Coronary Disease
Social support status and related influential factors of patients with acute coronary syndrome
Sha Lei, Rongjing Ding, Li Wang, Kun Xia, Lijing Zhang, Daokuo Yao, Dayi Hu
Published 2017-05-24
Cite as Chin J Cardiol, 2017, 45(5): 399-403. DOI: 10.3760/cma.j.issn.0253-3758.2017.05.007
Abstract
ObjectivesTo investigate the social support status, related influential factors and the impact on one year outcome in patients with acute coronary syndrome (ACS), our data might be helpful to provide basis for making new treatment strategy aimed at improving social support for patients with ACS.
MethodsFrom January 2013 to June 2014, a total of 778 hospitalized patients with ACS were enrolled in the study. All patients completed enhancing recovery in coronary heart disease patients social support inventory(ESSI), general anxiety disorder scale(GAD-7), patient health questionnaire(PHQ-9), short-form 12 health survey questionnaire(SF-12), sleep questionnaire and demographic questionnaire within 7 days after admission and at 6 months and one year post discharge. Multiple linear regressions were performed to analyze factors that influenced the social support.
ResultsThe total score of social support was 17.08±3.61, 17.72±3.04, and 17.76±3.05 respectively in patients with ACS at baseline, 6 months and 12 months after discharge. Patients had a higher point of social support at 6 months (t=-2.69, P<0.01) and 12 months (t=-2.86, P<0.01) after discharge than at baseline. Multiple regression analysis for baseline data identified five significant predictors of low social support status: workers or farmers (t=2.82, P<0.01), low family monthly income (t=2.42, P<0.05), anxiety (t=-3.66, P<0.01), depression (t=-3.22, P<0.01) and low quality of life (t=4.38, P<0.01).
ConclusionsSocial support of patients with ACS is lower in China, and there are significant relationships between low social support and occupation, economic status, anxiety, depression, quality of life of ACS patients.
Key words:
Acute coronary syndrome; Social support; Anxiety; Depression; Quality of life
Contributor Information
Sha Lei
Department of Cardiology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Rongjing Ding
Li Wang
Kun Xia
Lijing Zhang
Daokuo Yao
Dayi Hu