Evaluating the Relationship between Nursing Care Quality and Hospital Anxiety and Depression among Old Patients with Cardiovascular Disease

Abstract

Introduction: Cardiovascular disease (CVD) is a prevalent condition among older adults’ hospitalizations leading to psychological complications. Nursing care is the longest intervention the patient receives. This study evaluated the relationship between nursing care quality and anxiety and depression among old patients with CVD. Methods: This is a descriptive cross-sectional correlational study that included 250 old patients with CVD admitted to an ‘age-friendly hospital’. Using the convenience sampling method. The data collection tools included the Hospital Anxiety and Depression Scale (HADS) and the Quality Patient Care Scale (QUALPACS). Data were collected through conducting interviews and analyzed in SPSS ver.13 via statistical tests such as correlation coefficients, independent t-test, and ANOVA. Results: Overall, 229 (91.6%) of patients received the desired nursing care quality. The mean (SD) scores for anxiety were 1.52 (1.14) and depression 2.18 (1.51), indicating a less than average hospital anxiety and depression. There was an inverse correlation between anxiety and nursing care quality. Conclusion: A combination of high-quality nursing care and clinical governance criteria in an age-friendly hospital can reduce anxiety in old patients.

The mediating role of cardiac patients’ perception of nursing care on the relationship between kinesiophobia, anxiety and depression in rural hospitals: a cross-sectional study

“…Consistent with this result, the investigation conducted by Bastani, et al in 2022 [ 32 ], suggests that streamlining the admission and hospitalization processes for elderly patients in age-friendly medical facilities could potentially lead to a reduction in stress, anxiety, and depression among this demographic. Notably, hospitals with a clinical emphasis demonstrated high scores in care quality, corresponding to lower scores in anxiety and depression.…”

“…The authors underscored the necessity of advancing kinesiophobia management through the implementation of key strategies, including the adoption of an effective health education model, fostering stable collaboration between medical staff and family caregivers, streamlining clinical protocols, establishing specialized nursing teams, and delineating clear lines of multidisciplinary responsibilities. In addition, Bastani, et al in 2022 [ 32 ], focused on examining how the quality of nursing care relates to anxiety and depression in patients with CVD. The findings from this research affirm the significant impact of care quality on anxiety and depression levels among patients with CVD.…”

Cardiovascular diseases and community mental health

“…All of the individuals displayed low levels of hospital anxiety and depression. An inverse relationship was reported in the study between hospital anxiety and the quality of nursing care [92] . The results of this study are consistent with other studies that assess the quality of nursing care at the hospitals [87,93,94] .…”

“…The level of anxiety among individuals with CVDs is relatively high and therefore it is important to evaluate older adults with CVDs in terms of their mental health [97] . It is for this reason that action must be taken to reduce anxiety and depression at the hospitals [92] . Public health and community psychiatric nurses shoulder an important role in this context.…”

Poor Care: A Walker and Avant Concept Analysis

“…Care is the fundamental fact of nursing and the goal of clinical governance is to maximize the quality of care services. 1 - 3 A public demand from health care providers is to provide standard care. Poor care is usually discussed in the media.…”