Effects of family-centered care on negative emotion and quality of life in patients with acute coronary syndrome based on "Timing It Right"

Abstract

Objective To explore the effects of family-centered care on negative emotion and quality of life in patients with acute coronary syndrome (ACS) based on Timing It Right. Methods A total of 126 patients with ACS undergoing PCI therapy in the Cardiology Department of Wuxi Second People's Hospital from April 2016 to July 2017 were selected by convenience sampling method. All subjects were randomly divided into the intervention group (n=63) and the control group (n=63) . A total of 121 patients competed the study, with 61 in the intervention group and 60 in the control group. The control group received routine nursing care and cardiology department follow-up. The intervention group was given routine care and family-centered care based on Timing It Right on the basis of the control group. Using Self-Rating Anxiety Scale (SAS) , Self-Rating Depression Scale (SDS) and 36-Item Short Form Healthy Survey (SF-36) to assess the patients on admission, at discharge, 3 month and 6 month after discharge respectively, so as to compare the effects between the two groups. Results The negative emotion of all the patients showed a gradual downward trend. The scores of SAS and SDS of the intervention group 3 months after intervention were lower than those of the control group, with statistical significance (P<0.05) . The quality of life showed increased gradually with time in both groups. The scores of the general dimension of SF-36 were (72.19±19.86) and (66.74±18.23) in the intervention group and the control group respectively, and the difference was statistically significant (t=6.221, P<0.01) . Conclusions The family-centered care based on Timing It Right can significantly improve anxiety, depression and quality of life in patients with acute coronary syndrome. Key words: Family care; Quality of life; Acute coronary syndrome; Timing It Right; Negative emotion