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Gender related difference in health related quality of life among PCI patients
Abstracts
N87 Gender related difference in health related quality of life among PCI patients Álfhildur Thordardottir, Landspitali University Hospital, Reykjavík, Iceland, Hólmfríður Aðalsteinsdottir, Landspitali University Hospital, Reykjavík, Iceland, Karl Andersen, Landspitali University Hospital, Reykjavík, Iceland Purpose: Female cardiac patients are known to have lower scores on health related quality of life (HRQoL) questionnaires than male patients. However, gender related differences in the effects of PCI on HRQoL are less clear. The study was done to evaluate gender related differences in the effect of PCI treatment on HRQoL. Methods: We conducted a prospective study of 87 patients with ACS and/ or NSTEMI undergoing PCI with stent placement for coronary artery disease. Patients answered the SF-36v2 questionnaire on HRQoL before PCI. Six months later, participants were re-evaluated with a second SF-36v2 questionnaire. Results: Among the 87 patients, 69 (79%) were males and 18 (21%) females. Male patients scored significantly higher in physical aspects of HRQoL (PCS) than female patients, both at baseline (p b 0.02) and at 6 months follow-up (p b 0.01). The improvement in PCS after PCI treatment was 16.5% for males and 17.9% for females. There was no significant difference between male and female patients in mental aspects of HRQoL (MCS) at baseline (p N 0.1) but male patients scored significantly higher than female patients at the 6 months follow-up (p b 0.05). However, the improvement was only 1.6% for male and 0.3% for female patients at MCS. Conclusions: Female cardiac patients present with lower scores on physical aspects of HRQoL than male patients. The effect of PCI on both sexes is primarily improvement in physical rather than mental aspects of HRQoL. Female patients seem to benefit even more than male patients in HRQoL after PCI treatment. doi:10.1016/j.ijcard.2007.03.102
N88 What do pregnant women with congenital heart disease know about their pregnancy-specific health behaviour, contraception and inheritance of the disease? Philip Moons, Katholieke Universiteit Leuven, Leuven, Belgium, Els Huyghe, Katholieke Universiteit Leuven, Leuven, Belgium, Els Costermans, Katholieke Universiteit Leuven, Leuven, Belgium, Wim Drenthen, University Medical Center Groningen, Groningen, Netherlands, Petronella Pieper, University Medical Center Groningen, Groningen, Netherlands, Wemer Budts, University Hospitals of Leuven, Leuven, Belgium
S41
Aim: To investigate the level of knowledge with respect to specific health behaviour, contraception, and inheritance of the disease in women with congenital heart disease who had been pregnant. Methods: In this retrospective, descriptive study we included 137 Dutch-speaking women born between January 1, 1958 and December 31, 1983. They all had a pregnancy of at least 20 weeks, and were in active follow-up. The first pregnancy has taken place between 1975 and 2006. Participants were interviewed by telephone using a self-devised 9-item questionnaire, retrospectively assessing what they knew about specific health behaviour, contraception, and inheritance of the disease. The respondents' answers were scored by the investigators based on their primary diagnosis and their clinical status as ‘correct’, ‘incorrect’ or ‘not known’. Results: Patients had a good understanding (N80% correct answers) of general pregnancyrelated issues: the need for medical follow-up, risk of alcohol consumption and smoking. Knowledge of limiting exercise, sleeping positions, and endocarditis prophylaxis was moderate (50–80% correct answers). Avoiding saunas and hot tubs, understanding of contraception and inheritance risks were inadequate (b50% correct answers). Conclusions: This study suggests that the level of knowledge for specific aspects is poor. Hence, structured education programmes should be developed, in which education on the appropriate contraceptives, inheritance, and the use of saunas and hot tubs during pregnancy is provided. doi:10.1016/j.ijcard.2007.03.103
P89 The elderly patient and cardiac surgery: A nurse's perspective Marit Sigrun Hellesvik, Diakonhjemmet University College, Oslo, Norway Background: The number of elderly patients in our wards is increasing. There is an ongoing discussion whether there should be an age limit to certain expensive treatments such as cardiac surgery. I experienced a growing need for knowledge on how the elderly patients were actually doing after heart surgery. Methods: Ongoing literature studies including this study, which up to now totaled only to 19 articles, deal with relevant topics that answer the following three questions: 1. How are the elderly patients doing after cardiac surgery? 2. What is the impact on their quality of life? 3. What are the consequences for nurses? Results: Several studies show that elderly patients are doing quite well after cardiac surgery. Dahl et al. followed 47 patients over 80 years after cardiac surgery from 1993 to 2000. The survival rate was about 60% after 5 years, and 91% of the survivors said their overall quality of life was better than before surgery. Brunvand et al. followed 97 patients over 80 years after valve surgery with or
N87 Gender related difference in health related quality of life among PCI patients Álfhildur Thordardottir, Landspitali University Hospital, Reykjavík, Iceland, Hólmfríður Aðalsteinsdottir, Landspitali University Hospital, Reykjavík, Iceland, Karl Andersen, Landspitali University Hospital, Reykjavík, Iceland Purpose: Female cardiac patients are known to have lower scores on health related quality of life (HRQoL) questionnaires than male patients. However, gender related differences in the effects of PCI on HRQoL are less clear. The study was done to evaluate gender related differences in the effect of PCI treatment on HRQoL. Methods: We conducted a prospective study of 87 patients with ACS and/ or NSTEMI undergoing PCI with stent placement for coronary artery disease. Patients answered the SF-36v2 questionnaire on HRQoL before PCI. Six months later, participants were re-evaluated with a second SF-36v2 questionnaire. Results: Among the 87 patients, 69 (79%) were males and 18 (21%) females. Male patients scored significantly higher in physical aspects of HRQoL (PCS) than female patients, both at baseline (p b 0.02) and at 6 months follow-up (p b 0.01). The improvement in PCS after PCI treatment was 16.5% for males and 17.9% for females. There was no significant difference between male and female patients in mental aspects of HRQoL (MCS) at baseline (p N 0.1) but male patients scored significantly higher than female patients at the 6 months follow-up (p b 0.05). However, the improvement was only 1.6% for male and 0.3% for female patients at MCS. Conclusions: Female cardiac patients present with lower scores on physical aspects of HRQoL than male patients. The effect of PCI on both sexes is primarily improvement in physical rather than mental aspects of HRQoL. Female patients seem to benefit even more than male patients in HRQoL after PCI treatment. doi:10.1016/j.ijcard.2007.03.102
N88 What do pregnant women with congenital heart disease know about their pregnancy-specific health behaviour, contraception and inheritance of the disease? Philip Moons, Katholieke Universiteit Leuven, Leuven, Belgium, Els Huyghe, Katholieke Universiteit Leuven, Leuven, Belgium, Els Costermans, Katholieke Universiteit Leuven, Leuven, Belgium, Wim Drenthen, University Medical Center Groningen, Groningen, Netherlands, Petronella Pieper, University Medical Center Groningen, Groningen, Netherlands, Wemer Budts, University Hospitals of Leuven, Leuven, Belgium
S41
Aim: To investigate the level of knowledge with respect to specific health behaviour, contraception, and inheritance of the disease in women with congenital heart disease who had been pregnant. Methods: In this retrospective, descriptive study we included 137 Dutch-speaking women born between January 1, 1958 and December 31, 1983. They all had a pregnancy of at least 20 weeks, and were in active follow-up. The first pregnancy has taken place between 1975 and 2006. Participants were interviewed by telephone using a self-devised 9-item questionnaire, retrospectively assessing what they knew about specific health behaviour, contraception, and inheritance of the disease. The respondents' answers were scored by the investigators based on their primary diagnosis and their clinical status as ‘correct’, ‘incorrect’ or ‘not known’. Results: Patients had a good understanding (N80% correct answers) of general pregnancyrelated issues: the need for medical follow-up, risk of alcohol consumption and smoking. Knowledge of limiting exercise, sleeping positions, and endocarditis prophylaxis was moderate (50–80% correct answers). Avoiding saunas and hot tubs, understanding of contraception and inheritance risks were inadequate (b50% correct answers). Conclusions: This study suggests that the level of knowledge for specific aspects is poor. Hence, structured education programmes should be developed, in which education on the appropriate contraceptives, inheritance, and the use of saunas and hot tubs during pregnancy is provided. doi:10.1016/j.ijcard.2007.03.103
P89 The elderly patient and cardiac surgery: A nurse's perspective Marit Sigrun Hellesvik, Diakonhjemmet University College, Oslo, Norway Background: The number of elderly patients in our wards is increasing. There is an ongoing discussion whether there should be an age limit to certain expensive treatments such as cardiac surgery. I experienced a growing need for knowledge on how the elderly patients were actually doing after heart surgery. Methods: Ongoing literature studies including this study, which up to now totaled only to 19 articles, deal with relevant topics that answer the following three questions: 1. How are the elderly patients doing after cardiac surgery? 2. What is the impact on their quality of life? 3. What are the consequences for nurses? Results: Several studies show that elderly patients are doing quite well after cardiac surgery. Dahl et al. followed 47 patients over 80 years after cardiac surgery from 1993 to 2000. The survival rate was about 60% after 5 years, and 91% of the survivors said their overall quality of life was better than before surgery. Brunvand et al. followed 97 patients over 80 years after valve surgery with or