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Zhang G, Cui J, Zhang X, Chair SY, Liu W, Liu YJ, Cheng YX, Liu Q, Yang BX, Zou H. Relationships between disease severity, psychological stress, and health-related quality of life among patients with acute coronary syndrome: mediation of illness perception. Eur J Cardiovasc Nurs 2024; 23:652-660. [PMID: 38422226 DOI: 10.1093/eurjcn/zvae030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 02/20/2024] [Accepted: 02/21/2024] [Indexed: 03/02/2024]
Abstract
AIMS Patients with acute coronary syndrome (ACS) often experience reduced health-related quality of life (HRQOL), which may be attributable to the disease severity and psychological stress. While illness perception is speculated to be a potential pathway underlying these relationships, evidence supporting this mechanism remains limited. This study aimed to investigate the relationships between disease severity, psychological stress, and HRQOL and whether these relationships are mediated by illness perception in patients with ACS. METHODS AND RESULTS Data were collected from June to July 2019 and June to September 2020 in the cardiology departments of four public hospitals in China. Eligible patients completed measures of disease severity, psychological stress, illness perception, HRQOL, and socio-demographic and clinical characteristics. Data were analysed employing hierarchical multiple regression and structural equation modelling. This study included 405 participants (mean age 60.63 years, 67.4% male). After controlling for socio-demographic and clinical covariates, higher levels of disease severity (β = 0.115, P = 0.024) and psychological stress (β = -0.209, P<0.001) were associated with poorer HRQOL; however, the relationships became non-significant after adding illness perception into the regression model. Structural equation modelling analysis suggested that illness perception played a mediating role between disease severity, psychological stress, and HRQOL, accounting for 45.95% and 65.79% of the total effects, respectively. CONCLUSION This study found that illness perception mediated the relationships between disease severity, psychological stress, and HRQOL among patients with ACS. Improving patients' HRQOL should consider its important influencing factors with a focus on promoting positive illness perception.
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Affiliation(s)
- Guiqin Zhang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
| | - Jiatong Cui
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
| | - Xiaohong Zhang
- Nursing Department, Xiangyang Central Hospital, Affiliated Hospital of Hubei, Xiangyang, Hubei, China
| | - Sek Ying Chair
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Wei Liu
- Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Yu Jia Liu
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
| | - Yu Xin Cheng
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
| | - Qian Liu
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
| | - Bing Xiang Yang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
- Population and Health Research Center, Wuhan University, Wuhan, China
| | - Huijing Zou
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan, China
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Okada A, Miyuki TM. What should be done to promote symptom perception in patients with heart failure? Eur J Cardiovasc Nurs 2024; 23:e73-e74. [PMID: 38219796 DOI: 10.1093/eurjcn/zvad137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 12/19/2023] [Indexed: 01/16/2024]
Affiliation(s)
- Akiko Okada
- Kitasato University School of Nursing, 2-1-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0329, Japan
| | - Tsuchihashi-Makaya Miyuki
- Kitasato University School of Nursing, 2-1-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0329, Japan
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Ivynian SE, Ferguson C, Newton PJ, DiGiacomo M. Authors' response to "Comment on Ivynian et al. (2024) 'The role of illness perceptions in delayed care-seeking in heart failure: A mixed-methods study'". Int J Nurs Stud 2024; 153:104722. [PMID: 38417351 DOI: 10.1016/j.ijnurstu.2024.104722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 02/09/2024] [Indexed: 03/01/2024]
Affiliation(s)
- Serra E Ivynian
- Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Australia.
| | - Caleb Ferguson
- School of Nursing, University of Wollongong and Centre for Chronic & Complex Care, Blacktown Hospital, Western Sydney Local Health District, NSW, Australia
| | - Phillip J Newton
- School of Nursing & Midwifery, University of Newcastle, Australia
| | - Michelle DiGiacomo
- Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Australia
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Yu X, Chi L, Li A, Wang W. Comment on Ivynian et al. (2024) 'The role of illness perceptions in delayed care-seeking in heart failure: A mixed-methods study'. Int J Nurs Stud 2024; 153:104723. [PMID: 38412775 DOI: 10.1016/j.ijnurstu.2024.104723] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 02/09/2024] [Indexed: 02/29/2024]
Affiliation(s)
- Xiaoyan Yu
- Department of Nursing, Yantai Yuhuangding Hospital, Yantai, Shandong, China
| | - Limei Chi
- Department of Nursing, Yantai Yuhuangding Hospital, Yantai, Shandong, China
| | - Anning Li
- Department of Nursing, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
| | - Wei Wang
- Department of Nursing, Yantai Yuhuangding Hospital, Yantai, Shandong, China.
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