University of Oulu

Kähkönen, O., Oikarinen, A., Miettinen, H., Vähänikkilä, H., Kyngäs, H., & Hartikainen, J. (2023). Perceived health among percutaneous coronary intervention patients over a six-year follow-up period. Journal of Clinical Nursing, 32, 4816–4826.

Perceived health among percutaneous coronary intervention patients over a six-year follow-up period

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Author: Kähkönen, Outi1,2; Oikarinen, Anne1,2; Miettinen, Heikki3;
Organizations: 1Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Finland
2Medical Research Center Oulu (MRC Oulu), Oulu, Finland
3Heart Center, University Hospital of Kuopio, Finland
4Infrastructure of Population Studies, University of Oulu, Finland
5Oulu University Hospital, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.9 MB)
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Language: English
Published: John Wiley & Sons, 2023
Publish Date: 2023-11-01


Aims and objectives: The study was conducted to describe long-term perceived health among patients after a percutaneous coronary intervention as well as clarify the associations between perceived health and various factors.

Background: Perceived health is an important outcome for coronary heart disease patients who have undergone percutaneous coronary intervention. Poor perceived health predicts low adherence to treatment, morbidity and mortality.

Design: An explanatory and descriptive survey with a six-year follow-up (STROBE Statement: File S1).

Methods: Baseline data (n = 416) were collected in 2013, with follow-up data collected from the same study group in 2019 (n = 154) at two university hospitals and three central hospitals in Finland. The employed self-reported questionnaire was based on the EuroQoL visual analogue scale and EuroQol five-dimensional scale. Data were analysed using descriptive statistics and multivariate methods.

Results: Perceived health did not significantly differ four months or six years after percutaneous coronary intervention. The respondents most commonly reported pain and discomfort (62.1%), problems in mobility (50.3%), issues with usual activities (27.5%), and anxiety and depression (24.0%). Managing self-care (8.5%) was least likely to be an issue for the respondents. A majority of the reported problems were of a mild nature. The consumption of an adequate amount of vegetables, lower systolic blood pressure, regular follow-up treatment, lack of prior invasive procedures, and younger age predicted better scores for both perceived health and its separate dimensions.

Conclusion: Regular follow-up is important to ensure after percutaneous coronary intervention to identify patients with pain and discomfort, mobility problems, depression and anxiety. Healthcare professionals should pay particular attention to elderly patients, who have undergone severe invasive procedures.

Relevance to Clinical Practice: This study confirms the importance of regular follow-ups for post-percutaneous coronary intervention patients.

Patient or Public Contribution: Patients have completed a self-reported questionnaire based on informed consent.

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Series: Journal of clinical nursing
ISSN: 0962-1067
ISSN-E: 1365-2702
ISSN-L: 0962-1067
Volume: 32
Issue: 15-16
Pages: 4816 - 4826
DOI: 10.1111/jocn.16545
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Funding: The Finnish Nursing Education Foundation, Medical Research Center, University of Oulu.
Copyright information: © 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.