Factors related to perceived control and health‐related quality of life of patients after acute coronary syndrome during admission and after discharge

Abstract

Aim To explore the relationship between demographic factors, acute coronary syndrome‐related factors, perceived control and health‐related quality of life during admission, 3 months and 6 months after discharge, in patients with acute coronary syndrome. Methods Participants were recruited for this longitudinal study after admission for acute coronary syndrome in three university hospitals in the Tokyo metropolitan area, Japan. Self‐administered questionnaires included demographic data, perceived control, health‐related quality of life, acute coronary syndrome symptoms, fatigue, depression and anxiety. Results Participants (N = 137) had an average age of 62.8 (SD 11.6) years and 80.3% were male. As a result of Path analysis, higher perceived control (β = 0.258, p = .001), lower anxiety (β = −0.226, p = .009) and lower fatigue (β = −0.231, p = .010), were significantly related to better health‐related quality of life (General health). Only annual income was significantly related to perceived control (β = 0.187, p = .029). Eighty‐two (59.9%) participants at 3 months and 54 (39.4%) participants at 6 months completed the questionnaires. Perceived control (F = 7.074, p = .001) and General health (χ2 = 10.22, p = .006) significantly increased over the 6 months. Perceived control during admission was significantly related with health‐related quality of life at 3 months. Perceived control at 3 months was significantly related with health‐related quality of life at 6 months. Conclusion Perceived control was an important factor for health‐related quality of life of the Japanese patients with acute coronary syndrome. It is necessary to investigate whether nursing interventions to enhance perceived control lead to improvement of health‐related quality of life.

Healthcare graduate students' perceived control and preventive behavior for COVID-19 in Japan and the United States: A cross-sectional study

“…These results indicate that nationality is a stronger predictor of preventive health behavior than perceived control, as also indicated in odds ratios. Actually, previous studies reported weaker association between perceived control and health outcomes in Japanese elderly people than American elderly people (53,54), an outcome that was consistent with young adults in this study. This can be one reason why Japanese students showed the lowest perceived control but the highest preventive behaviors.…”

Perceived Control, Preventative Health Behaviors, and the Mental Health of Nursing Students During the COVID-19 Pandemic: A Cross-Sectional Study

“…Since preventing infection is closely intertwined with government policies and strategies, students who are aware of those policies or are politically active may have higher preventive behaviors. Although previous studies have shown that Japanese people have lower levels of perceived control than people in any other countries, 31,32 this study found that students' perceived control was comparable with that of Salehi et al's 18 participants of young Iranian women.…”

Relationship Between Resilience and Perceived Control After Acute Coronary Syndrome

“…Cronbach α of the Japanese version with 137 patients with ACS was 0.822. 11 In the current study, Cronbach α was adequate at 0.794.…”

“…The FSI was originally created to measure fatigue in patients with cancer, and reliability ( α > .90) and validity were confirmed 32 . It has been used successfully for patients with coronary heart disease, 33 including Japanese patients 11 . It is a publicly available instrument that does not require permission to use.…”

“…The research framework is developed from the authors' previous study, 11 which is based on a control model 24 . Resilience was added to the model for this study and includes 3 domains of social support, self-efficacy, and sociality 22 (Figure 1).…”