Cardiovascular Intervention and Therapeutics

, Volume 30, Issue 2, pp 115–120 | Cite as

Evaluation of quality of life among patients with ischemic heart disease who practiced self-care activities at home after elective percutaneous coronary intervention

  • Yuriko TakematsuEmail author
  • Yukari Hasebe
  • Yoshimi Moriwaki
  • Naomi Kotera
  • Chie Yamada
  • Tomoko Nakagami
  • Kozo Shinoda
  • Akira Furubayashi
  • Sayoko Kato
  • Ikuko Sugimoto
  • Kenzo Shibayama
Original Article


The present study compares health-related QOL between patients who practiced self-care activities comprising exercise and diet at home for at least 6 months (SA group; n = 84) after elective PCI and those who did not (NA group; n = 54). Health-related (HR) QOL was measured using the SF-36 questionnaire. Scores for two mental and three physical parameters of the HRQOL were increased in the SA, but not in the NA group. These findings indicated that the QOL was far superior among patients who exercised and consumed an appropriate diet at home for at least 6 months after elective PCI compared with those who did not.


Elective percutaneous coronary intervention Health-related quality of life SF-36 Lifestyle Self-care activities at home 


  1. 1.
    Henderson RA, Pocock SJ, Clayton TC, Knight R, Fox KA, Julian DG, et al. Seven-year outcome in the RITA-2 trial: Coronary angioplasty versus medical therapy. J Am Coll Cardiol. 2003;42:1161–70.CrossRefPubMedGoogle Scholar
  2. 2.
    Lukkarinen H, Hentinen M. Treatments of coronary artery disease improve quality of life in the long term. Nurs Res. 2006;55:26–33.CrossRefPubMedGoogle Scholar
  3. 3.
    Lowe HC, Oesterle SN, He KL, Macneill BD, Burkhoff D. Outcomes following percutaneous coronary intervention in patients previously considered ‘without option’: A subgroup analysis of the PACIFIC Trial. J Intervent Cardiol. 2004;17(2):87–91.CrossRefPubMedGoogle Scholar
  4. 4.
    Van Domburg RT, Daemen J, Morjce MC, de Bruyne B, Colombo A, Macaya C, et al. Short-and long-term health related quality-of-life and angina status of the arterial revascularisation therapies study part II, ARTS-II; sirolimus-eluting stents for the treatment of patients with multivessel coronary artery disease. EuroIntervention. 2010;5:962–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Zhang Z, Kolm P, Boden WE, Hartigan PM, Maron DJ, Spertus JA, et al. The cost-effectiveness of percutaneous coronary intervention as a function of angina severity in patients with stable angina. Circ Cardiovasc Qual Outcomes. 2011;4:172–82.CrossRefPubMedGoogle Scholar
  6. 6.
    Hasebe Y, Kojima S, Moriwaki Y, Kato A, Saito A, Takematsu Y, et al. Evaluation of quality of life (QOL) in ischemic heart disease patients treated at home after elective percutaneous coronary intervention (PCI). CVIT Jpn Ed. 2011;3(1):55–9.Google Scholar
  7. 7.
    Nash IS, Curtis LH, Rubin H. Predictors of patient-reported physical and mental health 6 months after percutaneous coronary revascularization. Am Heart J. 1999;138:422–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Pocock SJ, Henderson RA, Seed P, Treasure T, Hampton JR. Quality of life, employment status, and angina symptoms after coronary angioplasty or bypass surgery. 3-year follow-up in the randomized intervention treatment of angina (RITA) trial. Circulation. 1996;94:135–42.CrossRefPubMedGoogle Scholar
  9. 9.
    Permanyer-Miralda G, Alonso J, Brotons C, Cascant P, Ribera A, Moral I, et al. Perceived health over 3 years after percutaneous coronary balloon angioplasty. J Clin Epidemiol. 1999;52:615–23.CrossRefPubMedGoogle Scholar
  10. 10.
    Brooks MM, Chung SC, Helmy T, Hillegass WB, Escobedo J, Melsop KA, et al. Health status after treatment for coronary artery disease and type 2 diabetes mellitus in the bypass angioplasty revascularization investigation 2 diabetes trial. Circulation. 2010;122:1690–9.CrossRefPubMedCentralPubMedGoogle Scholar
  11. 11.
    Taira DA, Seto TB, Ho KK, Krumholz HM, Cutlip DE, Berezin R, et al. Impact of smoking on health-related quality of life after percutaneous coronary revascularization. Circulation. 2000;102:1369–74.CrossRefPubMedGoogle Scholar
  12. 12.
    Haddock CK, Postom WS, Taylor JE, Conard M, Spertus J. Smoking and health outcomes after percutaneous coronary intervention. Am Heart J. 2003;145(4):652–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Denvir MA, Lee AJ, Rysdale J, Walker A, Eteiba H, Starkey IR, et al. Influence of socioeconomic status on clinical outcomes and quality of life after percutaneous coronary intervention. J Epidemiol Community Health. 2006;60:1085–8.CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Leslie SJ, Rysdale J, Lee AJ, Eteiba H, Starkey IR, Pell J, et al. Unemployment and deprivation are associated with a poorer outcome following percutaneous coronary angioplasty. Int J Cardiol. 2007;122:168–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Jamieson M, Wilcox S, Webster W, Blackhurst D, Valois RF, Durstine JL. Factors influencing health-related quality of life in cardiac rehabilitation patients. Prog Cardiovasc Nurs. 2002;17:124–31.CrossRefPubMedGoogle Scholar
  16. 16.
    Miyashita T, Shibayama K. Effect of regular mild exercise on QOL after discharge in patients hospitalized for acute myocardial infarction. Jpn Assoc Emerg Nurs. 2010;12(1):1–8.Google Scholar
  17. 17.
    The Japanese Circulation Society. Guidelines for Secondary Prevention of Myocardial Infarction (JCS2011).Google Scholar
  18. 18.
  19. 19.
    Fukuhara S, Bito S, Hsiao A, Green J, Kurokawa K. Translation, adaptation, and validation of the SF-36 health survey for use in Japan. J Clin Epidemiol. 1998;51(11):1037–44.CrossRefPubMedGoogle Scholar
  20. 20.
    Fukuhara S, Ware JE, Kosinski M, Wada S, Gandek B. Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol. 1998;51(11):1045–53.CrossRefPubMedGoogle Scholar
  21. 21.
    Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118(8):622–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Fukuhara S, Suzukamo Y. Manual of SF-36v2 Japanese version. Kyoto: Institute for Health Outcomes & Process Evaluation Research International; 2004.Google Scholar
  23. 23.
    Takahashi Y, Iwamura T, Koike T, Obara S, Machida C, Yonezawa R. Role of cardiac rehabilitation according to improvement of QOL in patients with cardiac disease recovery process: Examination of the long-term change of HRQOL. Cardiac Rehabil. 2005;10(2):254–7.Google Scholar
  24. 24.
    The Japanese Circulation Society. Guidelines for rehabilitation in patients with cardiovascular disease (JCS2012).Google Scholar
  25. 25.
  26. 26.
    Konishi H, Kumagai H, Maruji A, Kusunoki S, Kobayashi K, Taguchi Y. Effect of cardiac rehabilitation following functional capacity and QOL in elderly patients with ischemic heart disease. Cardiac Rehabil. 2003;8(1):113–7.Google Scholar
  27. 27.
    Yoshikawa E, Seki Y, Kasama K, Nakazato T, Kiuchi M, Sonoda K. Surgical treatment for morbidly obese Japanese patients: Change in food intake, nutritional status and quality of life (QOL) one year after Laparoscopic Roux-en Y Gastric Bypass (LRYGB). J Jpn Soc Study Obes. 2010;16(1):51–7.Google Scholar
  28. 28.
    Hanaoka H, Muraki T, Nogi A, Kihara I, Yakura C, Shiwaku K. Effects of weight loss program on the Health-Related Quality of Life. Sogo Rehabil. 2005;33(10):951–7.Google Scholar
  29. 29.
    Hanaoka S, Muraki T, Okawura H, Yakura C, Nogi A, Iwamoto M. A gender-related study of the relationship between obesity and health-related QOL in middle-aged and elderly subjects. Sogo Rehabil. 2009;37(12):1167–73.Google Scholar
  30. 30.
    Ito M, Kamata H. Changes in life and social activity and their causes in elderly myocardial infarction patients over 2 years after onset. Kitakanto Med J. 2011;61:307–17.CrossRefGoogle Scholar
  31. 31.
    Yu C-M, Lau C-P, Chau J, McGhee S, Kong S-L, Cheung BM-Y, et al. A short course of cardiac rehabilitation program is highly cost effective in improving long-term quality of life in patients with recent myocardial infarction or percutaneous coronary intervention. Arch Phys Med Rehabil. 2004;85:1915–22.CrossRefPubMedGoogle Scholar
  32. 32.
    Saitoh M, Kachiki T, Sugaba K, Uchimoto S, Sumiyoshi T. Quality of Life and determinants in patients with myocardial infarction. Ther Res. 1990;11(8):18–25.Google Scholar
  33. 33.
    Matsuoka M, Kawakami C, Chishaki A, Shinohara J, Nagaie T, Akashi C, et al. Factors associated with QOL among patients with ischemic heart disease who practiced percutaneous coronary intervention. Jpn Assoc Cardiovasuc. 2006;2(1):24–33.Google Scholar
  34. 34.
    Moriwaki Y, Kato A, Kojima S, Saito A, Takematsu Y, Shibayama K. Effects of nursing intervention for improving the QOL and lifestyles of ischemic heart disease patients with chronic kidney disease. CVIT Jpn Ed. 2012;4:214–9.CrossRefGoogle Scholar
  35. 35.
    Saito Y, Shirai H, Hara D, Adachi N. A study on behavioral changes of patients with Diabetes Mellitus before and after diagnosis. HEP. 2007;34(3):339–43.CrossRefGoogle Scholar

Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2014

Authors and Affiliations

  • Yuriko Takematsu
    • 1
    Email author
  • Yukari Hasebe
    • 2
  • Yoshimi Moriwaki
    • 3
  • Naomi Kotera
    • 4
  • Chie Yamada
    • 5
  • Tomoko Nakagami
    • 3
  • Kozo Shinoda
    • 6
  • Akira Furubayashi
    • 6
  • Sayoko Kato
    • 6
  • Ikuko Sugimoto
    • 6
  • Kenzo Shibayama
    • 7
  1. 1.Graduate School of Health MedicineFujita Health University School of Health SciencesToyoakeJapan
  2. 2.Faculty of NursingSeisen UniversityHikoneJapan
  3. 3.Department of NursingSugiyama Jogakuen UniversityNagoyaJapan
  4. 4.Yokkaichi Nursing and Medical Care UniversityYokkaichiJapan
  5. 5.Faculty of NursingFujita Health University School of SciencesToyoakeJapan
  6. 6.Department of NursingGifu Heart CenterGifuJapan
  7. 7.Aichi Medical University College of NursingNagakuteJapan

Personalised recommendations