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

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 p<.001), p<.001), 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 p<.001), p<.001), 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.

Health-related quality of life and readmission of patients with cardiovascular disease in South Korea

“…This study analyzed raw data from the fourth to sixth KNHANES (2007, 2010-2012, and 2013-2014KCDC, 2008KCDC, -2015; N = 65,973). In this study, participants were 1132 adults, aged 19 years or older, who had been diagnosed with myocardial infarction or angina pectoris.…”

“…1 In Korea, in particular, the government does not fully support medical expenses. 2 Thus, readmission also increases economic burdens owing to medical expenditures, 3 which affects both patients and their families. Furthermore, the health-related quality of life (HRQOL) of patients with chronic diseases who are readmitted is reduced, due to long-term treatment and physical symptoms in addition to the burden of medical costs.…”

“…2 However, few studies have investigated the relationship between hospital readmission for myocardial infarction or angina and HRQOL. Prior comparative studies typically examined the HRQOL of patients with cardiovascular disease according to age or sex, 2 patients experiencing heart failure, 8 or changes in HRQOL due to patients’ roles or family support. 9 Many studies on HRQOL in patients with cardiovascular disease have focused on heart failure.…”

“…12 It is well known that diseases such as myocardial infarction and angina are likely to cause heart failure as they become chronic. 2,13 In addition, cardiovascular disease may lead to serious complications, requiring follow-up visits to medical facilities and repeated readmission. 14…”

“…6,7 This phenomenon can also be seen in South Korea; chronic cardiovascular disease mobility is increasing as the rapid aging of population progresses. 2 However, few studies have investigated the relationship between hospital readmission for myocardial infarction or angina and HRQOL. Prior comparative studies typically examined the HRQOL of patients with cardiovascular disease according to age or sex, 2 patients experiencing heart failure, 8 Health-related quality of life and readmission of patients with cardiovascular disease in South Korea…”