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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
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Functional Status and Search for Meaning After Percutaneous Coronary Intervention.
Brenda G Skaggs1, Bernice C Yates2
1Department of Veterans Affairs Medical Center, Oklahoma City, OK, USA Brenda.skaggs@va.gov.
Western Journal of Nursing Research
|December 17, 2014
Summary
Recurrent angina after percutaneous coronary intervention (PCI) is linked to worse psychological and physical function. Patients with recurrent symptoms experienced disrupted meaning, increased anxiety, and depression, necessitating targeted interventions.
Area of Science:
- Cardiology
- Psychology
- Health Outcomes
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for coronary artery disease.
- Recurrent angina symptoms post-PCI can significantly impact patient well-being.
- Understanding the psychological and functional differences is crucial for comprehensive patient care.
Purpose of the Study:
- To compare the search for meaning and functional status (psychological and physical) in patients with and without recurrent angina after PCI.
- To identify specific psychological and functional deficits associated with recurrent symptoms following PCI.
Main Methods:
- A cohort of 224 patients (147 male, 77 female) who underwent PCI completed validated instruments.
- Instruments included the Meaning in Heart Disease instrument, Hospital Anxiety and Depression Scale, and SF36v2™.
- Patients were categorized based on the presence or absence of recurrent angina symptoms.
Main Results:
- Forty percent of the sample reported recurrent angina symptoms.
- Patients with recurrent symptoms showed significantly higher disrupted meaning, anxiety, and depression.
- Lower physical functioning and greater use of meaning-based coping strategies were also observed in those with recurrent symptoms.
Conclusions:
- Recurrent angina after PCI is associated with substantial psychological distress and functional impairment.
- Cognitive behavioral and coping interventions are recommended to manage these disruptions.
- Identifying patients at risk for recurrent symptoms post-PCI is essential for timely intervention.
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