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

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 qua...

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Main Authors: Emil Huriani, Fitri Mailani
Format: Article
Language:English
Published: Diponegoro University 2023-08-01
Series:Nurse Media: Journal of Nursing
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Online Access:https://ejournal.undip.ac.id/index.php/medianers/article/view/49987
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author Emil Huriani
Fitri Mailani
author_facet Emil Huriani
Fitri Mailani
author_sort Emil Huriani
collection DOAJ
description 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.
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spelling doaj-art-c1b49d1ee4c346d9b4db0bb5d8cfd9952025-08-20T02:41:36ZengDiponegoro UniversityNurse Media: Journal of Nursing2087-78112406-87992023-08-0113221422510.14710/nmjn.v13i2.4998722613The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary InterventionEmil Huriani0https://orcid.org/0000-0002-7050-8139Fitri Mailani1https://orcid.org/0000-0002-8787-7002Faculty of Nursing, Universitas Andalas, IndonesiaFaculty of Nursing, Universitas Andalas, IndonesiaBackground: 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.https://ejournal.undip.ac.id/index.php/medianers/article/view/49987anginaanxietyfatigueindonesiamyocardial infarction
spellingShingle Emil Huriani
Fitri Mailani
The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention
Nurse Media: Journal of Nursing
angina
anxiety
fatigue
indonesia
myocardial infarction
title The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention
title_full The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention
title_fullStr The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention
title_full_unstemmed The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention
title_short The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention
title_sort relationships between physical and emotional symptoms and health related quality of life of patients after percutaneous coronary intervention
topic angina
anxiety
fatigue
indonesia
myocardial infarction
url https://ejournal.undip.ac.id/index.php/medianers/article/view/49987
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