Cluster analysis: a useful technique to identify elderly cardiac patients at risk for poor quality of life

Fukuoka, Yoshimi; Lindgren, Teri; Rankin, Sally H.; Cooper, Bruce A.; Carroll, Diane L.

doi:10.1007/s11136-007-9272-7

Cited by 42 publications

(49 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Kondisi ini justru dapat memicu timbulnya distres baru, ditambah lagi perubahan dalam kondisi fisik dan perubahan peran yang terjadi akibat sakit yang berkepanjangan. Beberapa penelitian mengungkapkan bahwa stress, depresi, rendahnya dukungan sosial dan spiritual dapat meningkatkan perburukan kondisi penyakit pada pasien dengan PJK (Aldana et al, 2006;Fukuoka, Lindgren, Rankin, Cooper, & Carroll, 2007;Davidson et al, 2013). Dan beberapa penelitian lainnya mengungkapkan masih tingginya angka cemas dan depresi pada pasien PJK di Indonesia (Krisnayanti, ;Widiyanti, 2013) sehingga komplikasi dan perburukan pun kemungkinan jumlahnya cukup tinggi.…”

Section: Pendahuluanunclassified

“…Pasien dengan PJK secara fisik mengalami berbagai perubahan yang dapat berpengaruh terhadap aspek lainnya seperti aspek psikologis dan spiritual. Secara fisik pasien dapat mengalami angina, sesak, mudah lelah serta gangguan seksual (Rosidawati et al, 2015) dan secara psikologis pasien dengan PJK sering mengalami cemas dan depresi (Aldana et al, 2006;Fukuoka, Lindgren, Rankin, Cooper, & Carroll, 2007;Davidson et al, 2013), lebih lanjut Sarafino dan Smith (2014) mengungkapkan bahwa masalah psikososial yang dialami oleh pasien dengan penyakit kronis adalah cemas, depresi, kemarahaan, dan keputusasaan. Cemas dan depresi yang dialami oleh pasien PJK menurut Amin, Jones, Nugent, Rumsfeld, dan Spertus (2006) dapat terjadi karena diagnosis dokter tentang penyakit serius, status kesehatan yang memburuk, intervensi pengobatan, dan kekambuhan gejala yang berulang.…”

Section: Pembahasanunclassified

See 1 more Smart Citation

Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner

Nuraenii

Mirwanti

Anna

et al. 2016

JKP

View full text Add to dashboard Cite

AbstrakPrevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Being dan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariate dengan regresi logistic. Diteliti pada 100 responden yang diambil secara random dalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio (OR) 4,736 (95% confidence interval (CI), 1,749 -12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 -16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 -9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planning ataupun rehabilitasi jantung.Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual. Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease AbstractCoronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual wellbeing. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD p...

show abstract

Section: Pendahuluanunclassified

Section: Pembahasanunclassified

Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner

Nuraenii

Mirwanti

Anna

et al. 2016

JKP

View full text Add to dashboard Cite

show abstract

“…Presence of symptoms, such as chest pain, fatigue, and shortness of breath affect HRQoL when patients recover acute cardiac events or procedures (Table 1). 33 Moreover, in coronary artery disease (CAD) patients, depressive symptoms and type D personality are independent predictors of poor HRQoL. People who show type D personality, experience negative emotions and inhibit the expression of emotion/behaviour.…”

mentioning

confidence: 99%

Quality of life in chronic disease patients

2013

View full text Add to dashboard Cite

During the past decades there was an increasing predominance of chronic disorders, with a large number of people living with chronic diseases that can adversely affect their quality of life. The aim of the present paper is to study quality of life and especially Healthrelated quality of life (HRQoL) in chronic diseases. HRQOL is a multidimensional construct that consists of at least three broad domains − physical, psychological, and social functioning − that are affected by one's disease and/or treatment. HRQoL is usually measured in chronic conditions and is frequently impaired to a great extent. In addition, factors that are associated with good and poor HRQoL, as well as HRQoL assessment will be discussed. The estimation of the relative impact of chronic diseases on HRQoL is necessary in order to better plan and distribute health care resources aiming at a better HRQoL.[

show abstract

“…There have been few studies reported in the cardiac population, for example, clustering symptoms to predict risk of myocardial infarction 5,6 or profiling patients with ischemic coronary heart disease to examine how profiles differ on health-related quality of life (HRQoL). 4,8 This analysis was specifically conducted to contribute to the literature regarding patients' recovery after CABS by profiling patients on their symptoms at time of hospital discharge as a mechanism to identify those patients at risk for impaired physical functioning and physical activity at 6 weeks and at 3 and 6 months after surgery.…”

mentioning

confidence: 99%

Symptom Profiles of Coronary Artery Bypass Surgery Patients at Risk for Poor Functioning Outcomes

Zimmerman¹,

Barnason²,

Young

et al. 2010

Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

The purpose of this secondary analysis was to profile or cluster 226 patients, who had participated in a randomized controlled trial, on symptoms after coronary artery bypass surgery and to examine how these profiles could potentially be used by clinicians to identify groups at risk for impaired functioning during the first 6 months after surgery. Variables measured were symptom presence and burden and functioning. The model-based clustering method was used for cluster analysis of the symptom burden measure, and analyses of covariance were used to determine if there were differences on functioning (physical functioning and physical activity) by symptom burden group at 6 weeks and at 3 and 6 months after dismissal. The majority of the 226 subjects were married (86%), male (83%), and had a mean age of 71 (SD, 4.96) years. Eight symptoms were used in the model-based clustering method-shortness of breath, fatigue, depression, sleep disturbances, pain, swelling, anxiety, and appetite problems-and demonstrated that there were 3 patient clusters of symptom burden. Cluster 1 had low symptom burden on all 8 symptoms, cluster 3 had moderate symptom burden on all 8 symptoms, and cluster 2 had a combination of low (shortness of breath, fatigue, depression, pain, and anxiety) and moderate symptom burden (sleep problems, swelling, and appetite problems). Analyses of covariance revealed no significant cluster x time interactions for any of the variables. However, there were significant main effects (P < .01) for symptom burden groups for physical functioning (physical and vitality functioning) and physical activity (estimated energy expenditure and mean daily total activity counts). Significant main effects for time indicated physical functioning and physical activity measures, except bodily pain, improved over time (P < .05). Study results indicate that the use of profiling coronary artery bypass surgery patients on their symptoms prior to hospital discharge may assist health care providers to identify patients who could be at risk for having more difficulty with physical functioning and physical activity during the first 6 months after surgery.

show abstract

Cluster analysis: a useful technique to identify elderly cardiac patients at risk for poor quality of life

Abstract: The cluster analysis was useful to identify the subgroup with poorer recovery. Patients in the Weary group need more attention and intervention strategies to improve their health.

Cited by 42 publications

References 23 publications

Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner

Faktor yang Memengaruhi Kualitas Hidup Pasien dengan Penyakit Jantung Koroner

Quality of life in chronic disease patients

Symptom Profiles of Coronary Artery Bypass Surgery Patients at Risk for Poor Functioning Outcomes

Contact Info

Product

Resources

About