Predicting Factors of Health Related Quality of Life among Older Persons with Transcatheter Aortic Valve Implantation

Authors

  • Phonthip Thongpleo Student in Master of Faculty of Nursing Chulalongkorn University
  • Noraluk Ua-Kit Instructor, Faculty of Nursing Chulalongkorn University

Keywords:

Health-related quality of life, Heart valve surgery, Elderly

Abstract

This study aimed to examine the predictive power between comorbidities, social support, frailty, depression, self-care ability, and health perception on health-related quality of life in elderly people who underwent transcatheter aortic valve replacement. The sample consisted of 108 elderly people who underwent transcatheter aortic valve replacement, aged 60 years and above, who underwent surgery. The multi-stage design was used. The instruments used were a questionnaire on personal factors and a comorbidity assessment form: a social support assessment form, a frailty assessment form, a depression assessment form, a self-care ability scale, a health perception assessment form, and a health-related quality of life assessment form for elderly people who underwent transcatheter aortic valve replacement. The data were analyzed using descriptive statistics and stepwise multiple regression. The results showed that comorbidities had the highest predictive coefficient (β = -.336, p = < .01). The variables were comorbidities, social support, frailty, depression, self-care ability, and health perception. The variability of health-related quality of life in the elderly who underwent transcatheter aortic valve replacement could be predicted by 78.90 percent with statistical significance at the .01 level (Adjusted R2 =.789, p< .01).

References

ทรงเกียรติ ยอดที่รัก. (2565). อัตราความสำเร็จการเปลี่ยนลิ้นหัวใจเอออร์ติกผ่านทางสายสวนและอัตราการนอนโรงพยาบาลซํ้าภายในระยะเวลา 30 วัน [วิทยานิพนธ์ปริญญามหาบัณฑิต ไม่ได้ตีพิมพ์]. จุฬาลงกรณ์มหาวิทยาลัย.

ปถมาพร พันธุ์อุบล. (2553). การศึกษาความสัมพันธ์ระหว่างการรับรู้ภาวะสุขภาพ และพฤติกรรมการดูแลสุขภาพของข้าราชการตำรวจวัยทองในจังหวัดชลบุรี [วิทยานิพนธ์ปริญญามหาบัณฑิต ไม่ได้ตีพิมพ์]. มหาวิทยาลัยศรีนครินทรวิโรฒ.

มาโนช หล่อตระกูล และปราโมทย์ สุคนิชย์. (2560). จิตเวชศาสตร์ รามาธิบดี (พิมพ์ครั้งที่ 4). พิมพ์ลักษณ์.

วรธิมา อยู่ดี และ อัญชลี เพิ่มสุวรรณ. (2565). คุณภาพชีวิตของผู้ป่วยภาวะหัวใจล้มเหลวเรื้อรังชนิดที่มีการบีบตัวของหัวใจห้องซ้ายลดลง. วารสารเภสัชศาสตร์อีสาร, 19(1), 15-31.

Afilalo, J., Lauck, S., Kim, D. H., Lefèvre, T., Piazza, N., Lachapelle, K., & Noiseux, N. (2020). Frailty in older adults undergoing aortic valve replacement: The FRAILTY-AVR Study. Journal of the American College of Cardiology, 70(6), 689-700.

Brook, R. H., Ware Jr, J. E., Davies-Avery, A., Stewart, A. L., Donald, C. A., Rogers, W.H., Johnston, S.A. (1979). Overview of adult health status measures fielded in Rand’s health insurance study. Medical Care, 17(7), 1-131.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates, Publishers.

Chen X., Leng S.X. (2014). Frailty syndrome: An overview. Clinical Interventions in Aging, 9, 433-41.

Cronbach, Lee. J. Essentials of psychological testing (5th ed). Harper & Row, 1990.

Damluji, A. A., Forman, D. E., Wang, T. Y., Chikwe, J., Kunadian, V., Rich, M. W., & Alexander, K. P. (2021). Management of acute coronary syndrome in the older adult population: A scientific statement from the American Heart Association. Circulation, 147(3), 54-85.

Durko, A. P., Osnabrugge, R. L., Van Mieghem, D., Nkomo, V. T., & Pieter Kappetein, A. (2018). Annual number of candidates for transcatheter aortic valve implantation per country: Current estimates and future projections. European Heart Journal, 39(28), 2635–2642.

Fairbairn, T. A., Meads, D. M., Mather, A. N., Motwani, M., Pavitt, S., Plein, S., Blackman, D. J., & Greenwood, J. P. (2012). Serial change in health-related quality of life over 1 year after transcatheter aortic valve implantation: predictors of health outcomes. Journal of the American College of Cardiology, 59(19), 1672–1680.

Ferrans, C.E., Zerwic, J.J., Wilbur, J.E., Larson, J.L. (2005). Conceptual model of health-related quality of life. J Nurs Scholarship, 37(4), 336-41.

Goudzwaard, J. A., de Ronde-Tillmans, M. J. A. G., Kwekkeboom, E. H. C., Lenzen, M. J., van Wiechen, M. P. H., Ooms, J. F. W., Nuis, R. J., Van Mieghem, N. M., Daemen, J., de Jaegere, P. P. T., & Mattace-Raso, F. U. S. (2020). Impact of frailty on health-related quality of life 1 year after transcatheter aortic valve implantation. Age and Ageing, 49(6), 989–994.

Lorenzoni, G., Azzolina, D., Fraccaro, C., Zoccarato, C., Minto, C., Iliceto, S., Gregori, D., & Tarantini, G. (2021). Sleep quality in patients undergoing transcatheter aortic valve implantation (TAVI). International Journal of Environmental Research and Public Health, 18(16), 8889.

Olszewska-Turek, K., & Bętkowska-Korpała, B. (2022). Quality of life and depressive symptoms in transcatheter aortic valve implementation patients-A cross-sectional study. Healthcare (Basel, Switzerland), 10(11), 2211.

Polit DF, Beck CT, Owen SV. (2013). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurse Health, 30(4), 459- 67.

Stańska, A., Jagielak, D., Brzeziński, M., Zembala, M., Wojakowski, W., Kochman, J., Huczek, Z., Witkowski, A., & Zembala, M. (2017). Improvement of quality of life following transcatheter aortic valve implantation in the elderly: A multi-centre study based on the Polish national TAVI registry. Kardiologia Polska, 75(1), 13–27.

Trongsakul S, Lambert R, Clark A, Wongpakaran N, CrossJ. (2015). Development of the Thai version of Mini-Cog, a brief cognitive screening test. Geriatr Gerontol Int., 15(5), 594-600.

Downloads

Published

2025-09-02

Issue

Section

Research Article