scholarly journals Illness cognition and depression among patients with coronary heart disease

2021 ◽  
Author(s):  
Aan Nuraeni ◽  
Anastasia Anna ◽  
Atlastieka Praptiwi ◽  
Donny Nurhamsyah
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Nursing Interventions ◽  
Median Frequency ◽  
Perceived Benefits ◽  
Factors Affecting ◽  
Illness Cognition ◽  
Correlational Research ◽  
Demographic Questionnaire ◽  
Positive Correlation Coefficient

Background: Depression is a significant predictor of the quality of life among patients with coronary heart disease. Therefore, it is essential to explore the factors associated with depression. Illness cognition is considered one of the factors affecting depression. However, the relationship between illness cognition and the incidence of depression among Indonesian patients have not been widely investigated.Objective: This study aimed to investigate the correlation between illness cognition, consisting of the acceptance, perceived benefits, and helplessness variables, and depression in patients with coronary heart disease. Methods: This study employed a correlational research design with a total of 106 patients undergoing treatment at a hospital in West Java, Indonesia, selected using convenience sampling. Data were collected using a demographic questionnaire, Beck-Depression Inventory-II (BDI-II), and ICQ (Illness-Cognition Questionnaire). Data were analyzed using mean (SD), median, frequency distribution, and Spearman-rank. Results: 72% of respondents had no depression. Nevertheless, mild, moderate, and major depression suffered by 15%, 9%, and 4% of respondents, respectively. In terms of illness cognition, patients scored higher within the perceived benefits dimension (mean 20.13, SD 3.05), followed by acceptance (mean 18.22, SD 3.33) and helplessness (mean 13.20, SD 4.77), respectively. Furthermore, helplessness was significantly associated with depression (p <.01) with a positive correlation coefficient (r). Also, all items on the helplessness dimension had a significant correlation (p <.01) with depression accompanied by a positive r-value. Conclusion: Helplessness had a significant relationship with depression. So, cardiovascular nurses can anticipate depression in patients by making nursing interventions that can decrease the patients’ feelings of helplessness. Thus, factors that reduce helplessness need to be explored and taken into accounts in the treatment of patients with coronary heart disease.

scholarly journals The Effect of Workbook on Illness Cognition in Coronary Heart Disease Patients

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Aan Nur'aeni ◽  
Ristina Mirwanti ◽  
Anastasia Anna
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
P Value ◽  
Test Results ◽  
Perceived Benefits ◽  
Median Percentage ◽  
Illness Cognition ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean

 Introduction: Recurrence of coronary heart disease (CHD) occurs due to non-compliance patients in managing CHD. One predictor of compliance with CHD management is illness cognition (IC), and IC can be improved through illness stimuli that can be done through health education in this study through workbooks. Purpose: This study aimed to identify the effect of the workbook on illness cognition in CHD patients. Methods. This research was a quasi-experimental with pretest-posttest control design. A pretest was done to the patient who was treated in the Cardiac Intensive Unit; posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospital in West Java, Indonesia. Purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The instrument used was the illness cognition questionnaire (ICQ). Data were analyzed using the mean, median, percentage, and to estimate the effect of the workbook to the patients' IC used Wilcoxon and Friedman test. Results: The results showed an increase in acceptance and perceived benefits for both groups while in the helplessness showed the decrease scores. The p-value of IC comparison in the pre-test, post-test I, and II between groups for helplessness, acceptance, and perceived benefits were 0.118; 0.376; and 0.424, respectively. Besides, the p-value for differences of IC within control and intervention groups was less than 0.05. Conclusions: The workbook in this study generally did not provide significant IC changes to respondents.

scholarly journals Social and Emotional Support Highly Associated with Helplessness among Coronary Heart Disease Patients

2021 ◽  
Vol 9 (T6) ◽  
pp. 1-6
Author(s):  
Aan Nuraeni ◽  
Suryani Suryani ◽  
Yanny Trisyani ◽  
Iqbal Pramukti
Keyword(s):  
Social Support ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Emotional Support ◽  
Bivariate Analysis ◽  
Social And Emotional ◽  
Illness Cognition ◽  
Demographic Questionnaire ◽  
The Social ◽  
The Relationship

BACKGROUND: Helplessness is a factor that adversely affects patients with coronary heart disease (CHD). The factors related to this situation have become essential to be investigated. Meanwhile, one of the factors that have the potential to reduce this situation is social support. However, there has been no research related to this in the Indonesian population. AIM: Therefore, this study aims to assess the relationship between social support and helplessness among patients with CHD. METHODS: This was a correlational study where 107 outpatient and inpatient patients at a hospital in West Java, Indonesia, were obtained. The data were collected using a demographic questionnaire, Illness Cognition Questionnaire on the dimensions of helplessness, and the Enhancing Recovery in CHD Social Support Inventory. Furthermore, the data were analyzed by Pearson and linear regression. RESULTS: The respondents were 78% of males, while 22% were female. Most of the patients (88%) were married. The bivariate analysis showed that social support and its subvariable emotional support were significantly related to helplessness (p < 0.05, r = −0.248), while the other subvariable structural and instrumental support were not significantly related (p > 0.05). The regression analysis results showed that social and emotional support had a significant effect (p < 0.05) with R2 (95% CI) of 042 and 0.05, respectively. CONCLUSIONS: The social and emotional support among CHD patients was associated with helplessness. The higher the supports obtained, the lower the patient’s helplessness. Therefore, nurses need to encourage family or those closest to patients to provide adequate social and emotional support.

Social Factors Affecting Participation in a Study of Diet and Coronary Heart Disease

1967 ◽  
Vol 8 (1) ◽  
pp. 22 ◽  
Author(s):  
Morton Archer ◽  
Seymour Rinzler ◽  
George Christakis
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Social Factors ◽  
Factors Affecting

scholarly journals Micro-RNA as a predictor of cardiovascular diseases

2021 ◽  
Author(s):  
У.А. Халилова ◽  
В.В. Скворцов
Keyword(s):  
Myocardial Infarction ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiovascular Diseases ◽  
Plaque Rupture ◽  
Micro Rna ◽  
Atheromatous Plaque ◽  
Factors Affecting ◽  
Fibrous Matrix ◽  
Unstable Plaques

Сердечно-сосудистые заболевания, особенно ишемическая болезнь сердца (ИБС), являются наиболее распространенными заболеваниями во всем мире. Более 50% смертности приходится на данную патологию. В последние десятилетия существует тенденция к «омоложению» сердечно-сосудистых заболеваний – прежде всего гипертонической болезни и ИБС, что вызывает особую тревогу. Общепризнано, что основным этиологическим моментом развития ИБС является атеросклероз. ИБС включает в себя целый ряд клинических диагнозов (стенокардия, инфаркт миокарда и т. д.) и связана с атеросклерозом, распространенным дегенеративным заболеванием, при котором липиды и фиброзный матрикс откладываются в артериальной стенке с формированием атероматозной бляшки. Разрыв нестабильных бляшек в коронарных артериях приводит к высвобождению тромбогенного содержимого в просвет сосуда, приводя к тромбозу коронарных артерий, окклюзии и последующему инфаркту миокарда – критическому состоянию с высокой смертностью [5]. Несмотря на большое количество известных факторов риска, влияющих на развитие данного заболевания, существуют данные, подтвержденные крупными исследованиями, о наличии генетической предрасположенности к нему. Cardiovascular diseases, especially coronary heart disease (CHD), are the most common diseases worldwide. More than 50% of mortality occurs in this pathology. In recent decades, there is a tendency to «rejuvenate» cardiovascular diseases – primarily hypertension and СHD, which is of particular concern [6, 8]. It is generally recognized that atherosclerosis is the main etiological moment in the development of coronary heart disease. CHD includes a number of clinical diagnoses (angina pectoris, myocardial infarction, etc.) and is associated with atherosclerosis, a common degenerative disease in which lipids and the fibrous matrix are deposited in the arterial wall with the formation of an atheromatous plaque. Rupture of unstable plaques in the coronary arteries leads to the release of thrombogenic contents into the lumen of the vessel, leading to coronary artery thrombosis, occlusion and subsequent myocardial infarction, critical state with high mortality [5]. Despite the large number of known risk factors affecting the development of this disease, there is evidence, confirmed by large studies, about the presence of a genetic predisposition to this disease.

The Perceived Benefits of a Group CBT Intervention for Patients With Coronary Heart Disease

2003 ◽  
Vol 17 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Sarah Edelman ◽  
Jim Lemon ◽  
Antony Kidman
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Perceived Benefits ◽  
Before And After ◽  
Anxiety Depression ◽  
Share Information ◽  
Group Cbt

Participants in a group CBT intervention for men who had undergone stent surgery completed an evaluation of the program at its completion. The evaluation included questions on how much they liked the program, how helpful they found it to be, how well the leader ran the group, what aspects of the program they had found beneficial, and what aspects they liked and disliked. Measures of anxiety, depression, and hostility were taken before and after the intervention. Participants rated the program highly and most frequently cited the opportunity to disclose and share information with fellow participants as an aspect of the program which they particularly liked. Learning specific skills was the most frequently cited benefit of doing the program. The therapeutic aims of the program—reducing anxiety, depression, and hostility—were mentioned infrequently. Although reductions in anxiety and hostility scores were apparent after the program, these were not related to participants’ feedback on the perceived benefits or enjoyable aspects of the program.

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