Influencing factors of care dependence in patients with coronary heart disease after percutaneous coronary intervention-A cross-sectional study.
Juan Guo, Youyou Chen, Yu Dai and 2 others
PMID 35997202WHAT IT FOUND
Post-PCI patients with frailty or low cardiac self-efficacy were more likely to depend on nursing care.
The association was seen in those with anxiety or depression symptoms. Assess these factors during discharge planning, but do not assume fixing them reduces dependence.
Key findings
01Less frailty and higher cardiac self-efficacy were independently associated with lower odds of care dependence (OR 0.116 and OR 0.054).
02Less frailty together with higher cardiac self-efficacy was associated with lower odds of care dependence (OR 0.003).
03Among patients with anxiety or depression symptoms, less frailty and higher self-efficacy were associated with lower care dependence; among those without such symptoms, the associations were not significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional design with no premeasure, so the study cannot show whether frailty or low self-efficacy came before care dependence or after PCI. Single hospital in China, so results may not apply to other settings or populations. 653 missing data values were imputed. Patients with mental illness, motor dysfunction, serious organic or chronic diseases affecting self-care, age under 18 or over 90, and serious post-PCI complications were excluded. Data were collected over a 4-year period. Many variables were examined, and the reported associations do not prove cause and effect.
Declared interests
Funded by Anhui Health Commission and Anhui Medical University. Authors declared no conflict of interest.
The easy way to misread this
Do not read the odds ratios as proof that treating frailty, low confidence, or anxiety/depression will reduce nursing care dependence. This was a cross-sectional study without baseline measurement or intervention.