An Australian longitudinal pilot study examining health determinants of cardiac outcomes 12 months post percutaneous coronary intervention

Journal article


Edward, Karen-Leigh, Stephenson, John, Giandinoto, Jo-Ann M., Wilson, Andrew, Whitbourn, Robert, Gutman, Jack and Newcomb, Andrew 2016. An Australian longitudinal pilot study examining health determinants of cardiac outcomes 12 months post percutaneous coronary intervention. BMC Cardiovascular Disorders. 16 (31), pp. 1 - 8. https://doi.org/10.1186/s12872-016-0203-9
AuthorsEdward, Karen-Leigh, Stephenson, John, Giandinoto, Jo-Ann M., Wilson, Andrew, Whitbourn, Robert, Gutman, Jack and Newcomb, Andrew
Abstract

Background: Percutaneous coronary intervention (PCI) is a very common revascularisation procedure for coronary artery disease (CAD). The purpose of this study was to evaluate cardiac outcomes, health related quality of life (HRQoL), resilience and adherence behaviours in patients who have undergone a PCI at two time points (6 and 12 months) following their procedure. Methods: A longitudinal pilot study was conducted to observe the cardiac outcomes across a cohort of patients who had undergone a percutaneous coronary intervention (PCI). Participants who had undergone PCI 6 months prior were invited. Those participants who met the inclusion criteria and provided consent then completed a telephone survey (time point 1). These participants were then contacted 6 months later (i.e. 12 months post-intervention, time point 2) and the measures were repeated. Results: All patients (n = 51) were recorded as being alive at time point 1. The multiple model indicated that controlling for other factors, gender was significantly associated with a linear combination of outcome measures (p = 0.004). The effect was moderate in magnitude (partial-η2 = 0.303), where males performed significantly better than females 6 months after the PCI procedure physically and with mood. Follow-up univariate ANOVAs indicated that gender differences were grounded in the scale measuring depression (PHQ9) (p = 0.005) and the physical component score of the short form measuring HRQoL (SF12-PCS) (p = 0.003). Thirteen patients were lost to follow-up between time points 1 and 2. One patient was confirmed to have passed away. The pattern of correlations between outcome measures at time point 2 revealed statistically significant negative correlation between the PHQ instrument and the resilience scale (CD-RISC) (r = -0.611; p  <  0.001); and the physical component score of the SF-12 instrument (r = -0.437; p = 0.054). Conclusions: Men were performing better than women in the 6 months post-PCI, particularly in the areas of mood (depression) and physical health. This pilot results indicate gender-sensitive practices are recommended particularly up to 6 months post-PCI. Any gender differences observed at 6 month appear to disappear at 12 months post-PCI. Further research into the management of mood particularly for women post-PCI is warranted. A more detailed inquiry related to access/attendance to secondary prevention is also warranted.

Keywordspercutaneous coronary intervention; wellbeing; quality of life; depression; gender; resilience
Year2016
JournalBMC Cardiovascular Disorders
Journal citation16 (31), pp. 1 - 8
PublisherBiomed Central Ltd
ISSN1471-2261
Digital Object Identifier (DOI)https://doi.org/10.1186/s12872-016-0203-9
Open accessOpen access
Page range1 - 8
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
Place of publicationUnited Kingdom
EditorsF. D'ascenzo, C. Delles and M. Noutsias, J. Takkenberg & G. Whalley
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Recovering from an acute cardiac event- the relationship between the depression and life satisfaction.
Page, Karen, Davidson, Patricia, Edward, Karen-Leigh, Allen, Josh, Cummins, Robert, Thompson, David and Worrall-Carter, Linda 2010. Recovering from an acute cardiac event- the relationship between the depression and life satisfaction. Journal of Clinical Nursing. 19 (June), pp. 736 - 743. https://doi.org/10.1111/j.1365-2702.2009.03106.x
The phenomenon of resilience as described by adults who have experienced mental illness
Edward, Karen-Leigh, Welch, Anthony and Chater, Keri 2009. The phenomenon of resilience as described by adults who have experienced mental illness. Journal of Advanced Nursing. 65 (3), pp. 587 - 595. https://doi.org/10.1111/j.1365-2648.2008.04912.x
Australian nursing curricula and mental health recruitment
Warelow, Philip and Edward, Karen-Leigh 2009. Australian nursing curricula and mental health recruitment. International Journal of Nursing Practice. 15 (4), pp. 250 - 256. https://doi.org/10.1111/j.1440-172X.2009.01751.x
Nursing considerations for dual diagnosis in mental health
Edward, Karen-Leigh and Munro, Ian 2009. Nursing considerations for dual diagnosis in mental health. International Journal of Nursing Practice. 15 (2), pp. 74 - 79. https://doi.org/10.1111/j.1440-172X.2009.01731.x
The lived experience of gay men caring for others with HIV/AIDS: Resilient coping skills
Munro, Ian and Edward, Karen-Leigh 2008. The lived experience of gay men caring for others with HIV/AIDS: Resilient coping skills. International Journal of Nursing Practice. 14 (2), pp. 122 - 128. https://doi.org/10.1111/j.1440-172X.2008.00675.x
Mental illness and substance use: An Australian perspective
Munro, Ian and Edward, Karen-Leigh 2008. Mental illness and substance use: An Australian perspective. International Journal of Mental Health Nursing. 17 (4), pp. 255 - 260. https://doi.org/10.1111/j.1447-0349.2008.00541.x
Depression and other mental illnesses in the context of workplace efficacy
Edward, Karen-Leigh and Munro, Ian 2008. Depression and other mental illnesses in the context of workplace efficacy. Journal of Psychiatric and Mental Health Nursing. 15 (7), pp. 605 - 611. https://doi.org/10.1111/j.1365-2850.2008.01253.x
Care: What nurses say and what nurses do
Warelow, Philip, Edward, Karen-Leigh and Vinek, J. 2008. Care: What nurses say and what nurses do. Holistic Nursing Practice. 22 (3), pp. 146 - 153. https://doi.org/10.1097/01.HNP.0000318023.53151.33
The recovery journey - employment support for people with depression and other mental illnesses
Munro, Ian and Edward, Karen-Leigh 2008. The recovery journey - employment support for people with depression and other mental illnesses. Advances in Mental Health. 7, pp. 1 - 8.
Doctoral graduates in mental health nursing in Victoria, Australia: The doctoral experience and contribution to scholarship
Happell, Brenda, Edward, Karen-Leigh and Welch, Anthony 2008. Doctoral graduates in mental health nursing in Victoria, Australia: The doctoral experience and contribution to scholarship. International Journal of Mental Health Nursing. 17 (4), pp. 270 - 278. https://doi.org/10.1111/j.1447-0349.2008.00543.x
Simulation to Practice: Developing Nursing Skills in Mental Health: An Australian Perspective
Edward, Karen-Leigh, Hercelinskyj, Gylo, Warelow, Philip and Munro, Ian 2007. Simulation to Practice: Developing Nursing Skills in Mental Health: An Australian Perspective. The International Electronic Journal of Health Education. 10, pp. 60 - 64.
Caring as a resilient practice in mental health nursing
Warelow, Philip and Edward, Karen-Leigh 2007. Caring as a resilient practice in mental health nursing. International Journal of Mental Health Nursing. 16 (2), pp. 132 - 135. https://doi.org/10.1111/j.1447-0349.2007.00456.x
Burnout in the caring nurse: Learning resilient behaviours.
Edward, Karen-Leigh and Hercelinskyj, Gylo 2007. Burnout in the caring nurse: Learning resilient behaviours. British Journal of Nursing. 16 (4), pp. 240 - 242. https://doi.org/10.12968/bjon.2007.16.4.22987
Evidence-based mental health nursing in Australia: Our history and our future
Warelow, Philip and Edward, Karen-Leigh 2007. Evidence-based mental health nursing in Australia: Our history and our future. International Journal of Mental Health Nursing. 16 (1), pp. 57 - 61. https://doi.org/10.1111/j.1447-0349.2006.00445.x
A theoretical discussion about the clinical value of phenomenology for nurses
Edward, Karen-Leigh 2006. A theoretical discussion about the clinical value of phenomenology for nurses. Holistic Nursing Practice. 20 (5), pp. 235 - 238.
Resilience: A protector from depression
Edward, Karen-Leigh 2005. Resilience: A protector from depression. Journal of the American Psychiatric Nurses Association. 11 (4), pp. 241 - 243. https://doi.org/10.1177/1078390305281177
Resilience: When coping is emotionally intelligent
Edward, Karen-Leigh and Warelow, Philip 2005. Resilience: When coping is emotionally intelligent. Journal of the American Psychiatric Nurses Association. 11 (2), pp. 101 - 102. https://doi.org/10.1177/1078390305277526
The phenomenon of resilience in crisis care mental health clinicians
Edward, Karen-Leigh 2005. The phenomenon of resilience in crisis care mental health clinicians. International Journal of Mental Health Nursing. 14 (2), pp. 142 - 148. https://doi.org/10.1111/j.1440-0979.2005.00371.x