Methodological triangulation showed the poorest quality of life in the youngest people following treatment of coronary artery disease: a longitudinal study
Methodological triangulation showed the poorest quality of life in the youngest people following treatment of coronary artery disease: a longitudinal study
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DOI：
10.1016/j.ijnurstu.2004.09.016
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发表时间：
2005-08-01
影响因子：
8.1
通讯作者：
Lukkarinen, H
中科院分区：
文献类型：
--
作者：
Lukkarinen, H
采用纵向研究的方法，描述、解释和了解280例冠心病患者发病后、治疗过程和康复期的主观健康相关生活质量和生命过程。用Meta分析评价定量和定性方法所得结果的意义。在治疗(药物治疗、球囊血管成形术或搭桥手术)后一年对19人进行了纵向定量研究，其中19人在家中接受治疗一年后参加了专题访谈，定量分析结果显示最年轻年龄组的男性和女性冠心病患者的HRQOL最差。虽然患者的平均HRQOL在疼痛、精力和活动能力维度上有所改善，但在社交隔离、睡眠和情绪反应维度上有所恶化。从方法论三角的角度来看，最显著的发现是，定性方法解释了定量方法得出的较差的心理社会HRQOL，表明关键因素是年龄和与年龄相关的生活状况。访谈和现象学心理学的方法有助于深入了解被调查者对HROOL和生命历程的情景体验，这是问卷无法检测到的。(C)2004爱思唯尔有限公司。保留所有权利。
The purpose of the longitudinal study was to describe, explain and understand the subjective health related quality of life (HRQoL) and life course of people (N = 280) with coronary artery disease (CAD) during the period following the onset of the disease, the process of therapy and the period of rehabilitation.Methodological triangulation was used in this research. The significance of the results obtained with quantitative and qualitative methods was evaluated by means of meta-analysis. A longitudinal quantitative study was undertaken through the year after the treatments (medication, balloon angioplasty or bypass surgery), and 19 persons attended thematic interviews 1 year after the treatments carried out in their homes.The results of quantitative analysis showed that the male and female CAD patients in the youngest age group had the poorest HRQoL. Although, the patients average HRQoL improved on the dimensions of pain, energy and mobility, it deteriorated on the dimensions of social isolation, sleep and emotional reactions.From the viewpoint of methodological triangulation, the most significant finding was that the qualitative approach provided an explanation for the poor psychosocial HRQoL obtained by the quantitative approach, showing the crucial factor to be age and age-related aspects of the life situation. Interviews and the method of phenomenological psychology helped to gain insight into the informants' situational experience of HROoL and life course, which was not detectable with a questionnaire. (c) 2004 Elsevier Ltd. All rights reserved.