| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 103 === This prupose of study is to explore cardiac symptom, adherence, and the quality of life in 100 patients who undergone first cardiac stenting implantation at baseline and post cardiac stent six months. Convenience sampling was utilized and recruited patients from a south regional teaching hospital, during February, 2014 and October, 2014. The study was a follow up study design. A set of questionnaire with the cardiac symptoms scale, compliance scale, 12-item Short-Form Health Survey (SF-12) were use to collect cardiac symptom , adherence, and the quality of life. Data were analyzed with SPSS 18.0 for window software. The main results include: (1) following cardiac stent implementation, patients experienced chest pain, shortness breath, and tired or very tired frequently. Post cardiac stenting up to six months, patients’ chest pain have improved significantly (p< .05). (2) Six months after cardiac stenting, cardiac symptoms of dyspnea, fatigue, palpitations, poor appetite are significantly related to the physical component of the quality of life (p <.05). In addition, fatigue, depression, difficulty sleeping, anxiety or stress, poor appetite are negatively related to the mental face of the quality of life (p<.05). (3) cardiac symptoms are not related to the adherence, family history and adherence are significantly, interference cardiac symptoms of enjoyment of life and adherence are negatively significantly.(4) Interference cardiac symptoms of physical activity, sex, occupation, family history of heart disease are predictors for the physical component of the quality of life. Additionally, cardiac symptoms interfere with physical activity, friends / family support, cardiac symptom severity, adherence ,family history are predictors for mental component of the quality of life. The study found that the higher the age, experienced more cardiac symptoms following stent placementsix months after and their physical component of the quality of life is worse. Based on the findings, we suggest nurses in clinical practice should pay attention specially to the elderly who undergoing cardiac stent , to provide cardiac care and to improve their quality of life.
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