. Hachuk W. The influence of uncertainty in illness, health literacy, social support on quality of life of patients with heart failure. [Master Thesis of Nursing Science]. Bangkok: Mahidol University; 2012. (in Thai)
27. Ommen O, Janssen C, Neugebauer E, Bouillon B, Rehm K, Rangger C, et al. Trust, social support and patient type-Associations between patients perceived trust, supportive communication and patients preferences in regard to paternalism, clarification and participation of severely injured patients. Patient Educ Couns. 2008;73(2):196-204.
28. Alkubati SA, Al-Zaru IM, Khater W, Ammouri AA. Perceived learning needs of Yemeni patients after coronary artery bypass graft surgery. J Clin Nurs. 2013;22(7-8):930-8.
29. Myers J, Pellino TA. Developing new ways to address learning needs of adult abdominal organ transplant recipients. Prog Transplant. 2009;19(2):160-6.
30. El Baz N, Middel B, Van Dijk JP, Wesselman DC, Boonstra PW, Reijneveld SA. EuroSCORE predicts poor health-related physical functioning six month postcoronary artery bypass graft surgery. J Cardiovasc Surg. (Torino). 2008;49(5):663-72.
Downloads
Published
How to Cite
Issue
Section
License
บทความนี้ยังไม่เคยตีพิมพ์หรืออยู่ในระหว่างส่งไปตีพิมพ์ในวารสารอื่น ๆ มาก่อน และกองบรรณาธิการขอสงวนสิทธิ์ในการตรวจทาน และแก้ไขต้นฉบับตามเกณฑ์ของวารสาร ในกรณีที่เรื่องของท่านได้ได้รับการตีพิมพ์ในวารสารฉบับนี้ถือว่าเป็น ลิขสิทธิ์ของวารสารพยาบาลโรคหัวใจและทรวงอก
