Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Author:
Giannaki Anastasia
Dissertation committee:
Γεράσιμος Σιάσος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τούσουλης Δημήτριος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βλαχόπουλος Χαράλαμπος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τσιούφης Κωνσταντίνος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αγγέλη Κωνσταντίνα, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Οικονόμου Ευάγγελος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μαρίνος Γεώργιος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Εφαρμογή προγράμματος διαχείρισης του στρες και προαγωγής της υγείας σε ασθενείς μετά από οξύ έμφραγμα του μυοκαρδίου
Translated title:
Stress management and health promotion in patients after acute myocardial infarction
Summary:
Objective: Investigating the effect of stress management program in patients with acute myocardial infarction (MI) during the recovery period, targeting in stress, anxiety and depression symptoms as well as the quality of life (QoL).
Methods: The study included 86 patients, 44 were the control group and 42 were the intervention group. The intervention group will emphasize the role of stress reduction technique in MI rehabilitation and improvement of their QoL, while the control group will be given consistent training instructions to improve their QoL and reduce stress. All the participants completed questionnaires comprising of PSS, the Depression Anxiety and Stress scale (DASS-21 version) and Spielberger State-Trait Anxiety Inventory (STAI-1/2). Mann-Whitney non-parametric control was used to compare the differences between the groups. The magnitude of the effect was calculated based on the formula r = Z/N1/2 (r = 0.1 small effect, r = 0.3 moderate effect, r = 0.7 large effect). In all analyzes the level of statistical significance was set at 5%.
Results: There was statistically significant mean reduction between the intervention and control group in PSS, BDI, STAI-2 and DASS-14 (Anxiety, Depression, Stress) score. A reduction in body mass index (BMI) was observed in the intervention group with increase in hours of real sleep and individual health assessment scale.
Conclusion: Systematic rehabilitation in the first few weeks following an incident reduces perceived stress, trait anxiety, and depression as evaluated by the DASS-14, PSS, STAI-1/2, and BDI scores. Furthermore, a decrease in BMI was found, while improvements in sleep duration and health evaluation show that rehabilitation is a recommended modality.
Main subject category:
Health Sciences
Keywords:
Stress, Myocardial infarction, Stress management, Anxiety, Depression, Cardiovascular rehabilitation
Number of references:
252
File:
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PHD - ΔΙΔΑΚΤΟΡΙΚΟ Αναστασία Γιαννάκη-2-3.pdf
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