Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2016 Oct;28(5):536-545. Korean.
    Published online Oct 31, 2016.
    https://doi.org/10.7475/kjan.2016.28.5.536
    © 2016 Korean Society of Adult Nursing
    Original Article

    Influencing Effects of Type D Personality on Symptom Experiences and Quality of Life in Patients with Percutaneous Coronary Intervention

    Eun Hee Jo, MSN, RN,1 Sun Hee Han, MSN, RN,2 Myung Ha Lee, Ph.D., RN,3 and Sung Reul Kim, Ph.D., APN4
      • 1Assistant Professor, Kunsan College of Nursing, Gunsan, Korea.
      • 2PhD Candidate, College of Nursing, Chonbuk National University, Jeonju, Korea.
      • 3Professor, College of Nursing, Chonbuk National University, Jeonju, Korea.
      • 4Associate Professor, College of Nursing, Chonbuk National University, Jeonju, Korea.
    • Corresponding author: Kim, Sung Reul. College of Nursing, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju 54899, Korea. Tel: +82-63-270-3118, Fax: +82-63-270-3127, Email: srkim@jbnu.ac.kr
    Received July 17, 2016; Revised October 08, 2016; Accepted October 24, 2016.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    aim of this study was to investigate the influencing effects of type D personality on symptom experiences and quality of life in percutaneous coronary intervention patients.

    Methods

    descriptive, cross-sectional study design was used. A total of 158 patients with percutaneous coronary intervention participated in this study, between July 1 and November 1, 2015. Data were analyzed by means, standard deviations, t-test, χ2 test, ANCOVA, and stepwise multiple regression analysis using SPSS 22.0 program.

    Results

    About 53.8% of participants were classified as type D personality. The type D personality group reported statistically significantly higher symptom experience, lower cardiac function, and lower cardiovascular-specific quality of life compared to non-type D personality group. On stepwise multiple regression, the most significant factor of quality of life was symptom experiences (adjusted R2=.25, p<.001), followed by type D personality (adjusted R2=.31, p<.001).

    Conclusion

    Personality trait assessment is recommended for patients with percutaneous coronary intervention to assess symptom experiences and quality of life. In addition, development of nursing intervention might be beneficial to manage symptom experience and quality of life in percutaneous coronary intervention patients with type D personality.

    Keywords
    Percutaneous coronary intervention; Quality of life; Symptom; Type D personality

    Tables

    Table 1
    Demographic and Clinical Characteristics between Type D Personality Group and Non-type D Personality Group (N=158)

    Table 2
    Comparison of Symptom Experience and Quality of Life between Type D Personality Group and Non-type D Personality Group (N=158)

    Table 3
    Symptom Experience and Quality of Life according to Demographic and Clinical Characteristics (N=158)

    Table 4
    Correlations between Quality of Life and Related Variables (N=158)

    Table 5
    Influencing Factors on Quality of Life according to Stepwise Multiple Regression (N=158)

    References

      1. Fernandez RS, Davidson P, Griffiths R, Juergens C, Salamonson Y. Development of a health-related lifestyle self-management intervention for patients with coronary heart disease. Heart Lung 2009;38(6):491–498. [doi: 10.1016/j.hrtlng.2009.01.008]
      1. Statistics Korea. 2015 Annual report on the cause of death statistics [Internet]. Daejeon: Statistics Korea; 2015 [cited 2016 October 8].
        Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=.
      1. Statistics Korea. Health insurance major surgery statistics [Internet]. Daejeon: Statistics Korea; 2016 [cited 2016 October 8].
        Available from: http://kostat.go.kr/wnsearch/search.jsp.
      1. Smith SC Jr, Allen J, Blair SN, Bonow RO, Brass LM, Fonarow GC, et al. AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update. Circulation 2006;113:2363–2372. [doi: 10.1161/CIRCULATIONAHA.106.174516]
      1. Park JH, Bae SH. A systematic review of psychological distress as a risk factor for recurrent cardiac events in patients with coronary artery disease. J Korean Acad Nurs 2011;41(5):704–714. [doi: 10.4040/jkan.2011.41.5.704]
      1. Staniute M, Brozaitiene J, Burkauskas J, Kazukauskiene N, Mickuviene N, Bunevicius R. Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study. Health and Quality of Life Outcomes. Health Qual Life Outcomes 2015;13:1. [doi: 10.1186/s12955-014-0204-2]
      1. Pedersen SS, Lemos PA, van Vooren PR, Liu TK, Daemen J, Erdman RA, et al. Type D personality predicts death or myocardial infarction after bare metal stent or sirolimus-eluting stent implantation: a rapamycin-eluting stent evaluated at rotterdam cardiology hospital (RESEARCH) registry substudy. J Am Coll Cardiol 2004;44(5):997–1001. [doi: 10.1016/j.jacc.2004.05.064]
      1. Williams L, O'Connor RC, Grubb NR, O'Carroll RE. Type D personality and three-month psychosocial outcomes among patients post-myocardial infarction. J Psychosom Res 2012;72:422–426. [doi: 10.1016/j.jpsychores.2012.02.007]
      1. Denollet J. Type D personality: a potential risk factor refined. J Psychosom Res 2000;49(4):255–266. [doi: 10.1016/S0022-3999(00)00177-X]
      1. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med 2005;67(1):89–97. [doi: 10.1097/01.psy.0000149256.81953.49]
      1. Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DS, Hay JL, et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res 2008;64(1):63–66. [doi: 10.1016/j.jpsychores.2007.06.008]
      1. Pedersen SS, van Domburg RT, Theuns DA, Jordaens L, Erdmanm RA. Type D personality is associated with increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partner. Psychosom Med 2004;66:714–719. [doi: 10.1097/01.psy.0000132874.52202.21]
      1. Pedersen SS, Middel B. Increased vital exhaustion among type-D patients with ischemic heart disease. J Psychosom Res 2001;51(2):443–449. [doi: 10.1016/S0022-3999(01)00203-3]
      1. Choi KJ. In: A study on stress, coping strategy, and depression in the patients having percutaneous transluminal coronary angioplasty. [master's thesis]. Seoul: Yonsei University; 2001.
      1. Son YJ, Song EK. The life style and quality of life according to the pattern of type D personality in patients with hypertension. Korean J Adult Nurs 2007;19(4):644–655.
      1. Wong MS, Chair SY. Changes in health-related quality of life following percutaneous coronary intervention: a longitudinal study. Int J Nurs Stud 2005;44:1334–1342. [doi: 10.1016/j.ijnurstu.2006.07.011]
      1. Hwang SJ. In: Symptom clusters and quality of life changes according to recovery periods of heart valve surgery patients. [dissertation]. Jeonju: Chonbuk University; 2015.
      1. Lim HE, Lee MS, Ko YH, Park YM, Joe SH, Kim YK, et al. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci 2011;26(1):116–123. [doi: 10.3346/jkms.2011.26.1.116]
      1. Armstrong TS. Symptoms experience: a concept analysis. Oncol Nurs Forum 2003;30(4):601–606. [doi: 10.1188/03.ONF.601-606]
      1. Nieveen JL, Zimmerman LM, Barnason SA, Yates BC. Development and content validity testing of the cardiac symptom survey in patients after coronary artery bypass grafting. Heart Lung 2008;37(1):17–27. [doi: 10.1016/j.hrtlng.2006.12.002]
      1. Lee EH, Moon SM, Tahk SJ, Kim SH. Quality of life in patients with chronic cardiovascular disease. J Korean Acad Adult Nurs 2007;19:12–23.
      1. Pedersen SS, Daemen J, van De SM, Sonnenschein K, Serruys PW, Erdman RA, et al. Type-D personality exerts a stable, adverse effect on vital exhaustion in PCI patients treated with paclitaxel-eluting stents. J Psychosom Res 2007;62(4):447–453. [doi: 10.1016/j.jpsychores.2006.12.015]
      1. Pedersen SS, Denollet J, Ong A, Serruys PW, Erdman RA, van Domburg RT. Impaired health status in type D patients following PCI in the drug-eluting stent era. Int J Cardiol 2007;114(3):358–365. [doi: 10.1016/j.ijcard.2005.12.018]
      1. Son HM. Quality of life and illness intrusiveness by type-D personality in the patients with coronary artery disease. J Korean Acad Nurs 2009;39(3):349–356. [doi: 10.4040/jkan.2009.39.3.349]
      1. Isaksson RM, Holmgren L, Lundblad D, Brulin C, Eliasson M. Time trends in symptoms and prehospital delay time in women vs. men with myocardial infarction over a 15-year period. The Northern Sweden MONICA Study. Eur J Cardiovasc Nurs 2008;7:152–158.
      1. Park IS, Song RU, Ahn SH, So HY, Kim HL, Joo KO. Factors explaining quality of life in individuals with coronary artery disease. J Korean Acad Nurs 2008;38(6):866–873. [doi: 10.4040/jkan.2008.38.6.866]
      1. Glymour MM. Alcohol and cardiovascular disease. BMJ 2014;349:g4334. [doi: 10.1136/bmj.g4334]
      1. Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related health problems. Health Qual Life Outcomes 2010;8:9. [doi: 10.1186/1477-7525-8-9]
      1. Denollet J, van Heck G. Psychological risk factors in heart disease: what type D personality is (not) about. J Psychosom Res 2001;51:465–468.
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    MeSH Terms
    Cross-Sectional Studies
    Humans
    Nursing
    Percutaneous Coronary Intervention*
    Quality of Life*
    Type D Personality*
    Metrics
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    Tables
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