Association between Illness Perception and Anxiety Undergoing Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome: A Pilot Study
DOI:
https://doi.org/10.3889/oamjms.2023.9745Keywords:
acute coronary syndrome, anxiety, illness perception, percutaneous coronary interventionAbstract
BACKGROUND: Patients’ illness perceptions are thought to be associated with anxiety undergoing percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS).
AIM: This study aimed to determine the association between illness perception and anxiety undergoing PCI in patients with ACS.
METHODS: This study used a cross-sectional design and enrolled 50 hospitalized patients with ACS who underwent elective PCI between December 2019 and March 2020. The study instruments were the Brief-Illness Perception Questionnaire to evaluate illness perception and the Zung Self-Rating Anxiety Scale to evaluate patients’ anxiety. Statistical analysis was performed using the Pearson correlation test with significance set as p < 0.05.
RESULTS: This study showed that 56% of respondents had positive perceptions toward their disease. The majority of respondents (94%) also indicated a low level of anxiety undergoing PCI. The Pearson correlation test results revealed a significant association between illness perception and the level of anxiety undergoing PCI in patients with ACS (p = 0.043; r = 0.287).
CONCLUSION: There is a significant association between illness perception and anxiety undergoing PCI in patients with ACS. The positive perceptions led to lower patients’ anxiety, and vice versa.
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References
Bruno F, Moirano G, Budano C, Lalloni S, Ciccone G, Verardi R, et al. Incidence trends and long-term outcomes of myocardial infarction in young adults: Does gender matter? Int J Cardiol. 2022;357:134-9. https://doi.org/10.1016/j.ijcard.2022.03.012 PMid:35301075
Achmad BF. Effect of cardiopulmonary resuscitation training towards cardiac arrest emergency knowledge upon students at student health association of universitas Gadjah Mada, Indonesia. Int J Res Med Sci. 2020;8(10):3463-6. https://doi.org/10.18203/2320-6012.ijrms20204217
Zeren G, Avcı II, Şimşek B, Sungur A, Çınar T, Tanık VO, et al. Post percutaneous coronary intervention hemoglobin levels predict in-hospital mortality in patients with STEMI treated with primary percutaneous coronary intervention. Anatol J Cardiol. 2021;25(9):623-9. https://doi.org/10.5152/AnatolJCardiol.2021.07282 PMid:34498593
Ludman PF. Percutaneous coronary intervention. Medicine. 2018;46(9):547-54. https://doi.org/10.1016/j.mpmed.2018.06.007
Doll JA, Hira RS, Kearney KE, Kandzari DE, Riley RF, Marso SP, et al. Management of percutaneous coronary intervention complications: Algorithms from the 2018 and 2019 Seattle percutaneous coronary intervention complications conference. Circ Cardiovasc Interv. 2020;13(6):e008962. https://doi.org/10.1161/CIRCINTERVENTIONS.120.008962 PMid:32527193
Chen YY, Xu P, Wang Y, Song TJ, Luo N, Zhao LJ. Prevalence of and risk factors for anxiety after coronary heart disease: Systematic review and meta-analysis. Medicine (Baltimore). 2019;98(38):e16973. https://doi.org/10.1097/MD.0000000000016973 PMid:31567932
Delewi R, Vlastra W, Rohling WJ, Wagenaar TC, Zwemstra M, Meesterman MG, et al. Anxiety levels of patients undergoing coronary procedures in the catheterization laboratory. Int J Cardiol. 2017;228:926-30. https://doi.org/10.1016/j.ijcard.2016.11.043 PMid:27912201
Yap CK, Wong MY, Lim KK. Illness perception of anxiety patients in primary care in Singapore. Indian J Psychol Med. 2019;41(1):75-80. https://doi.org/10.4103/IJPSYM.IJPSYM PMid:30783312
Ezmeirlly HA, Farahat FM. Illness anxiety disorder and perception of disease and distress among medical students in Western Saudi Arabia. Saudi Med J. 2019;40(11):1144-9. https://doi.org/10.15537/smj.2019.11.24654 PMid:31707412
Vilchinsky N, Dekel R, Asher Z, Leibowitz M, Mosseri M. The role of illness perceptions in the attachment-related process of affect regulation. Anxiety Stress Coping. 2013;26(3):314-29. https://doi.org/10.1080/10615806.2012.682649 PMid:22607155
Turan GB, Tan M, Dayapoglu N. Investigation of the effects of illness perception on anxiety and depression in patients with COPD. Int J Caring Sci. 2019;12(2):699-709. https://doi.org/10.4172/2167-1168.C1.031
Scerri J, Saliba T, Saliba G, Scerri CA, Camilleri L. Illness perceptions, depression and anxiety in informal carers of persons with depression: A cross-sectional survey. Qual Life Res. 2019;28(2):451-60. https://doi.org/10.1007/s11136-018-2009-y PMid:30244359
Schwartz MN, Rimland CA, Quinn KA, Ferrada MA, Gribbons KB, Rosenblum JS, et al. Utility of the brief illness perception questionnaire to monitor patient beliefs in systemic vasculitis. J Rheumatol. 2020;47(12):1785-92. https://doi.org/10.3899/jrheum.190828 PMid:32238516
Basu S, Poole J. The brief illness perception questionnaire. Occup Med (Lond). 2016;66(5):419-20. https://doi.org/10.1093/occmed/kqv203 PMid:27317335
Setyowati A, Chung MH, Yusuf A. Development of self-report assessment tool for anxiety among adolescents: Indonesian version of the Zung self-rating anxiety scale. J Public Health Afr. 2019;10(s1):14-8. https://doi.org/10.4081/jphia.2019
Dunstan DA, Scott N. Norms for zung’s self-rating anxiety scale. BMC Psychiatry. 2020;20(1):90. https://doi.org/10.1186/s12888-019-2427-6 PMid:32111187
Sararoudi RB, Motmaen M, Maracy MR, Pishghadam E, Kheirabadi GR. Efficacy of illness perception focused intervention on quality of life, anxiety, and depression in patients with myocardial infarction. J Res Med Sci. 2016;21:125. https://doi.org/10.4103/1735-1995.196607 PMid:28331511
Mosleh SM, Almalik MM. Illness perception and adherence to healthy behaviour in Jordanian coronary heart disease patients. Eur J Cardiovasc Nurs. 2016;15(4):223-30. https://doi.org/10.1177/1474515114563885 PMid:25505161
Nur KR. Illness perception and cardiovascular health behaviour among persons with ischemic heart disease in Indonesia. Int J Nurs Sci. 2018;5(2):174-80. https://doi.org/10.1016/j.ijnss.2018.04.007 PMid:31406821
Weibel L, Massarotto P, Hediger H, Mahrer-Imhof R. Early education and counselling of patients with acute coronary syndrome. A pilot study for a randomized controlled trial. Eur J Cardiovasc Nurs. 2016;15(4):213-22. https://doi.org/10.1177/1474515114556713 PMid:25341680
Lynggaard V, Nielsen CV, Zwisler AD, Taylor RS, May O. The patient education-learning and coping strategies-improves adherence in cardiac rehabilitation (LC-REHAB): A randomised controlled trial. Int J Cardiol. 2017;236:65-70. https://doi.org/10.1016/j.ijcard.2017.02.051 PMid:28259552
Liu XI, Shi Y, Willis K, Wu CJ, Johnson M. Health education for patients with acute coronary syndrome and Type 2 diabetes mellitus: An umbrella review of systematic reviews and meta-analyses. BMJ Open. 2017;7(10):e016857. https://doi.org/10.1136/bmjopen-2017-016857 PMid:29042383
Bagheri H, Shakeri S, Nazari AM, Goli S, Khajeh M, Mardani A, et al. Effectiveness of nurse-led counselling and education on self- efficacy of patients with acute coronary syndrome: A randomized controlled trial. Nurs Open. 2022;9(1):775-84. https://doi.org/10.1002/nop2.1129 PMid:34766453
Richter VC, Coelho M, da Arantes EC, Dessotte CA, Schmidt A, Dantas RA, et al. Health status and mental health in patients after percutaneous coronary intervention. Rev Bras Enferm. 2015;68(4):589-95. https://doi.org/10.1590/0034-7167.2015680415i PMid:26422040
Qin S, Gu Y, Song T. Effect of peer support on patient anxiety during the coronary angiography or percutaneous coronary intervention perioperative period : A protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2020;10(3):e031952. https://doi.org/10.1136/bmjopen-2019-031952 PMid:32213516
Giannini F, Candilio L, Mitomo S, Ruparelia N, Chieffo A, Baldetti L, et al. A practical approach to the management of complications during percutaneous coronary intervention. JACC Cardiovasc Interv. 2018;11(18):1797-810. https://doi.org/10.1016/j.jcin.2018.05.052 PMid:30236352
Deasy C, Coughlan B, Pironom J, Jourdan D, Mannix-McNamara P. Psychological distress and coping amongst higher education students: A mixed method enquiry. PLoS ONE. 2014;9(12):e115193. https://doi.org/10.1371/journal.pone.0115193 PMid:25506825
Abbasi SH, De Leon AP, Kassaian SE, Karimi A, Sundin Ö, Jalali A, et al. Socioeconomic status and in-hospital mortality of acute coronary syndrome: Can education and occupation serve as preventive measures? Int J Prev Med. 2015;6:36. https://doi.org/10.4103/2008-7802.156266 PMid:25984286
Lee CK, Lai CL, Lee MH, Su FY, Yeh TS, Cheng LY, et al. Reinforcement of patient education improved physicians’ adherence to guideline-recommended medical therapy after acute coronary syndrome. PLoS One. 2019;14(6):e0217444. https://doi.org/10.1371/journal.pone.0217444 PMid:31170175
Hwang SY, Kim JS. Risk factor-tailored small group education for patients with first-time acute coronary syndrome. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(4):291-7. https://doi.org/10.1016/j.anr.2015.07.005 PMid:26724237
Wolf A, Vella R, Fors A. The impact of person-centred care on patients’ care experiences in relation to educational level after acute coronary syndrome: Secondary outcome analysis of a randomised controlled trial. Eur J Cardiovasc Nurs. 2019;18(4):299-308. https://doi.org/10.1177/1474515118821242 PMid:30652920
Al-Smadi AM, Ashour A, Hweidi I, Gharaibeh B, Fitzsimons D. Illness perception in patients with coronary artery disease: A systematic review. Int J Nurs Pract. 2016;22(6):633-48. https://doi.org/10.1111/ijn.12494 PMid:27687787
Liu N, Liu S, Yu N, Peng Y, Wen Y, Tang J, et al. Correlations among psychological resilience, self-efficacy, and negative emotion in acute myocardial infarction patients after percutaneous coronary intervention. Front Psychiatry. 2018;9:1. https://doi.org/10.3389/fpsyt.2018.00001 PMid:29410632
Kurçer MA, Özbay A. Effects of patient education and counseling about life-style on quality of life in patients with coronary artery disease. Anadolu Kardiyol Derg. 2011;11(2):107-13. https://doi.org/10.5152/akd.2011.028 PMid:21285019
Lotfi-Tokaldany M, Karimi A, Shahmansouri N, Sadeghian S, Abbasi SH, Jalali A, et al. Illness perceptions in patients with prematur coronary artery disease: A sex-based analysis 8 years after the diagnosis. J Clin Psychol Med Settings. 2019;26(2):158-65. https://doi.org/10.1007/s10880-018-9575-6 PMid:30043245
Ashour A, Al-Smadi A, Shajrawi A, Al-Rawashdeh S, Alshraifeen A, Abed M. Changes in illness perception among patients’ undergoing percutaneous coronary intervention. Heart Lung. 2020;49(6):836-41. https://doi.org/10.1016/j.hrtlng.2020.08.026 PMid:33011462
Foxwell R, Morley C, Frizelle D. Illness perceptions, mood and quality of life: A systematic review of coronary heart disease patients. J Psychosom Res. 2013;75(3):211-22. https://doi.org/10.1016/j.jpsychores.2013.05.003 PMid:23972409
Kunschitz E, Friedrich O, Schöppl C, Maitz J, Sipötz J. Illness perception patterns in patients with coronary artery disease. Psychol Health Med. 2017;22(8):940-6. https://doi.org/10.1080/13548506.2016.1271439 PMid:28006984
Lotfi-Tokaldany M, Shahmansouri N, Karimi A, Sadeghian S, Saadat S, Abbasi SH, et al. Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease. J Psychosom Res. 2019;120:118-23. https://doi.org/10.1016/j.jpsychores.2019.03.001 PMid:30929702
Doi M, Fukahori H, Oyama Y, Morita K. Factors associated with depressive symptoms in patients with acute coronary syndrome undergoing percutaneous coronary intervention: A prospective cohort study. Nurs Open. 2018;5(4):583-92. https://doi.org/10.1002/nop2.171 PMid:30338104
Shiloh S, Steinvil A, Drori E, Peleg S, Abramowitz Y, Banai S, et al. Effect of guidance during cardiac catheterization on emotional, cognitive and behavioral outcomes. J Cardiovasc Med (Hagerstown). 2014;15(4):336-42. https://doi.org/10.2459/JCM.0b013e3283613925 PMid:23756409
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Copyright (c) 2023 Bayu Fandhi Achmad, Sri Setiyarini, Sutono Sutono, Frida Rasyid, Akbar Satria Fitriawan, Raisa Farida Kafil (Author)
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