Factors associated with anxiety and depression in hospitalized patients with first episode of acute myocardial infarction

Abstract

IntroductionEvaluation of anxiety and depression in cardiac patients is an area of nursing practice that is frequently neglected. The aim of the study was to explore anxiety and depression in hospitalized patients with their first episode of acute myocardial infarction.Material and methodsThe study sample included 148 hospitalized patients who had a first episode of acute myocardial infarction. Data collection was performed by the interview method using a specially designed questionnaire which included socio-demographic, clinical and other patients’ characteristics as well as the Hospital Anxiety and Depression Scale (HADS) to assess patients’ levels of anxiety and depression.ResultsAnalysis of data showed that 52% and 38% of participants had high levels of anxiety and depression, respectively. Furthermore, anxiety levels revealed a statistically significant association with anxiolytics (p = 0.005) and antidepressant medication (p = 0.026) in hospital, the belief that they will face difficulties in relations with the social and family environment (p = 0.009 and p = 0.002, respectively) and whether they considered themselves anxious (p = 0.003). Depression was statistically significantly associated with education level (p = 0.001), profession (p = 0.007), antidepressant medication in hospital (p ≤ 0.001), patients’ relations with nursing staff (p = 0.019) and patients’ belief that they will face difficulties in relations with the social and family environment (p ≤ 0.001 and p ≤ 0.001, respectively).ConclusionsThe results showed that socio-demographic and clinical characteristics should be taken into serious consideration when exploring anxiety and depression in patients with a first episode of acute myocardial infarction in order to implement appropriate interventions.

Depression and anxiety symptoms in cardiac patients: a cross-sectional hospital-based study in a Palestinian population

“…In perspective of mental health screening among cardiac patients, focus should be given to females and less educated patients. The higher rates of depression and anxiety seen in these sub-groups were previously described in literature [34, 37, 40, 41]. Women seem to be more vulnerable to the trauma caused by cardiac events, which leads to a deterioration in depression and anxiety symptoms [37].…”

Anxiety in Relatives of Patients Admitted to Cardiac Care Units and its Relationship with Spiritual Health and Religious Coping

“…Relatives of patients admitted to critical care units experience a significant level of anxiety due to various causes such as the stressful environment, risk of death for patients, and negligence of relatives' needs. (6) Most ICU admissions are unplanned and urgent, which contribute to severe anxiety of the family members. (24) Spiritual health of relatives of CCU patients was high in the present study.…”

“…(5) The stressful critical care unit environment, critically ill patients who need immediate specialized monitoring, high mortality risk, complex technical and medical equipment, permanent monitoring of patients, alarm sounds, and restricted visiting hours are the factors affecting anxiety in relatives of critical care patients. (6) Some studies have shown that anxiety level in family members and first-degree relatives of CCU patients is equal to the anxiety level of the patients themselves. (7) The prevalence of anxiety varied from 15% to 24% in caregivers after discharge of their patients from the intensive care unit.…”

“…Religious coping refers to involvement of religious beliefs and attitudes in problemsolving and control of difficult situations by preventing or reducing negative psychological consequences. (6) It is shown that religious and spiritual beliefs play an important role in caregiver adaptation with difficult situation of caring for stroke patients. (17) Spiritual-religious coping reduced the level of depression, anxiety, and stress in caregivers of children with leukemia.…”

Factors Affecting Anxiety in Families of Acute Coronary Syndrome Patients at the Aloei Saboe Hospital in Gorontalo

“…Acute Coronary Syndrome (ACS) is one of the most common health problems in the world and the main cause of death. Significantly, causing more than 17.3 million deaths per year worldwide (Alexandri et al, 2017). In addition, SKA is the most important determinant of the most difficult chronic heart failure and most often causes permanent disability (Hodzic et al, 2018).…”