Social and Emotional Support Highly Associated with Helplessness among Coronary Heart Disease Patients
DOI:
https://doi.org/10.3889/oamjms.2021.7308Keywords:
Social support, Helplessness, Coronary heart disease, CardiacAbstract
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.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Uli RE, Satyana RP, Zomer E, Magliano D, Liew D, Ademi Z. Health and productivity burden of coronary heart disease in the working Indonesian population using life-table modelling. BMJ Open. 2020;10(9):1-9. http://doi.org/10.1136/bmjopen-2020-039221 DOI: https://doi.org/10.1136/bmjopen-2020-039221
Ministry of Health of the Republic of Indonesia. Hasil Riset Kesehatan Dasar 2018 [Basic Health Research Results]. Jakarta; 2018. Available from: http://labdata.litbang.depkes. go.id/menu-progress-puldata/progress-puldata-rkd-2018. [Last accessed on 2021 Jul 06].
Chow C, Atkins E, Islam S, Lung T, Conroy K. Reducing the Burden of Cardiovascular Disease in Indonesia. Jakarta: Cardiovascular Division Health Services Research Centre, The George Institute for Global Health; 2017.
Von Känel R, Hari R, Schmid JP, Saner H, Begré S. Distress related to myocardial infarction and cardiovascular outcome: A retrospective observational study. BMC Psychiatry. 2011;11:98. https://doi.org/10.1186/1471-244x-11-98 DOI: https://doi.org/10.1186/1471-244X-11-98
Zuidersma M, Thombs BD, De Jonge P. ‘Onset and recurrence of depression as predictors of cardiovascular prognosis in depressed acute coronary syndrome patients: A systematic review. Psychother Psychosom. 2011;80(4):227-37. https://doi.org/10.1159/000322633 PMid:21502770 DOI: https://doi.org/10.1159/000322633
Edmondson D, Richardson S, Falzon L, Davidson KW, Mills MA, Neria Y. Posttraumatic stress disorder prevalence and risk of recurrence in acute coronary syndrome patients: A meta-analytic review. PLoS One. 2012;7(6):e38915. https://doi.org/10.1371/journal.pone.0038915 PMid:22745687 DOI: https://doi.org/10.1371/journal.pone.0038915
Steptoe A, Kivimäki M. Stress and cardiovascular disease. Nat Rev Cardiol. 2012;9(6):360-70. https://doi.org/10.1038/nrcardio.2012.45 PMid:22473079 DOI: https://doi.org/10.1038/nrcardio.2012.45
Smallheer BA, Dietrich MA. Social support, self-efficacy, and helplessness following myocardial infarctions. Crit Care Nurs Q. 2019;42(3):246-55. https://doi.org/10.1097/cnq.0000000000000265 PMid:31135475 DOI: https://doi.org/10.1097/CNQ.0000000000000265
Newman JD, Muntner P, Shimbo D, Davidson KW, Shaffer JA, Edmondson D. Post-traumatic stress disorder (PTSD) symptoms predict delay to hospital in patients with acute coronary syndrome. PLoS One. 2011;6(11):e27640. https://doi.org/10.1371/journal.pone.0027640 PMid:22096608 DOI: https://doi.org/10.1371/journal.pone.0027640
Smallheer BA, Vollman M, Dietrich MS. Learned helplessness and depressive symptoms in patients following acute myocardial infarction. Clin Nurs Res. 2018;27(5):597-616. PMid:28129708 DOI: https://doi.org/10.1177/1054773816689752
Nuraeni A, Praptiwi A, Nurhidayah I. Depression, recurrence, and perceptions of physical fitness among CHD patients: A comparison based on participation in phase II cardiac rehabilitation program. J Keperawatan Padjadjaran. 2020;8(3):241-51. https://doi.org/10.24198/jkp.v8i3.1471 DOI: https://doi.org/10.24198/jkp.v8i3.1471
Blumenthal JA, Feger BJ, Smith PJ, Watkins LL, Jiang W, Davidson J, et al. Treatment of anxiety in patients with coronary heart disease: Rationale and design of the UNderstanding the benefits of exercise and escitalopram in anxious patients WIth coroNary heart Disease (UNWIND) randomized clinical trial. Am Heart J. 2016;176:53-62. https://doi.org/10.1016/j.ahj.2016.03.003 PMid:27264220 DOI: https://doi.org/10.1016/j.ahj.2016.03.003
Su JJ, Yu DS. Effectiveness of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: A randomized controlled trial protocol. BMC Cardiovasc Disord. 2019;19(1):1-10. https://doi.org/10.1186/s12872-019-1262-5 PMid:31783800 DOI: https://doi.org/10.1186/s12872-019-1262-5
Karademas EC, Hondronikola I. The impact of illness acceptance and helplessness to subjective health, and their stability over time: A prospective study in a sample of cardiac patients. Psychol Health Med. 2010;15(3):336-46. https://doi.org/10.1080/13548501003668265 PMid:20480437 DOI: https://doi.org/10.1080/13548501003668265
Covino JM, Stern TW, Stern TA. Denial of cardiac illness: consequences and management. Prim Care Companion CNS Disord. 201113(5):PCC.11f01166. https://doi.org/10.4088/pcc.11f01166 PMid:22295258 DOI: https://doi.org/10.4088/PCC.11f01166
Chiavarino C, Rabellino D, Ardito RB, Cavallero E, Palumbo L, Bergerone S, et al. Emotional coping is a better predictor of cardiac prognosis than depression and anxiety. J Psychosom Res. 2012;73(6):473-5. https://doi.org/10.1016/j.jpsychores.2012.10.002 PMid:23148818 DOI: https://doi.org/10.1016/j.jpsychores.2012.10.002
Nuraeni A, Anna A, Praptiwi A, Nurhamsyah D. Illness cognition and depression among patients with coronary heart disease. Belitung Nurs J. 2021;7(4):304-10. https://doi.org/10.33546/ bnj.1540 DOI: https://doi.org/10.33546/bnj.1540
Lichtman JH, Froelicher ES, Blumenthal JA, Carney RM, Doering LV, Frasure-Smith N, et al. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: Systematic review and recommendations: A scientific statement from the american heart association. Circulation. 2014;129(12):1350-69. https://doi.org/10.1161/cir.0000000000000019 PMid:24566200 DOI: https://doi.org/10.1161/CIR.0000000000000019
Fiedorowicz JG. Depression and cardiovascular disease: An update on how course of illness may influence risk. Curr Psychiatry Rep. 2014;16(10):1-12. https://doi.org/10.1007/s11920-014-0492-6 DOI: https://doi.org/10.1007/s11920-014-0492-6
Shi S, Liu T, Liang J, Hu D, Yang B. Depression and risk of sudden cardiac death. 2017;79(2):153-61. https://doi.org/10.1097/PSY.0000000000000382 PMid:27627224 DOI: https://doi.org/10.1097/PSY.0000000000000382
Lane D, Carroll D, Ring C, Beevers DG, Lip GY. Effects of depression and anxiety on mortality and quality-of-life 4 months after myocardial infarction. J Psychosom Res. 2000;49(4):229-38. https://doi.org/10.1016/s0022-3999(00)00170-7 PMid:11119779 DOI: https://doi.org/10.1016/S0022-3999(00)00170-7
Staniute M, Brozaitiene J, Bunevicius R. Effects of social support and stressful life events on health-related quality of life in coronary artery disease patients. J Cardiovasc Nurs. 2013;28(1):83-9. https://doi.org/10.1097/jcn.0b013e318233e69d PMid:22067721 DOI: https://doi.org/10.1097/JCN.0b013e318233e69d
Wang W, Lau Y, Chow A, Thompson DR, He HG. Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China. Eur J Cardiovasc Nurs. 2014;13(1):48-54. https://doi.org/10.1177/1474515113476995 PMid:23382534 DOI: https://doi.org/10.1177/1474515113476995
Nur’aeni A, Mirwanti R. Acceptance, perceived benefits, and helplessness among coronary heart disease patients undergoing treatment in a different ward. Padjadjaran Acute Care Nurs. 2020;1(2):2799. https://doi.org/10.24198/pacnj.v1i2.27999 DOI: https://doi.org/10.24198/pacnj.v1i2.27999
Bujang MA, Baharum N. Sample size guideline for correlation analysis. World J Soc Sci Res. 2016;3(1):37-46. DOI: https://doi.org/10.22158/wjssr.v3n1p37
Evers AW, Kraaimaat FW, Van Lankveld W, Jongen PJ, Jacobs JW, Bijlsma JW. Beyond unfavorable thinking: The illness cognition questionnaire for chronic diseases. J Consult Clin Psychol. 2001;69(6):1026-36. https://doi.org/10.1037/0022-006x.69.6.1026 DOI: https://doi.org/10.1037/0022-006X.69.6.1026
Delima PP, Sriati A, Nur’aeni A. Illness Cognition pada Pasien dengan Penyakit Jantung Koroner [Illness Cognition in Patients with Coronary Heart Disease ]. J Nurs Care. 2018;1(1):42. https://doi.org/10.24198/jnc.v1i1.15763 DOI: https://doi.org/10.24198/jnc.v1i1.15763
Mitchell PH, Powell L, Blumenthal J, Norten J, Ironson G, Pitula CR, et al. A short social support measure for patients recovering from myocardial infarction: The ENRICHD social support inventory. J Cardiopulm Rehabil. 2003;23(6):398-403. https://doi.org/10.1097/00008483-200311000-00001 PMid:14646785 DOI: https://doi.org/10.1097/00008483-200311000-00001
Chaerunnisa SM, Nuraeni A, Hernawaty T. The correlation between social support and depression in Coronary Heart Disease patients. J Nurs Care Biomol. 2017;2(2):92-8. https://doi.org/10.32700/jnc.v2i2.66 DOI: https://doi.org/10.32700/jnc.v2i2.66
Buursma MP, Tintle NL, Boven E, DeVon HA, Dunn SL. Lack of perceived social support in patients with ischemic heart disease is associated with hopelessness. Arch Psychiatr Nurs. 2020;34(2):14-6. https://doi.org/10.1016/j.apnu.2019.12.001 PMid:16314591 DOI: https://doi.org/10.1016/j.apnu.2019.12.001
Abramson LY, Metalsky GI, Alloy LB. Hopelessness depression: A theory-based subtype of depression. Psychol Rev. 1989;96(2):358. https://doi.org/10.1037/0033-295x.96.2.358 DOI: https://doi.org/10.1037/0033-295X.96.2.358
Warnaen O, Djiwapraja S, Wibisana D, Adimijardja W, Sukmana K, Rostoyati N. Pandangan Hidup Orang Sunda Seperti Tercermin Dalam Tradisi Lisan dan Sastra Sunda. Bandung: Bagian Proyek Penelitian dan Pengkajian Kebudayaan Sunda (Sundanologi), Direktorat Jenderal Kebudayaan, Departemen Pendidikan dan Kebudayaan; 1987. https://doi.org/10.24832/ jpnk.v3i2.1031
Sari Y, Afiatin T, Subandi S, Setiawan HW. Sundanese family strength: A preliminary study. J Ilm Peuradeun. 2020;8(3):567. https://doi.org/10.26811/peuradeun.v8i3.513 DOI: https://doi.org/10.26811/peuradeun.v8i3.513
Hasanah A, Gustini N, Rohaniawati D. Cultivating character education based on Sundanese culture local wisdom. J Pendidik Islam. 2016;2(2):231. https://doi.org/10.15575/jpi.v2i2.788 DOI: https://doi.org/10.15575/jpi.v2i2.788
Fajrussalam H, Hasanah A. Core ethical values of character education based on sundanese culture value. Int J Educ Curr Appl. 2018;1(3):15. https://doi.org/10.31764/ijeca.v1i3.2126 DOI: https://doi.org/10.31764/ijeca.v1i3.2126
Roohafza H, Talaei M, Pourmoghaddas Z, Rajabi F, Sadeghi M. Association of social support and coping strategies with acute coronary syndrome: A case-control study. J Cardiol. 2012;59(2):154-9. https://doi.org/10.1016/j.jjcc.2011.12.001 PMid:22266457 DOI: https://doi.org/10.1016/j.jjcc.2011.12.001
Roohafza H, Sadeghi M, Shirani S, Bahonar A, Mackie M, Sarafzadegan N. Association of socioeconomic status and life-style factors with coping strategies in Isfahan healthy heart program, Iran. Croat Med J. 2009;50(4):380-6. https://doi.org/10.3325/cmj.2009.50.380 PMid:19673038 DOI: https://doi.org/10.3325/cmj.2009.50.380
Rozanski A, Blumenthal JA, Davidson KW, Saab PG, Kubzansky L. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice. J Am Coll Cardiol. 2005;45(5):637-51. https://doi.org/10.1016/j.jacc.2004.12.005 PMid:15734605 DOI: https://doi.org/10.1016/j.jacc.2004.12.005
Chow CK, Jolly S, Rao-Melacini P, Fox KA, Anand SS, Yusuf S. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation. 2010;121(6):750-8. https://doi.org/10.1161/circulationaha.109.891523 PMid:20124123 DOI: https://doi.org/10.1161/CIRCULATIONAHA.109.891523
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Aan Nuraeni, Suryani Suryani, Yanny Trisyani, Iqbal Pramukti (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0