A Study to Assess the Anxiety Level among Patients who are Newly Diagnosed as Myocardial Infarction and their Primary Care Givers in a Selected Tertiary Hospital, Tamil nadu, India

Download Article

DOI: 10.21522/TIJNR.2015.SE.19.02.Art010

Authors : Saranya R

Abstract:

The aim of the study was to assess the anxiety level of newly diagnosed Myocardial Infarction patients and their primary care givers and to compare their anxiety level and to associate the anxiety level of newly diagnosed Myocardial Infarction patients and their primary care givers with selected demographic variables and to compare the level of anxiety among newly diagnosed Myocardial Infarction patients and their primary care givers. A descriptive research design and quantitative non-experimental approach was selected. The study includes 50 patients selected by purposive sampling technique. The study was conducted in Trichy SRM Medical College hospital & Research institute at Irungalur, Trichy. Demographic data, state and trait anxiety scale were used for data collection procedure. To analyze the data, statistical analysis was used. The Johnson’s behavioral system model, which is widely used to study health behavior, formed the theoretical framework for this study. The major findings of the study showed that, there was a significant relationship between the patients and primary care givers in State anxiety level with selected demographic variables. There was a significant association between the level of anxiety and demographic variables like Age, Sex and Education. There was a positive correlation between the level of anxiety of patients and their primary care givers. Symptoms of anxiety were prevalent and persistent problems among newly diagnosed as Myocardial Infarction patients and their primary care givers. This study highlights the importance of routine psychological assessment for newly diagnosed as Myocardial Infarction patients and their primary care givers in hospital and after discharge.

Keywords: Myocardial infarction, Anxiety, primary care givers.

References:

[1].   Ames, S.W., et.al., 1988.Essentials of Adult Health Nursing. California: Addison – Wesley Co.

[2].   Basavanthappa, B.T., 2003.Medical Surgical Nursing. 1stedit.NewDelhi: Jaypee brother’s publication.

[3].   Black, J.M., et.al., 1997.MedicalSurgicalNursing.5thedi. Philadelphia: Saunders publication.

[4].   Bliley, D.M., 1987.Medical Surgical Nursing. ST Louis: Mosby Company.

[5].   Brounwald.E.1984.A Text Book of Cardiovascular Medicine. W.B. Saunders Company. Philadelphia.

[6].   Brunner and Suddharth., 1995. Text Book of Medical Surgical Nursing. Philadelphia: Mosby Company.

[7].   Bliley: D M and stokes L G., 1987.Medical – Surgical Nursing, ST, Louis: C V Mosby Company.

[8].   Broun Wald E, 1984.Heart Disease – A Text Book of Cardiovascular Medicine, Philadelphia: W.B Saunders Company.

[9].   Carl J Pepine., 1989.Diagnostic and Therapeutic Cardiac Catheterization, Baltimore: Williams & Wilkins.

[10].  Dennis T Mangano., 1990.Pre-Operative Cardiac Assessment, Philadelphia; J. B. Lippincott.

[11].  Grossman W., 1986.Cardiac Catheterization and Angiography, Philadelphia: Lea and Fibiger.

[12].  Guzzetting C E and Dossay B.M., 1992.Cardio Vascular Nursing – Holistic Practice, ST, Louis: C, V Mosby Company.

[13].  Kazier of Al., 1991.Fundamentals of Nursing, California: Addison Wesley.

[14].  Lazarus R S and Folk man S., 1984. Stress Appraisal and Coping, New York: Springer.

[15].  Ley P., 1988.Communication with Patients, London: Croom Helm.

[16].  Luckman and Soreness., 1993.Medical- Surgical Nursing, Philadelphia: W B Sounders Company.

[17].  Mcclosky J and Grace H., 1995.Current Issues in Nursing, St, Louis C V Mosby Company.

[18].  Meirar B., 1987.Coronary Angioplasty, New York: Greine& Stralton, INC.

[19].  Mendel D and Older show P., 1986.A Practice of Cardiac Catheterization, Oxford: Blackwell Scientific Publications.

[20].  Phipps, Casmeyes, Sande Lehman., 1991.Medical – Surgical Nursing, Philadelphia; Mosby Company.

[21].  Polit FD Andhungler P B., 1995. Nursing Research Principles and Methods, Philadelphia: J.B Lippincott Company.

[22].  Polter P A and Perry A., 1995.Basic Nursing: Theory and Practice, St, Louis: Mosby Company.

[23].  Redman B K., 1993.the Process of Patient Education, St. Louis; Mosby Year Book.

[24].  Shafer, et al., 1967. Medical Surgical Nursing, St. Louis: Mosby Company.

[25].  Storile F., 1975.Patient Education in Critical Care, New York: Appleton Century Inc.

[26].  Thomas M Bashore., 1990.Invasive Cardiology – Principals and Techniques, Toronto: B.C Decker Inc.

[27].  Vicki Vine Earnest., 1989. Clinical Skills and Assessment Technique in Nursing Practice, Illinois; Scott, Foreman and Company.

[28].  Peter H. Brubaker., et al., 2002. Essentials of Prevention and Rehabilitation Programs, Human Kinetics, Copyright.

[29].  Stephen Stansfeld, et al., 2001. Stress and the Heart: Psychosocial Pathways to Coronary Heart Disease, Blackwell Scientific Publications.

[30]. Aaron Antonovsky, et al., 1979. A text book of Stress and coping, Jossey-Bass Publishers.

[31].  Magnus P, Beaglehole R et al, 2001. The real contribution of the major risk factors to the coronary epidemics. Time to end the ‘only 50%’ myth. Arch Intern Med. 161:26-57.

[32].  Lane D, Carroll D, et al, 2002. The prevalence and persistence of depression and anxiety following myocardial infarction. Br J Health Psychol. 7:11–21.

[33].  Moser DK et al, 2000.Determine the association between patient anxiety early after acute myocardial infarction.Vol.4: 23-31.

[34].  Deirdre Lane et al, 2005. Assessed anxiety level of newly diagnosed myocardial infarction (MI) patients registered elevated BDI scores Beliefs about illness and medication usage. American Journal of Heart.Vol.3: 45-47.

[35].  Blatt and colleagues et al, 2007 The prospective cohort study to assess risk of myocardial infarction, American Journal of Nursing.Vol.5: 56-58.

[36].  Sarkar.S et al. 2011, the study was conducted to assess the occurrence of anxiety in patients, AHA, Vol.1:10-12.

[37].  Hosseini SH, et al, 2011. Determining the impact of depression and anxiety on MI patients. American Heart Journal.Vol.5: 17-19.

[38].  Kapfhammer HP et al, 2011. Assessed Anxiety and Depressive and myocardial infarction present a major co-morbidity. British Journal.Vol.4: 24 -28.

[39].  Roest AM et al, 2012. Assess the association between generalised anxiety disorder and adverse outcomes in patients with myocardial infarction, Canadian Medical Association Journal.Vol.3: 31–35.

[40].  Miriam Stewart et al, 2001. Conducted a study to describe anxiety and social support experienced by survivors and primary care givers. Indian Heart Journal.Vol.1: 14-19.

[41].  Shayne J. Chan et al. 2002. Documented anxiety in primary care givers of post- myocardial infarction patients. Japanese Journal of Chest Diseases and Allied Sciences.Vol.1: 21-24.

[42].  Havva Tel PhD et al. 2006. Determinates the effect of individualized education on MI patients and primary care givers. Journal of American Medicine Association.Vol.5: 19-22.

[43].  P. Bennett et al. 2006. Determinates the Coping level of Patients with primary care givers, Journal of Health and Social Behavior.Vol.2: 5-9.

[44].  Bressi C, et al, 2009. Assessed the emotional components expressed by the spouses of patients. Journal of Human Hypertension.Vol.6: 10-14.

[45].  Siddhartha E, et al, 2000. Investigate whether a brief in-hospital illness perceptions and reduce spouses' anxiety about the illness. Journal of Indian Research Center.Vol.1: 7-9.

[46].  Pedersen SS, et al, 2000. Investigated the prevalence of anxiety and depressive symptoms in patients. Journal of Nursing Scholarship.Vol.1: 15-19.

[47].  Irfan Yusuf et al 2000. Conducted a study to identify common sources of anxiety in primary care givers. National Medical Journal of India.Vol.2: 5-6.

[48].  Debra K. et al, 2002. compared the level of anxiety among newly diagnosed Myocardial infarction patients and their primary care givers. Niger Post Graduate Medical Journal.Vol.1: 3-5.

[49].  Kaufmann MW, et al. 1999. Relation between myocardial infarction, depression, hostility, and death. American Heart Journals. Vol. 3: 10-12.

[50].  RA Mayou, et al, 2000. Depression and anxiety as predictors of outcome after myocardial infarction. American Psychosomatic Society. Vol.2: 19-20.

[51].  Fehder WP, et al, 1999. Alterations in immune response associated with anxiety in Myocardial Infarction patients. CRNA. Vol.10: 15-17.

[52].  Frasure-Smith N, et al, 1998 In-hospital symptoms of psychological stress as predictors of long-term outcome after acute myocardial infarction in men. Am J Cardiol. Vol.62: 44-46.

[53]. Crowe J, Runions J, et al. 1996. Anxiety and depression after acute myocardial infarction. Heart Lung. Vol.25: 12-14.

[54].  Krishna raj, 2005. Conducted thesurvey of anxiety level among patients Manipal College of nursing, Bangalore.

[55].  Lijo Thomas, 2011. Determining the depression and anxiety on MI patients, PSG College of nursing, Coimbatore.

[56].  Arul selvi, 2011. Assessed Anxiety and Depressive and myocardial infarction present a major morbidity. Vinayaka Mission College of nursing, Salem.

[57].  Hosseini SH, et al, 2011. Determining the impact of depression and anxiety on MI patients. Retrieved May 8, 2011 from http://www.bupa.com.

[58].  Pedersen SS, et al, 2000. Investigated the prevalence of anxiety and depressive symptoms in patients. Retrieved Dec 2, 2000 from http://www.holisticonline.com.

[59].  Magnus P, Beaglehole R et al, 2001. The real contribution of the major risk factors to the coronary epidemics. Retrieved May 4, 2001 from http://www.onlinelibrary.com.

[60].  Crowe J, Runions J, et al. 1996. Anxiety and depression after acute myocardial infarction. Retrieved July15, 1996 from http://www.Nursingtimes.net.

[61].  Deirdre Lane et al, 2005. Assessed anxiety level of newly diagnosed myocardial infarction. Retrieved Dec20, 2005 from http://www.ovidsp.Ovid/home.com.

[62].  Debra K. et al, 2002. Compared the level of anxiety among newly diagnosed Myocardial infarction patients and their primary care givers. Retrieved Aug30, 2002 from http://www.scribd/home/compliance.html.

[63].  Miriam Stewart et al, 2001. Conducted a study to describe anxiety and social support experienced by survivors and primary care givers. Retrieved Feb 6, 2001 from http://www.currentnursing.com.

[64].  P. Bennett et al. 2006. Determinates the Coping level of Patients with primary care givers. Retrieved Jan 7, 2006 from http://www.enotes.com.

[65].  Blatt and colleagues et al, 2007 conducted the prospective cohort study to assess risk of myocardial infarction. Retrieved May14, 2007 from http://www.PubMed/home/compliance to exercise.html.

[66].  Fehder WP, et al, 1999. Alterations in immune response associated with anxiety in Myocardial Infarction patients. Retrieved Aug13, 1999 from http://www.googlescholar/home/non-communicable diseases.html.

[67].  Irfan Yusuf et al 2000. Conducted a study to identify common sources of anxiety in primary care givers. Retrieved Sep 25, 2000 from http://www.wikipedia.com.

[68].  Lane D, Carroll D, et al, 2002. The prevalence and persistence of depression and anxiety following myocardial infarction. Retrieved May 31, 2002 from http//www.nursingtunes. com.