Patients' perspective of quality-of-care and its correlation to quality-of-life following spontaneous coronary artery dissection.

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Quan Dang, Barbara Murphy, Robert M Graham, Aniket Puri, Sarah Ford, Simone Marschner, James J H Chong, Sarah Zaman
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引用次数: 0

Abstract

Aims: Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of myocardial infarction. We aimed to investigate SCAD survivors' perceptions of their quality-of-care and its relationship to quality-of-life.

Methods and results: An anonymous survey was distributed online to SCAD survivors involved in Australian SCAD support groups, with 172 (95.3% female, mean age 52.6 ± 9.2 years) participants in the study. The survey involved assessment of quality-of-life using a standardized questionnaire (EQ-5DTM-3L). Respondents rated the quality-of-care received during their hospital admission for SCAD with a median of 8/10 [interquartile range (IQR) 7-10]. Respondents ≤ 50 years vs. >50 years were more likely to perceive that their symptoms were not treated seriously as a myocardial infarction (χ2 = 4.127, df = 1, P < 0.05). Participants rated clinician's knowledge of SCAD with a median of 4/10 (IQR 2-8) and 7/10 (IQR 3-9) for Emergency and Cardiology clinicians, respectively (P < 0.05). The internet was the most selected source (45.4%) of useful SCAD information. The mean EQ-5DTM summary index was 0.79 (population norm 0.87). A total of 47.2% of respondents reported a mental health condition diagnosis, with 36% of these diagnosed after their admission with SCAD. Quality-of-life was significantly associated with perceived quality-of-care: EQ-5DTM index/(1-EQ-5DTM index) increased by 13% for each unit increase in quality-of-care after adjusting for age and comorbidities (P < 0.001).

Conclusion: While SCAD survivors rated their overall hospital care highly, healthcare providers' knowledge of SCAD was perceived to be poor, and the most common source of SCAD information was the internet. Mental health conditions were common, and a significant association was observed between perceived quality-of-care and SCAD survivors' quality-of-life.

自发性冠状动脉夹层术后患者对护理质量的看法及其与生活质量的相关性。
目的:自发性冠状动脉夹层(SCAD)是心肌梗死的一个认识不足的原因。我们旨在调查自发性冠状动脉夹层(SCAD)幸存者对其护理质量的看法及其与生活质量的关系:我们在网上向参加澳大利亚 SCAD 支持小组的 SCAD 幸存者发放了匿名调查问卷,共有 172 人(95.3% 为女性,平均年龄为 52.6 ± 9.2 岁)参与了研究。调查使用标准化问卷(EQ-5DTM-3L)对生活质量进行评估。受访者对其因 SCAD 入院期间接受的护理质量的评分中位数为 8/10[四分位距(IQR)为 7-10]。与年龄大于 50 岁的受访者相比,年龄小于 50 岁的受访者更有可能认为他们的症状没有被当作心肌梗死认真对待(χ2 = 4.127,df = 1,P < 0.05)。参与者对急诊科和心脏科临床医生对 SCAD 的了解程度的评分中位数分别为 4/10(IQR 2-8)和 7/10(IQR 3-9)(P < 0.05)。互联网是获得有用 SCAD 信息最多的来源(45.4%)。平均 EQ-5DTM 总指数为 0.79(人群标准值为 0.87)。共有 47.2% 的受访者报告了精神健康状况诊断,其中 36% 的受访者是在入院后被诊断为 SCAD 的。生活质量与感知的护理质量密切相关:在对年龄和合并症进行调整后,护理质量每增加一个单位,EQ-5DTM 指数/(1-EQ-5DTM 指数)就会增加 13%(P < 0.001):虽然 SCAD 幸存者对医院护理的总体评价很高,但他们认为医疗服务提供者对 SCAD 的了解较少,最常见的 SCAD 信息来源是互联网。心理健康问题很常见,在感知到的护理质量与 SCAD 幸存者的生活质量之间存在显著关联。
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来源期刊
European Journal of Cardiovascular Nursing
European Journal of Cardiovascular Nursing CARDIAC & CARDIOVASCULAR SYSTEMS-NURSING
CiteScore
5.10
自引率
10.30%
发文量
247
审稿时长
6-12 weeks
期刊介绍: The peer-reviewed journal of the European Society of Cardiology’s Council on Cardiovascular Nursing and Allied Professions (CCNAP) covering the broad field of cardiovascular nursing including chronic and acute care, cardiac rehabilitation, primary and secondary prevention, heart failure, acute coronary syndromes, interventional cardiology, cardiac care, and vascular nursing.
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