Associated Factors of Anxiety among Acute Coronary Syndrome Patients in Kelantan and Terengganu

Wan-Nor-Asyikeen, Wan Adnan; Siti‐Azrin, Ab Hamid; Sulong, Zatul Rathiah; Fauzi, Mohd Hashairi

doi:10.29252/jhs.5.4.1

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Anxiety becomes a psychological response when there is an attack and it is reportedly that more than 86.3% of ACS patients experience anxiety during their treatment in the hospital (Abu Ruz et al, 2010;Wan-Nor-Asyikeen et al, 2017). Anxiety is caused by chest pain, bad conditions, helplessness and death threat (Meneghetti et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Gong Waning Music Therapy toward Anxiety in Patients with Acute Coronary Syndrome

Irman¹,

Nelista²,

Keytimu³

2020

J Kep Padjadjaran

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Anxiety becomes a psychological response when there is an attack and becomes a cause to bad treatment of Acute Coronary Syndrome (ACS) patients. Music therapy interventions to reduce anxiety need to be considered because it has no harmful effects. The study aimed to analyze the influence of gong waning music therapy toward anxiety in patients with ACS in Regional Public Hospital of dr. T.C. Hillers Maumere. The research design was quasi experimental with non-equivalent control group design. The sample was 32 patients divided into 2 groups with 16 patients per group taken by using purposive sampling technique. The intervention was implemented in three days. State Trait Anxiety Inventory (STAI) was used as the instrument of the study. The study used paired t-test, independent sample t-test and repeated anova for data analysis. The study showed that experimental group’s trait anxiety and state anxiety were reduced (p 0.000 and 0.001). There was a difference on anxiety in experimental and control group (p 0.043 and 0.049). There was a bigger decrease of anxiety level in experimental group and it was statistically significant (p 0.000). The findings proved to support intervention of traditional music therapy to reduce anxiety. Nurses should not only focus on physical problems and ignore anxiety. It is hoped that nurses can use music therapy as a non-pharmacological adjunct therapy to help reduce anxiety of ACS patients.

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Section: Introductionmentioning

confidence: 99%

The Influence of Gong Waning Music Therapy toward Anxiety in Patients with Acute Coronary Syndrome

Irman¹,

Nelista²,

Keytimu³

2020

J Kep Padjadjaran

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“…The current study involved a cross-sectional study conducted in two selected hospitals in Kelantan and Terengganu, Malaysia (9). All ACS patients admitted to the medical wards, including general wards, cardiac rehabilitation ward (CRW), and coronary care unit (CCU) in both hospitals participated in the study (9).…”

Section: Methodsmentioning

confidence: 99%

“…The current study was conducted to identify the associated factors of stress among ACS patients. This article is derived from a study by Wan-Nor-Asyikeen et al, a part of which was previously published (9). However, both studies identified different outcomes, whereas the previous study was published on anxiety-related factors among ACS patients.…”

Section: Introductionmentioning

confidence: 99%

Stress in Acute Coronary Syndrome: A Cross-sectional Study in Kelantan and Terengganu, Malaysia

Wan-Nor-Asyikeen

Siti‐Azrin

Sulong

et al. 2023

Zahedan J Res Med Sci

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Background: Stress often happens in acute coronary syndrome (ACS) patients, especially during hospitalization. Objectives: The current study intended to identify the prevalence of stress and its associated factors among ACS patients in two selected hospitals in the east coast region of Malaysia. Methods: A total of 400 ACS patients in both hospitals participated in this cross-sectional study. Acute coronary syndrome patients above 18 who can read, speak and understand in Malay and obtained informed consent were included in the study. The study excluded those patients who were intubated, had any altered mental status, were mentally retarded, and had psychological problems. Stress among ACS patients was measured using the validated questionnaire of the Malay version of the Depression Anxiety Stress Scale 21. Logistic regression was used for analysis. Results: Of these ACS patients, 58.5% had stress symptoms. A higher frequency of stress was found in patients of male (63.7%), Malay (82.1%), and married (67.1%). Acute coronary syndrome patients with a history of ischemic heart disease were a strong and independent factor associated with stress (adjusted odds ratio: 1.73, 95% confidence interval: 1.14 - 2.63, P = 0.010). Conclusions: The prevalence of stress in the study population was high and significantly associated with a history of ischemic heart disease. Creating awareness regarding the risk factors of stress is recommended. In addition, policies should be implemented to reduce the risk of stress among patients.

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Subclinical Emotional Distress Predicts 6-month Clinical Outcomes After ST-segment Elevation Myocardial Infarction

et al. 2020

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Aim: To investigate associations between subclinical distress and 6-month clinical outcomes after ST-segment elevation myocardial infarction (STEMI). Materials & methods: The case–control study involved 144 STEMI patients (72 STEMI having subclinical emotional disturbances were included to the case group and 72 STEMI individuals matched with age, sex and cardiovascular risk factors were enrolled to the control group). The primary end point was the combination of 6-month events including CV death, recurrent angina, newly diagnosed heart failure and re-hospitalization. Results: The emotional distress predicted out-hospital combined end point (odds ratio [OR] = 2.48; 95% CI: 1.12–5.33; p = 0.034). Other independent predictors of out-hospital end point were Type 2 diabetes mellitus (OR = 1.10; 95% CI: 1.02–1.23; p = 0.048), thrombolysis in myocardial infarction score <6 units (OR = 0.86; 95% CI: 0.67–0.92; p = 0.001) and the number of culprit vessels (OR = 1.19; 95% CI: 1.02–1.34; p = 0.002). Conclusion: Premorbid emotional distress independently predicted 6 month combined clinical end point in STEMI patients.

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Associated Factors of Anxiety among Acute Coronary Syndrome Patients in Kelantan and Terengganu

Cited by 3 publications

References 33 publications

The Influence of Gong Waning Music Therapy toward Anxiety in Patients with Acute Coronary Syndrome

The Influence of Gong Waning Music Therapy toward Anxiety in Patients with Acute Coronary Syndrome

Stress in Acute Coronary Syndrome: A Cross-sectional Study in Kelantan and Terengganu, Malaysia

Subclinical Emotional Distress Predicts 6-month Clinical Outcomes After ST-segment Elevation Myocardial Infarction

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