Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Gender Differences in Factors Influencing Quality of Life among Patients with Coronary Artery Disease

성별에 따른 관상동맥질환자의 삶의 질 영향 요인

  • Received : 2009.07.23
  • Accepted : 2009.10.03
  • Published : 2009.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify the level of quality of life and gender differences in predictors of quality of life among patients with coronary artery disease. Methods: Participants for this descriptive survey were 67 men and 65 women who signed informed consents. They were patients who had undergone coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty, or were on medication therapy after a heart attack. The Short-Form Health Survey (SF-36), Personal Resource Questionnaire-part (II), and the Center for Epidemiologic Studies Depression Scale were used to measure quality of life, social support, and depression respectively. Gender and age were controlled because they were reported as influencing factors in previous studies. Results: There were significant differences in depression and quality of life between men and women however, social support was not significantly different by gender. In multiple regression analysis, depression was a significant predictor and explained 51.9% of quality of life for men. In women, depression and social support were significant predictors and explained 50.9% of quality of life. Conclusion: Factors influencing quality of life for men and women were different, and therefore, nurses need to consider their patients' gender and use specific strategies to improve quality of life for patients with coronary artery disease.

Keywords

References

  1. Battle, J. (1978). Relationship between self-esteem and depression. Psychological Reports, 42, 745-746. https://doi.org/10.2466/pr0.1978.42.3.745
  2. Brandt, P., & Weinert, C. (1981). The PRQ - A social support measure. Nursing Research, 30(5), 277-280.
  3. Broddadottir, H., Jensen, L., Norris, C., & Graham, M. (2009). Health-related quality of life in women with coronary artery disease. European Journal of Cardiovascular Nursing, 8(1), 18-25. https://doi.org/10.1016/j.ejcnurse.2008.05.002
  4. Cobb, S. (1976). Presidential Address-1976. Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300-314.
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: Lawrence Erlbaum.
  6. Conn, V. S., Taylor, S. G., & Abble, P. B. (1991). Myocardial infarction survivors: Age and gender differences in physical health, psychosocial state and regimen adherence. Journal of Advanced Nursing, 16(9), 1026-1034. https://doi.org/10.1111/j.1365-2648.1991.tb03362.x
  7. Deshotels, A., Planchock, N., Dech, Z., & Prevost, S. (1995). Gender differences in perceptions of quality of life in cardiac rehabilitation patients. Journal of Cardiopulmonary Rehabilitation, 15(2), 143-148. https://doi.org/10.1097/00008483-199503000-00008
  8. Emery, C. E., Frid, D. J., Engebretson, T. O., Alonzo, A. A., Fish, A., Ferketich, A. K., et al., (2004). Gender differences in quality of life among cardiac patients. Psychosomatic Medicine, 66(2), 190-197. https://doi.org/10.1097/01.psy.0000116775.98593.f4
  9. Frasure-Smith, N., Lesperance, F., Juneau, M., Talajic, M., & Bourassa, M. G. (1999). Gender, depression, and one-year prognosis after myocardial infarction. Psychosomatic Medicine, 61(1), 26-37.
  10. Franche, R. L., Abbey, S., Irvine, J., Shnek, Z. M., Grace, S. L., Devins, G., M., et al. (2004). Sex differences in predictors of illness intrusiveness 1 year after a cardiac event. Journal of Psychosomatic Research, 56(1), 125-132. https://doi.org/10.1016/S0022-3999(03)00505-1
  11. Halm, M. A., & Penque, S. (1999). Heart disease in women. American Journal of Nursing, 99(4), 26-31.
  12. Hawthorne, M. H., (1994). Gender differences in recovery after coronary artery surgery. Journal of Nursing Scholarship, 26(1), 75-80. https://doi.org/10.1111/j.1547-5069.1994.tb00298.x
  13. Herlitz, J., Wiklund, I., Caidahl, K., Karlson, B. W., Sjoland, H., Hartford, M., et al. (1999). Determinants of an impaired quality of life five years after coronary artery bypass surgery. Heart, 81(4), 342-346.
  14. Jeong, J. S. (2007). A study on social support and quality of life in patients underwent coronary artery bypass graft surgery. Unpublished master's thesis, Hanyang University, Seoul.
  15. Jo, H. S. (1998). The effect of the team-based cardiac rehabilitation program on the health behavior performance, anxiety, and quality of life in the group of ischemic heart disease with PTCA. Korean Journal of Rehabilitation Nursing, 1(1), 83-92.
  16. Koh, S. B., Chang, S. J., Kang, M. G., Cha, B. S. & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Journal of Preventive Medicine and Public Health, 30(2), 251-266.
  17. Korea National Statistical Office (1995). Annual Report on the Cause of Death Statistic (based on vital registration).
  18. Korea National Statistical Office (2005). Annual Report on the Cause of Death Statistic (based on vital registration).
  19. Lee, J. S. (2004). Health-related quality of life in patients after coronary artery bypass graft. Unpublished master's thesis, University of Ulsan, Ulsan, Korea.
  20. McSweeney, J. C., Cody, M., O'Sullivan, P., Elberson, K., Moser, D. K., & Garvin, B. J. (2003). Women's early warning symptoms of acute myocardial infarction. Circulation, 108(21), 2619-2623. https://doi.org/10.1161/01.CIR.0000097116.29625.7C
  21. Park, I. S., Song, R., Ahn S., So, H. Y., Kim, H. L., & Joo, K. O. (2008). Factors explaining quality of life in individuals with coronary artery disease. Journal of Korean Academy of Nursing, 38(6), 866-873. https://doi.org/10.4040/jkan.2008.38.6.866
  22. Pocock, S. J., Henderson, R. A., Clayton, T., Lyman, G. H., & Chamberlain, D. A. (2000). Quality of life after coronary angioplasty or continued medical treatment for angina: Three-year follow-up in the RITA-2 trial. randomized intervention treatment of angina. Journal of the American College of Cardiology, 35(4), 907-914. https://doi.org/10.1016/S0735-1097(99)00637-3
  23. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
  24. Rankin, S. H., & Fukuoka, Y. (2003). Predictors of quality of life in women 1 year after myocardial infarction. Progress in Cardiovascular Nursing, 18(1), 6-11. https://doi.org/10.1111/j.0889-7204.2003.01570.x
  25. Shin, S. J. (1999). A study on the gender difference of health status on the recovery state after CABG (Coronary Artery Bypass Surgery). Unpublished master's thesis, Ewha Womans University, Seoul.
  26. Sokol, R. S., Folks, D. G., Herrick, R. W., & Freeman, A. M. (1987). Psychiatric outcome in men and women after coronary bypass surgery. Psychosomatics, 28(1), 11-16. https://doi.org/10.1016/S0033-3182(87)72574-2
  27. Spertus, J. A., Jone, P., McDonel, M., Fan, V., & Fihn, S. D. (2002). Health status predicts long-term outcome in outpatients with coronary disease. Circulation, 106(1), 43-49. https://doi.org/10.1161/01.CIR.0000020688.24874.90
  28. Tak, Y. R., & Lee, H. Y. (1997). Family stress, perceived social support, and coping in family who has a developmentally disabled child. Korean Journal of Child Health Nursing, 3(1), 42-51.
  29. Vaccarino, V., Lin, Z. Q., Kasl, S V., Mattera, J. A., Roumanis, S. A., Abramson, J. L., et al. (2003). Sex differences in health status after coronary artery bypass surgery. Circulation, 108(21), 2642-2647. https://doi.org/10.1161/01.CIR.0000097117.28614.D8
  30. Ware, J., E., Kosinski, M., & Dewey, J. E. (2000). How to Score Version 2 of the SF-36 Health Survey. Lincoln, RI: QualityMetric, Inc.