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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Edward, Karen-Leigh and Mills, Cally. (2013). A hospital nursing research enhancement model. The Journal of Continuing Education in Nursing. https://doi.org/10.3928/00220124-20130801-45
Oral care for in-patients : Current practice - Future directions
Edward, Karen-Leigh, Salamone, Kathryn, Mahoney, Anne-Marie, Mills, Cally, Rod, Mann, Arunasalam, Krishna, McLean, Anne, Yacoub, Elaine, Lorman, Sharon and Aspiridis, Katina. (2013). Oral care for in-patients : Current practice - Future directions. Dental Nursing. https://doi.org/10.12968/denn.2013.9.5.280
Oral Care of Hospitalised Older Patients in the Acute Medical Setting
Salamone, Kathryn, Yacoub, Elaine, Mahoney, Anne-Marie and Edward, Karen-Leigh. (2013). Oral Care of Hospitalised Older Patients in the Acute Medical Setting. Nursing Research and Practice. https://doi.org/10.1155/2013/827670
Chronic illness and wellbeing : using nursing practice to foster resilience as resistance
Edward, Karen-Leigh. (2013). Chronic illness and wellbeing : using nursing practice to foster resilience as resistance. British Journal of Nursing. https://doi.org/10.12968/bjon.2013.22.13.741
Understanding compliance with protective eyewear amongst peri-operative nurses : a phenomenological inquiry
Neo, Felicia, Edward, Karen-Leigh and Mills, Cally. (2013). Understanding compliance with protective eyewear amongst peri-operative nurses : a phenomenological inquiry. The Australian Journal of Advanced Nursing.
Hospitalized mental health patients and oral health
Edward, Karen-Leigh, Felstead, Boyce and Mahoney, Anne-Marie. (2012). Hospitalized mental health patients and oral health. Journal of Psychiatric and Mental Health Nursing. 19(5), pp. 419 - 425. https://doi.org/10.1111/j.1365-2850.2011.01794.x
Current evidence regarding non-compliance with personal protective equipment : An integrative review to illuminate implications for nursing practice
Rong Xi, Felicia Neo, Edward, Karen-Leigh and Mills, Cally. (2012). Current evidence regarding non-compliance with personal protective equipment : An integrative review to illuminate implications for nursing practice. ACORN : The Journal of Perioperative Nursing in Australia. 25(4), pp. 22 - 28.
Dual diagnosis, as described by those who experience the disorder : Using the Internet as a source of data
Edward, Karen-Leigh and Robins, Alan. (2012). Dual diagnosis, as described by those who experience the disorder : Using the Internet as a source of data. International Journal of Mental Health Nursing. 21(6), pp. 550 - 559. https://doi.org/10.1111/j.1447-0349.2012.00833.x
Women and cardiovascular disease : At a social disadvantage?
Worrall-Carter, Linda, Edward, Karen-Leigh and Page, Karen Nicola. (2012). Women and cardiovascular disease : At a social disadvantage? Collegian. 19(1), pp. 33 - 37. https://doi.org/10.1016/j.colegn.2011.09.004
Service integration for the dually diagnosed
Edward, Karen-Leigh, Nelson-Hearity, Rhonda and Felstead, Boyce. (2012). Service integration for the dually diagnosed. Australian Journal of Primary Health. 18(1), pp. 17 - 22. https://doi.org/10.1071/PY11031
A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals
Lakhan, Prabha, Jones, Mark, Wilson, Andrew, Courtney, Mary Denise, Hirdes, John and Gray, Leonard. (2011). A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals. Journal of the American Geriatrics Society. 59(11), pp. 2001 - 2008. https://doi.org/10.1111/j.1532-5415.2011.03663.x
Not just gloves: A review of the literature on the use of protective eyewear in all areas of the perioperative environment for nurses and other health care workers
Mills, Cally, Moore, Carolyn and Edward, Karen-Leigh. (2011). Not just gloves: A review of the literature on the use of protective eyewear in all areas of the perioperative environment for nurses and other health care workers. ACORN : The Journal of Perioperative Nursing in Australia. 24(4), pp. 14 - 18.
The extension of Colaizzi's method of phenomenological enquiry
Edward, Karen-Leigh and Welch, Tony. (2011). The extension of Colaizzi's method of phenomenological enquiry. Contemporary Nurse: health care across the lifespan (print version). 39(2), pp. 163 - 171. https://doi.org/10.5172/conu.2011.39.2.163
Resilience, recovery, reconnection and therapeutic optimism
Edward, Karen-Leigh, Welch, Anthony and Elsom, Stephen. (2011). Resilience, recovery, reconnection and therapeutic optimism. In In Edward, Karen-leigh, Munro, Ian, Robins, Alan and Welch, Anthony (Ed.). Mental health nursing : Dimensions of praxis pp. 66-87 Oxford University Press.
The burden of care of gay male carers caring for men living with HIV/AIDS
Munro, Ian and Edward, Karen-Leigh. (2010). The burden of care of gay male carers caring for men living with HIV/AIDS. American Journal of Men's Health. 4(4), pp. 287 - 296. https://doi.org/10.1177/1557988309331795
Nursing care of clients treated with atypical antipsychotics who have a risk of developing metabolic instability and/or type 2 diabetes
Edward, Karen-Leigh, Rasmussen, Bodil and Munro, Ian. (2010). Nursing care of clients treated with atypical antipsychotics who have a risk of developing metabolic instability and/or type 2 diabetes. Archives of Psychiatric Nursing. 24(1), pp. 46 - 53. https://doi.org/10.1016/j.apnu.2009.04.009
The information and support needs of Faroese women hospitalised with an acute coronary syndrome
Askham, Jorun, Kuhn, Lisa, Frederiksen, Kirsten, Davidson, Patricia, Edward, Karen-Leigh and Worrall-Carter, Linda. (2010). The information and support needs of Faroese women hospitalised with an acute coronary syndrome. Journal of Clinical Nursing. 19(October), pp. 1352 - 1361. https://doi.org/10.1111/j.1365-2702.2009.03013.x
Getting that piece of paper: Mental health nurses' experience of undertaking doctoral studies in Victoria, Australia
Welch, Anthony, Happell, Brenda and Edward, Karen-Leigh. (2010). Getting that piece of paper: Mental health nurses' experience of undertaking doctoral studies in Victoria, Australia. Archives of Psychiatric Nursing. 24(3), pp. 145 - 154. https://doi.org/10.1016/j.apnu.2009.04.005
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