Χαρίλαος Κουτής, Ομ. καθηγητής, Πανεπιστήμιο Δυτικής Αττικής
Φωτούλα Μπαμπάτσικου, Αναπληρώτρια Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής
Ελένη Κλέτσιου, Νοσηλεύτρια ΠΕ, ΠΓΝ «Αττικόν»
Cardiovascular diseases related to coronary heart disease have been considered as one of the most common causes of morbidity and mortality in the modern western world. In addition to their physical effects, coronary syndromes appear to be related to the onset of psychological difficulties, such as anxiety and depression. According to the modern nursing care, which focuses on the holistic approach of the patient, this study investigates the psychological impact of coronary heart disease and its nursing treatment. Specifically the aim of the study is to collect data from the existing literature regarding the particular effects of the diagnosis and treatment of coronary artery disease on patients' psychology, as well as the potential prevention and treatment. For the purposes of this study literature review has been conducted.
Coronary heart disease is a major health problem worldwide. Apart from the medical treatment of the disease, a significant part of the research focuses on examining the psychological effects and the general profile of the patients. However, the complex relationships between the perceptions and the mental health of the patients have not been sufficiently investigated so far, and the results already known from other studies may not be confirmed in a population of coronary heart disease patients in Greece. The purpose of this study was to examine this field in a sample of patients with coronary artery disease in Greece.
The study was cross-sectional. The sample was gathered from Attikon General University Hospital in September 2017. Patients received a chart of sociodemographic, anthropometric and medical data, Depression Anxiety and Stress Scale-21 (DASS-21), Zung Depression Scale (ZDS) ), Spiritual-Well Being Scale (SWBS), Multidimensional Health Locus of Control (MHLC), and Brief Illness Perception Questionnaire (BIPQ).
Results and conclusion
The analysis of the results showed that male patients had lower quality of life compared to women. In addition, the cardiological problem of their patients is both physically and emotionally constrained. An important finding of the study is that patients show symptoms of anger, tension and signs of limitation of their daily activities due to the cardiological problem. According to the analysis of the results in our research did not appear to significantly differentiate the results from the common symptoms that patients with coronary artery disease such as depressed mood, anger, anxiety and uncertainty. It is noteworthy that the incidence of emotional problems increases in patients with cardiac problems. This is likely to be due to the anxiety about the cardiac surgery that patients will be subjected to or have been subjected to, but also the uncertainty they feel about the future.
In conclusion, cardiological problems have a significant negative impact on the quality of life of patients suffering from them.
Coronary heart disease, Acute myocardial infarction, Cardiovascular disease, Psychological effects, Health psychology