Marital quality and loneliness as predictors for subjective health status in cardiac rehabilitation patients following percutaneous coronary intervention
Marital quality and loneliness as predictors for subjective health status in cardiac rehabilitation patients following percutaneous coronary intervention
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DOI：
10.1177/2047487316636259
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发表时间：
2016-08-01
影响因子：
8.3
通讯作者：
van Domburg, Ron T.
中科院分区：
文献类型：
--
作者：
Roijers, Joost;Sunamura, Madoka;van Domburg, Ron T.
背景低婚姻质量与不良的健康结果和较低的个人幸福感有关。孤独症会增加心血管疾病和死亡率的风险，并预示着生活质量差。本研究的目的是调查婚姻质量和孤独和主观健康状况之间的关联，在直接经皮冠状动脉介入治疗（pPCI）患者进行心脏康复（CR）。设计/方法在一项前瞻性队列研究中，pPCI患者，随后CR包括在2009 - 2011年之间。共有223例患者在基线（CR前）和3个月（CR后）或12个月随访时回答了简明健康量表12（SF-12）（主观健康状况）、Maudsley婚姻问卷（MMQ-6）（婚姻质量）和加州大学洛杉矶修订版（UCLA-R）问卷。主观健康状况由身体健康总评（PCS）评分和心理健康总评（MCS）评分显示。广义估计方程（GEE）的分析进行测试的主观健康状况的改善。结果随着时间的推移，在主观健康状况评分的变化是相似的患者与最佳的婚姻质量与不太理想的婚姻质量和非孤独的患者与孤独的患者。与荷兰健康人群相比，婚姻质量较差的患者和孤独患者在一年随访时的MCS水平较低（分别为;平均MCS评分47.3（标准差（SD）10.5）; p = 0.013，平均MCS评分46.1结论婚姻质量较差的患者和孤独症患者的MCS均未达到荷兰健康人群的水平。因此，在CR计划中应给予这些患者额外的护理和支持。
Background Low marital quality is associated with adverse health outcomes and lower personal well-being. Loneliness increases the risk of cardiovascular disease and mortality and predicts poor quality of life. The aim of this study was to investigate the association between marital quality and loneliness and subjective health status in primary percutaneous coronary intervention (pPCI) patients who underwent cardiac rehabilitation (CR).Design/methods In a prospective cohort study, pPCI patients that followed CR were included between 2009-2011. A total of 223 patients responded to the Short Form 12 (SF-12) (subjective health status), Maudsley Marital Questionnaire (MMQ-6) (marital quality) and University of California, Los Angeles - Revised (UCLA-R) questionnaires at baseline (pre-CR) and at three months (post-CR) or at 12 months follow-up. Subjective health status is displayed by a physical component summary (PCS) score and a mental component summary (MCS) score. Generalized estimating equation (GEE) analyses were performed to test improvements in subjective health status.Results Changes over time in subjective health status scores were similar between patients with optimal marital quality vs patients with less optimal marital quality and non-lonely patients vs lonely patients. The MCS level at one-year follow-up of both patients with less optimal marital quality and lonely patients was lower compared with a healthy Dutch population (respectively; mean MCS score 47.3 (standard deviation (SD) 10.5); p=0.013 and mean MCS score 46.1 (SD 11.2); p=0.010).Conclusion Both patients with less optimal marital quality and lonely patients did not reach the MCS level of a healthy Dutch population. Therefore, extra care and support should be given to these patients in a CR programme.