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Original Article

J Korean Gerontol Nurs. 2014 Dec;16(3):210-219. Korean.
Published online Dec 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.3.210
© 2014 Korean Gerontological Nursing Society
A Comparison of Social Support, Depression, and Qualify of Life in Adults and Elders Who have Undergone Coronary Artery Bypass Surgery
Jiyoung Kim*
Division of Nursing Science, Ewha Womans University, Seoul, Korea.

*Corresponding author: Kim, Jiyoung. Division of Nursing Science, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 120-750, Korea. Tel: +82-2-3277-4588, Fax: +82-2-3277-2850, Email: jy1223.kim@gmail.com
Received March 19, 2014; Revised June 19, 2014; Accepted October 05, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

This study was done to compare social support, depression and quality of life (QoL) in adult (under 65) and elderly (over 65) patients who had coronary artery bypass surgery.

Methods

Participants were 66 adult and 68 elderly patients who completed questionnaires on social support, depression and QoL. Data were collected from December, 2011 to January 2012 and analyzed using χ2-test, t-test, and Pearson's correlation.

Results

The adults' physical QoL scores were significantly higher than those of the elders (t=2.58, p=.011). However, the average difference between physical and mental QoL based on age, after controlling for gender, showed that there was no significant difference in QoL between adults and elders. In adults, significant negative correlations were found between depression and social support (r=-.41, p<.001), physical QoL (r=-.48, p<.001), and mental QoL (r=-.56, p<.001), and significant positive correlation between social support and mental QoL (r=.25, p=.047). In elders, significant negative correlations were found between depression and social support (r=-.43, p<.001), physical QoL (r=-.45, p<.001), and mental QoL (r=-.56, p<.001), and significant positive correlation between social support and mental QoL (r=.28, p=.019).

Conclusion

Age-differentiated nursing intervention programs should be developed, and studies should be conducted to verify effectiveness of programs.

Keywords: Coronary artery bypass, Social support, Depression, Qualify of life, Elderly.

Tables


Table 1
Difference in General Characteristics of Adults and Elders (N=134)


Table 2
Clinical Characteristics of the Adults and Elders (N=134)


Table 3
Social Support, Depression, and Quality of Life in Adults and Elders (N=134)


Table 4
Quality of Life of Adults and Elders after Controlling for Gender (N=134)


Table 5
Correlations among Social Support, Depression, and Quality of Life in Adults and Elders (N=134)

References
1. Barry LC, Kasl SV, Lichtman J, Vaccarino V, Krumholz HM. Social support and change in health-related quality of life 6 months after coronary artery bypass grafting. J Psychosom Res 2006;60(2):185–193.
2. Bengtsson I, Hagman M, Waährborg P, Wedel H. Lasting impact on health-related quality of life after a first myocardial infarction. Int J Cardiol 2004;97(3):509–516.
3. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32(3):381–397.
4. Cho W, Choi M, Kim S, Cho E. Effect of social support and depression on self-care of older adults receiving percutaneous coronary intervention. J Korean Gerontol Nurs 2010;12(2):119–130.
5. Chon K-K, Rhee M-K. Preliminary development of Korean version of CES-D. Korean J Clin Psychol 1992;11(1):65–76.
6. Cowan MJ, Freedland KE, Burg MM, Saab PG, Youngblood ME, Cornell CE, et al. Predictors of treatment response for depression and inadequate social support --the ENRICHD randomized clinical trial. Psychother Psychosom 2008;77(1):27–37.
7. Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160.
8. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics--2013 update: A report from the American Heart Association [Electronic version]. Circulation 2013;127(1):e6–e245.
9. Joung S-S. The discriminant analysis of cardiovascular disease risk factors estimation in post-menopausal women. Korean J Sports Sci 2006;15(1):515–522.
10. Khoueiry G, Flory M, Abi Rafeh N, Zgheib MH, Goldman M, Abdallah T, et al. Depression, disability, and quality of life after off-pump coronary artery bypass grafting: A prospective 9-month follow-up study. Heart Lung 2011;40(3):217–225.
11. Korea Heart Foundation. Cardiovascular surgery 2013. 2014 Jul 15;Retrieved August 13, 2014
from
12. Krzych LJ, Woźnica A, Pawlak A, Skarysz J, Eysymontt Z, Chromańska-Matera B, et al. Quality of life in young, professionally active men undergoing on-pump coronary artery bypass grafting-short-term follow-up results. Kardiol Pol 2009;67(10):1078–1085.
13. Leifheit-Limson EC, Kasl SV, Lin H, Buchanan DM, Peterson PN, Spertus JA, et al. Adherence to risk factor management instructions after acute myocardial infarction: The role of emotional support and depressive symptoms. Ann Behav Med 2012;43(2):198–207.
14. Longmore RB, Spertus JA, Alexander KP, Gosch K, Reid KJ, Masoudi FA, et al. Angina frequency after myocardial infarction and quality of life in older versus younger adults: The prospective registry evaluating myocardial infarction: Event and recovery study. Am Heart J 2011;161(3):631–638.
15. McKenzie LH, Simpson J, Stewart M. A systematic review of pre-operative predictors of post-operative depression and anxiety in individuals who have undergone coronary artery bypass graft surgery. Psychol Health Med 2010;15(1):74–93.
16. Natarajan A, Samadian S, Clark S. Coronary artery bypass surgery in elderly people. Postgrad Med J 2007;83(977):154–158.
17. Oh JE, Park HS, Kim DH. The relationships among hostility, perceived social support and health behavior compliance of patients with coronary artery disease. J Korean Acad Fundam Nurs 2010;17(1):99–108.
18. Park JU, Lee WY, Kim KI, Hong KW, Chee HK, Shin YC, et al. Coronary artery bypass graft surgery in patients 70 years of age and older. Korean J Thorac Cardiovasc Surg 2006;39(1):28–34.
19. Park M, Kim B-R, Kang S-J, Lee D-K. Effects of regular exercise on health-related fitness, cardiovascular disease risk factors and vascular inflammation factors in the male. Off J Korean Assoc Certif Exerc Prof 2007;9(1):69–76.
20. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977;1(3):385–401.
21. Sandau KE, Lindquist RA, Treat-Jacobson D, Savik K. Health-related quality of life and subjective neurocognitive function three months after coronary artery bypass graft surgery. Heart Lung 2008;37(3):161–172.
22. Shin NY. The relationships among health locus of control and resilience, social support and health promoting behavior in patients with coronary artery disease. Unpublished master's thesis. Seoul: Ewha Womans University; 2011.
23. Song YS, Lee JS. A comparison of quality of life between patients with 12 months after coronary artery bypass graft surgery and general population. J Korean Clin Nurs Res 2008;14(1):25–32.
24. Staniūtė M, Brožaitienė J. Changes in health-related quality of life among patients with coronary artery disease: A 2-year follow-up. Medicina (Kaunas) 2010;46(12):843–850.
25. Statistics Korea. Causes of death statistics in 2012. 2013a Sep 25;Retrieved August 13, 2014
from http://kostat.go.kr/
26. Statistics Korea. 2012 Life tables for Korea. 2013b Dec 05;Retrieved August 13, 2014
from http://kostat.go.kr/
27. Székely A, Nussmeier NA, Miao Y, Huang K, Levin J, Feierfeil H, et al. A multinational study of the influence of health-related quality of life on in-hospital outcome after coronary artery bypass graft surgery. Am Heart J 2011;161(6):1179–1185.
28. The ENRICHD Investigators. Enhancing recovery in coronary heart disease patients (ENRICHD): Study design and methods. Am Heart J 2000;139(1):1–9.
29. Ware J Jr, Kosinski MM, Keller SD. A 12-item short form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care 1996;34(3):220–233.
30. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992;30(6):473–483.
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