Influencing factors of care dependence in patients with coronary heart disease after percutaneous coronary intervention-A cross-sectional study

Nurs Open. 2023 Jan;10(1):241-251. doi: 10.1002/nop2.1299. Epub 2022 Aug 23.

Abstract

Aim: Care dependence has been scarcely investigated in coronary heart disease patients after percutaneous coronary intervention. This study aimed to investigate the association between frailty, self-efficacy, combined effects of frailty and self-efficacy, mental health, and care dependence in coronary heart disease patients after percutaneous coronary intervention.

Design: Cross-sectional study.

Methods: Data from 400 patients after percutaneous coronary intervention were collected from 2017-2020. Logistic regression model and mediating analysis were used to identify the association between frailty, self-efficacy, combined effects of frailty and self-efficacy, and care dependence.

Results: Patients with frailty and self-efficacy tended to have severe care dependence symptoms. There was no correlation between frailty symptoms, self-efficacy, and care dependence in patients without symptoms of anxiety or depression. But in patients with anxiety or depression symptoms, there is a strong correlation between frailty symptoms, lower self-efficacy, and care dependence. Mental health played an inhibitory effect on frailty and care dependence.

Keywords: anxiety; care dependence; depression; frailty; percutaneous coronary intervention; self-efficacy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety
  • Coronary Disease* / surgery
  • Cross-Sectional Studies
  • Frailty* / diagnosis
  • Humans
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / psychology