Depression, anxiety, and quality of life after percuataneous coronary interventions

Saini, Radha; Singh, Navreet; Chadha, D S; Kapoor, Rajneesh

doi:10.4103/ipj.ipj_126_21

Cited by 13 publications

(5 citation statements)

References 66 publications

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“…[53] Specifically, 20% to 30% of patients with heart disease were diagnosed with anxiety or depression, and the proportion of patients with anxiety and depression rose to 15% to 43% in the 12 months following an acute heart attack. [54] Our study conducted a meta-analysis of the 3 included studies, and the results showed that empowerment education had a statistically significant effect on the anxiety state of patients after PCI, but had no statistically significant effect on the change of depression state. A recent study on anxiety after PCI found that although patients’ anxiety can be relieved after PCI to a certain extent, smokers, young people and those with low education level are still easy to maintain a high level of anxiety.…”

Section: Discussionmentioning

confidence: 99%

Effects of empowerment education on patients after percutaneous coronary intervention: A meta-analysis and systematic review

et al. 2023

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Background: Empowerment education is a new nursing education model with great significance in the process of chronic disease rehabilitation, and a number of studies have found that it has good benefits for patients after percutaneous coronary intervention (PCI). But there is no meta-analysis on how empowerment education influence the life of patients after PCI. Aims: Our study intends to evaluate the impact of empowerment education on the quality of life, cognitive level, anxiety and depression level of patients after PCI. Design: Systematic review and meta-analysis, following PRISMA guidelines. Methods: RevMan5.4 software and R software were used for statistical analysis. Mean difference or standard mean difference was used as effect analysis statistic for continuous variables with 95% confidence intervals. Results: Six studies met the inclusion criteria, including 641 patients. The Exercise of Self-Care Agency Scale score of the experimental group was higher than that of the control group, with statistically significant difference. Empowerment education could increase the knowledge of coronary heart disease in patients after PCI, but the difference was not statistically significant. Conclusion: Significant effects of empowerment have been found in improving patients’ quality of life and self-care ability. Empowerment education could be a safe exercise option in PCI rehabilitation. However, the effect of empowerment on cognitive level for coronary heart disease and the depression needs to carry out more large-sample, multi-center clinical trials. Patient or public contribution: A data-analysis researcher and 3 clinicians are responsible for the writing, and no patients participated in the writing of this paper.

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Section: Discussionmentioning

confidence: 99%

Effects of empowerment education on patients after percutaneous coronary intervention: A meta-analysis and systematic review

et al. 2023

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“…4,36 In this study, informational support, along with support from nurses and next of kin, was associated with reduced fear of complications. This is clinically noteworthy because fear of complications may lead to anxiety, 38,39 which may in turn cause activation of the autonomous nervous system, lowered immune response, impaired heart rate variety, endothelial dysfunction, and vascular inflammation. These symptoms may be associated with worse clinical outcomes following PCI.…”

Section: Discussionmentioning

confidence: 99%

Extension of the theory of adherence to treatment in patients with coronary heart disease

Kähkönen,

Vähänikkilä,

Paukkonen

et al. 2023

Chronic Diseases and Translational Medicine

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BackgroundIncreased knowledge of the concept of adherence is needed for development patient‐centered care, nursing interventions, and guidelines for patients with coronary heart disease (CHD). The aim of this study was to test and extend the Theory of Adherence to Treatment regarding informational support in patients with CHD.MethodsThe study utilized an explanatory and descriptive survey. The study was conducted in 2013 and involved 416 patients in five hospitals in Finland. The Adherence of Patients with Chronic Disease instrument and the Social Support for People with CHD instrument were used. The model was tested using structural equation modeling (SEM).ResultsSEM confirmed direct associations between motivation (β = 0.49, p < 0.001) and results of care (β = 0.29, p < 0.01), and indirect associations between sense of normality, fear of complications, support from nurses and next of kin, and informational support to adherence to a healthy lifestyle and medication. Informational support included information and advice on CHD risk factors, physical exercise, chest pain, medication, continuum of care, and rehabilitation. Indirect standardized path coefficients varied between 0.14 and 0.45. The model explained 45% of adherence to a healthy lifestyle and medication.ConclusionThe results of this study showed that informational support is a justified extension to the original Theory of Adherence to Treatment in Patients with CHD. Informational support seems to offer a new perspective that can be used to develop patient‐centered nursing interventions and thus support adherence to treatment by patients with a lifelong disease such as CHD.

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“…Good management, social support, and a holistic approach to health care can help mitigate these impacts (Sannemann et al, 2023). Good health education, emotional support, and appropriate treatment planning can also improve the quality of life for CHD sufferers (Saini et al, 2022). A health care team consisting of doctors, nurses, and other health professionals can provide the support needed to help sufferers manage their condition and improve their quality of life (Lundgren et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Anxiety, Self-Efficacy, and Quality of Life in Coronary Heart Disease Patients

Koto,

Panduragan,

Poddar

et al. 2024

MJN

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Coronary heart disease (CHD) is a serious public health problem and requires an in-depth understanding of the factors that influence it, including anxiety and self-efficacy. The aim of the research was to determine the effect of anxiety and self-efficacy on the quality of life of coronary heart disease patients. Methods:The type of research used is correlation analysis with a cross-sectional approach. The population in the study was 70 patients with coronary heart disease at a heart hospital in Indonesia. The collection technique used total sampling, so the total sample consisted of 70 respondents. The research instrument used was the Depression Anxiety Stress Scales (DASS)21, General Self-Efficacy Scale, and Medical Outcomes. Study Short Form 36. Results:The results of statistical tests for each independent variable have a partial effect on the dependent variable. The significance value for the anxiety variable is 0.034, and self-efficacy is 0.001. Simultaneous test results obtained a sig value of 0.002, meaning that anxiety and self-efficacy influence the quality of life of patients with coronary heart disease. Conclusions:Patients with lower levels of anxiety tend to have a better quality of life. Ahigh level of self-efficacy is positively correlated with a better quality of life in coronary heart disease patients. The results of this study can provide a basis for designing more effective clinical interventions, such as stress management programs or self-empowerment programs, to improve the quality of life of coronary heart disease patients.

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Depression, anxiety, and quality of life after percuataneous coronary interventions

Cited by 13 publications

References 66 publications

Effects of empowerment education on patients after percutaneous coronary intervention: A meta-analysis and systematic review

Effects of empowerment education on patients after percutaneous coronary intervention: A meta-analysis and systematic review

Extension of the theory of adherence to treatment in patients with coronary heart disease

The Influence of Anxiety, Self-Efficacy, and Quality of Life in Coronary Heart Disease Patients

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