Predictive Factors of Anxiety and Depression in Patients with Acute Coronary Syndrome

Altino, Denise Meira; Nogueira-Martins, Luiz Antônio; Barros, Alba Lúcia Bottura Leite de; Lopes, Juliana de Lima

doi:10.1016/j.apnu.2017.07.004

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…13 Anxiety is related to gender, stress, and educational period while depression is related to gender, diabetes mellitus, obesity, educational period, and trait anxiety. 11 In other studies, during the first five years after index PCI, anxiety levels are positively associated with survival mode and reduce the risk of major cardiovascular events (MACE). 14 When it comes to the sudden onset of cardiac events, psychological stress triggers a cascade of physiological responses that can later trigger ACS in CAD patients.…”

Section: Discussionmentioning

confidence: 97%

“…It is in line with previous studies revealing that post-myocardial infarction patients had traumatic experiences due to many changes in their bodies. 11 There was also a response from patients who wanted to ignore the symptoms and signs of the disease and wanted to live as normally as possible. 12 This condition requires adequate assistance and education from health workers.…”

Section: Discussionmentioning

confidence: 99%

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Barriers in the process of care transition from hospital to home in post-acute coronary syndrome: patients’ perspective

et al. 2021

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Introduction: Acute coronary syndrome (ACS) patients are at a higher long-term risk of recurrent cardiovascular events. The transition from hospital to home is a delicate time. Patients frequently have potentially unavoidable adverse events and hospital readmissions after being discharged from the hospital. This study aims to explore the barriers of patients’ transition experiences from hospital to homecare in post-acute coronary syndromes.Methods: An exploratory qualitative research design with a phenomenological approach was used in the study. Research data were collected using semi-structured interviews from April to Juli 2020. It was selected from 15 patients diagnosed with acute coronary syndrome (ACS) using the purposive sampling technique. The data were analyzed using thematic content analysis.Results: This study recruited 15 participants post-ACS. Four barriers were identified: (1) Psychological barriers: stress, fear, anxiety; (2) physical barriers: chest pain, dyspnea, palpitation; (3) lack of knowledge, including diet, coronary disease, return to work, medication, and heart attack intervention; and (4) low adherence to smoking cessation, daily activity, and medication adherence.Conclusion: At the time of discharge, there is a need for a new approach to communicating with the patients, educating patients and families, and preparing for ACS patients. The findings of this study will help nurses better understand the barriers of transitional care from the hospital to the home.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Barriers in the process of care transition from hospital to home in post-acute coronary syndrome: patients’ perspective

et al. 2021

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“…Several factors that affected the incidence of depression based on previous research were anxiety, percutaneous coronary intervention (PCI) and spiritual wellbeing (Gu, Zhou, Zhang, & Cui, 2016;Nuraeni & Mirwanti, 2017;O'Neil et al, 2016) marital status, education level, gender, and poor health condition (Altino, Nogueira-Martins, de Barros, & Lopes, 2017). However, the relationship of various factors, such as demographic data, anxiety, spiritual wellbeing, angina frequency and physical limitations to the incidence of depression, and which factors have the greatest effect on depression in CHD patients in Indonesia remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Determinant Factors of Depression in Patients with Coronary Heart Disease

et al. 2019

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Background. Depression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. Purpose. This study aimed to identify the determinants of depression in CHD patients in Indonesia. Method. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using descriptive quantitative and logistic regression analysis. Findings. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01); PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand, unmarried status and male gender were identified as confounding variables. Conclusions. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients.

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“…(5) Both constructs are targets in nursing research with the aim to recognize their manifestations, predictive factors, and test interventions. (6)(7)(8) However, the relationship between the level of anxiety and the severity of heart disease is not established. (9) Furthermore, studies have documented the adverse outcomes of anxiety in cardiovascular health in patients with ACS, in the short and long term.…”

Section: Introductionmentioning

confidence: 99%

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

2018

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Resumo Objetivos Descrever o nível de ansiedade traço e estado em pacientes com síndrome coronariana aguda submetidos a cateterismo não programado; verificar a influência da ansiedade traço na ansiedade estado antes e após o cateterismo e verificar se a ansiedade (traço e estado) é preditiva da ocorrência de arritmias não fatais, da gravidade dos pacientes medida pela classificação Killip e pelo índice de comorbidade de Charlson, e do tempo de permanência hospitalar. Métodos Estudo observacional, correlacional e longitudinal, no qual foram avaliados participantes com síndrome coronariana aguda aguardando cateterismo cardíaco não programado. No encontro inicial (Ti) foram coletados dados sociodemográficos e clínicos, aplicados inventários de ansiedade traço e estado (IDATE) e de depressão de Beck. No encontro final (Tf), aplicou-se o IDATE-estado. Os participantes foram acompanhados até alta hospitalar ou óbito quanto a ocorrência de arritmias não fatais e tempo de permanência hospitalar. Resultados Foram incluídos 100 participantes (62,2±11,4 anos; 61% do sexo masculino). O escore do IDATE-traço foi 42,2±10,4 e influenciou o escore do IDATE-estado em Ti e Tf (p<0,005). O IDATE-estado diminuiu significativamente de Ti para Tf (40,2±10,4 vs 37,2±11,2, respectivamente, p=0,002). Não se observou associação do IDATE-traço ou do IDATE-estado com os índices de gravidade, tempo de permanência hospitalar ou ocorrência de arritmias. Entretanto, o escore de depressão aumentou 9,5% a chance de ocorrência de arritmias (OR=1,009; IC95%=0,913-1,115). Conclusão O nível de ansiedade reduziu de forma significativa após a realização do cateterismo, e não foi um preditor de desfechos clínicos em curto prazo.

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Predictive Factors of Anxiety and Depression in Patients with Acute Coronary Syndrome

Cited by 6 publications

References 21 publications

Barriers in the process of care transition from hospital to home in post-acute coronary syndrome: patients’ perspective

Barriers in the process of care transition from hospital to home in post-acute coronary syndrome: patients’ perspective

Determinant Factors of Depression in Patients with Coronary Heart Disease

Ansiedade e desfechos clínicos em pacientes coronariopatas submetidos ao cateterismo não programado

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