Quality of life and related factors in metabolic syndrome patients who underwent coronary artery bypass grafting surgery

Yun Chia Chen, Heng Hsin Tung*, Jeng Wei, Chung Yi Chang, Chieh Yu Liu, Li Hua Tseng

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Metabolic syndrome is a high-prevalence health problem worldwide. In Taiwan, some 16.1-20.4% of males and 13.3-15.3% of females have been diagnosed with metabolic syndrome. Cardiovascular disease is the second leading cause of death in Taiwan, and metabolic syndrome is a recognized risk factor for coronary artery disease. Coronary artery bypass grafting (CABG) is currently the most recommended treatment for coronary artery disease. In Taiwan, approximately 6,300 individuals underwent CABG surgery in 2007. Purpose: Research has found metabolic syndrome to be associated with poor outcomes following CABG. However, research focusing on quality of life in metabolic syndrome patients who have undergone CABG is lacking. The purpose of this study was to explore the quality of life of such patients in order to address this gap in understanding. Methods: The cross-sectional quantitative research design with purposive sampling used for this study employed two instruments, including the Short Form 36-Health Survey and a demographic questionnaire. Seventy patients were recruited from a medical center in northern Taiwan. Data were analyzed using SPSS, Version 17.0 software. Data analysis addressed percentages, means, standard deviations, independent t-tests, one-way ANOVAs and Pearson correlation coefficients. Results: With regard to SF-36 Taiwan version scores, results showed participant mean scores for general health and social functions to be higher than those of the general population, and, in keeping with this, the mean scores for limited role function due to emotional problems and physical pain due to the operation were lower. Nevertheless, overall, the mean score for physical functions was lower than that for the general population, as were mean scores for vitality and mental health. Metabolic syndrome indicators were significantly associated with gender, age, education level, and religious affiliation. In addition, quality of life differed significantly by gender, marital status, meal arrangements, and alcohol consumption. Finally, lower blood pressure was correlated with vitality and mental health. Conclusions: It is hoped that study findings will increase awareness among healthcare providers regarding quality of life in metabolic syndrome patients who have undergone CABG. Based on study results, healthcare providers may design specific interventions for this particular population in order to achieve optimal quality of life.

Original languageEnglish
Pages (from-to)40-49
Number of pages10
JournalJournal of Nursing
Volume57
Issue number4
StatePublished - Aug 2010

Keywords

  • Coronary artery bypass graft
  • Metabolic syndrome
  • Quality of life

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