DOI QR코드

DOI QR Code

A Comparison of Social Support, Depression, and Qualify of Life in Adults and Elders Who have Undergone Coronary Artery Bypass Surgery

관상동맥우회술 대상자의 사회적 지지, 우울, 삶의 질: 성인과 노인 대상자 비교 연구

  • Kim, Jiyoung (Division of Nursing Science, Ewha Womans University)
  • 김지영 (이화여자대학교 대학원)
  • Received : 2014.03.19
  • Accepted : 2014.10.05
  • Published : 2014.12.31

Abstract

Purpose: This study was done to compare social support, depression and quality of life (QoL) in adult (under 65) and elderly (over 65) patients who had coronary artery bypass surgery. Methods: Participants were 66 adult and 68 elderly patients who completed questionnaires on social support, depression and QoL. Data were collected from December, 2011 to January 2012 and analyzed using $x^2$ -test, t-test, and Pearson's correlation. Results: The adults' physical QoL scores were significantly higher than those of the elders (t=2.58, p=.011). However, the average difference between physical and mental QoL based on age, after controlling for gender, showed that there was no significant difference in QoL between adults and elders. In adults, significant negative correlations were found between depression and social support (r=-.41, p<.001), physical QoL (r=-.48, p<.001), and mental QoL (r=-.56, p<.001), and significant positive correlation between social support and mental QoL (r=.25, p=.047). In elders, significant negative correlations were found between depression and social support (r=-.43, p<.001), physical QoL (r=-.45, p<.001), and mental QoL (r=-.56, p<.001), and significant positive correlation between social support and mental QoL (r=.28, p=.019). Conclusion: Age-differentiated nursing intervention programs should be developed, and studies should be conducted to verify effectiveness of programs.

Keywords

References

  1. Barry, L. C., Kasl, S. V., Lichtman, J., Vaccarino, V., & Krumholz, H. M. (2006). Social support and change in health-related quality of life 6 months after coronary artery bypass grafting. Journal of Psychosomatic Research, 60 (2), 185-193. https://doi.org/10.1016/j.jpsychores.2005.06.080
  2. Bengtsson, I., Hagman, M., Währborg, P., & Wedel, H. (2004). Lasting impact on health-related quality of life after a first myocardial infarction. International Journal of Cardiology, 97 (3), 509-516. https://doi.org/10.1016/j.ijcard.2003.12.011
  3. Cho, M. J., & Kim, K. H. (1993). Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of the Korean Neuropsychiatric Association, 32 (3), 381-397.
  4. Cho, W., Choi, M., Kim, S., & Cho, E. (2010). Effect of social support and depression on self-care of older adults receiving percutaneous coronary intervention. Journal of Korean Gerontological Nursing, 12 (2), 119-130.
  5. Chon, K.-K., & Rhee, M.-K. (1992). Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology, 11 (1), 65-76.
  6. Cowan, M. J., Freedland, K. E., Burg, M. M., Saab, P. G., Youngblood, M. E., Cornell, C. E., et al. (2008). Predictors of treatment response for depression and inadequate social support --the ENRICHD randomized clinical trial. Psychotherapy and Psychosomatics, 77 (1), 27-37. https://doi.org/10.1159/000110057
  7. Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41 (4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  8. Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., et al. (2013). Heart disease and stroke statistics--2013 update: A report from the American Heart Association [Electronic version]. Circulation, 127 (1), e6-e245. https://doi.org/10.1161/CIR.0b013e31828124ad
  9. Joung, S.-S. (2006). The discriminant analysis of cardiovascular disease risk factors estimation in post-menopausal women. The Korea Journal of Sports Science, 15 (1), 515-522.
  10. Khoueiry, G., Flory, M., Abi Rafeh, N., Zgheib, M. H., Goldman, M., Abdallah, T., et al. (2011). Depression, disability, and quality of life after off-pump coronary artery bypass grafting: A prospective 9-month follow-up study. Heart and Lung: The Journal of Acute and Critical Care, 40 (3), 217-225. https://doi.org/10.1016/j.hrtlng.2010.03.001
  11. Korea Heart Foundation. (2014, July 25). Cardiovascular surgery 2013. Retrieved August 13, 2014, from http://www.heart.or.kr/
  12. Krzych, L. J., Woznica, A., Pawlak, A., Skarysz, J., Eysymontt, Z., Chromanska-Matera, B., et al. (2009). Quality of life in young, professionally active men undergoing on-pump coronary artery bypass grafting-short-term follow-up results. Kardiologia Polska, 67 (10), 1078-1085.
  13. Leifheit-Limson, E. C., Kasl, S. V., Lin, H., Buchanan, D. M., Peterson, P. N., Spertus, J. A., et al. (2012). Adherence to risk factor management instructions after acute myocardial infarction: The role of emotional support and depressive symptoms. Annals of Behavioral Medicine, 43 (2), 198-207. https://doi.org/10.1007/s12160-011-9311-z
  14. Longmore, R. B., Spertus, J. A., Alexander, K. P., Gosch, K., Reid, K. J., Masoudi, F. A., et al. (2011). Angina frequency after myocardial infarction and quality of life in older versus younger adults: The prospective registry evaluating myocardial infarction: Event and recovery study. American Heart Journal, 161 (3), 631-638. https://doi.org/10.1016/j.ahj.2010.12.005
  15. McKenzie, L. H., Simpson, J., & Stewart, M. (2010). A systematic review of pre-operative predictors of post-operative depression and anxiety in individuals who have undergone coronary artery bypass graft surgery. Psychology, Health & Medicine, 15 (1), 74-93. https://doi.org/10.1080/13548500903483486
  16. Natarajan, A., Samadian, S., & Clark, S. (2007). Coronary artery bypass surgery in elderly people. Postgraduate Medical Journal, 83 (977), 154-158. https://doi.org/10.1136/pgmj.2006.049742
  17. Oh, J.-E., Park, H.-S., & Kim, D.-H. (2010). The relationships among hostility, perceived social support and health behavior compliance of patients with coronary artery disease. The Korean Journal of Fundamentals of Nursing, 17 (1), 99-108.
  18. Park, J. U., Lee, W. Y., Kim, K. I., Hong, K. W., Chee, H. K., Shin, Y. C., et al. (2006). Coronary artery bypass graft surgery in patients 70 years of age and older. The Korean Journal of Thoracic and Cardiovascular Surgery, 39 (1), 28-34.
  19. Park, M., Kim, B.-R., Kang, S.-J., & Lee, D.-K. (2007). Effects of regular exercise on health-related fitness, cardiovascular disease risk factors and vascular inflammation factors in the male. The Official Journal of the Korean Association of Certified Exercise Professionals, 9 (1), 69-76.
  20. 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
  21. Sandau, K. E., Lindquist, R. A., Treat-Jacobson, D., & Savik, K. (2008). Health-related quality of life and subjective neurocognitive function three months after coronary artery bypass graft surgery. Heart and Lung: The Journal of Acute and Critical Care, 37 (3), 161-172. https://doi.org/10.1016/j.hrtlng.2007.05.004
  22. Shin, N. Y. (2011). The relationships among health locus of control and resilience, social support and health promoting behavior in patients with coronary artery disease. Unpublished master's thesis, Ewha Womans University, Seoul.
  23. Song, Y. S., & Lee, J. S. (2008). A comparison of quality of life between patients with 12 months after coronary artery bypass graft surgery and general population. Journal of Korean Clinical Nursing Research, 14 (1), 25-32.
  24. Staniute, M., & Brozaitiene, J. (2010). Changes in health-related quality of life among patients with coronary artery disease: A 2-year follow-up. Medicina (Kaunas), 46 (12), 843-850.
  25. Statistics Korea. (2013a, September 25). Causes of death statistics in 2012. Retrieved August 13, 2014, from http://kostat.go.kr/
  26. Statistics Korea. (2013b, December 5). 2012 Life tables for Korea. Retrieved August 13, 2014, from http://kostat.go.kr/
  27. Szekely, A., Nussmeier, N. A., Miao, Y., Huang, K., Levin, J., Feierfeil, H., et al. (2011). A multinational study of the influence of health-related quality of life on in-hospital outcome after coronary artery bypass graft surgery. American Heart Journal, 161 (6), 1179-1185. https://doi.org/10.1016/j.ahj.2011.03.012
  28. The ENRICHD Investigators. (2000). Enhancing recovery in coronary heart disease patients (ENRICHD): Study design and methods. American Heart Journal, 139 (1), 1-9.
  29. Ware, J. E., Jr., Kosinski, M. M., & Keller, S. D. (1996). A 12-item short form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34 (3), 220-233. https://doi.org/10.1097/00005650-199603000-00003
  30. Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30 (6), 473-483. https://doi.org/10.1097/00005650-199206000-00002