Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu

INTRODUCTION: Coronary heart disease is the most common form of cardiovascular disease and frequently manifests as acute coronary syndrome (ACS) which includes a range of clinical conditions from angina pectoris, unstable angina, non-ST elevation myocardial infarction to ST elevation myocardial i...

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Main Author:	Sulong @Abdul Razak, Zatul Rathiah
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RC666-701 Diseases of the circulatory (Cardiovascular) system
Online Access:	http://eprints.usm.my/42984/1/Dr._Zatul_Rathiah_Sulong%40Abdul_Razak-24_pages.pdf
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spelling	my-usm-ep.429842019-04-12T05:25:32Z Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu 2016 Sulong @Abdul Razak, Zatul Rathiah RC666-701 Diseases of the circulatory (Cardiovascular) system INTRODUCTION: Coronary heart disease is the most common form of cardiovascular disease and frequently manifests as acute coronary syndrome (ACS) which includes a range of clinical conditions from angina pectoris, unstable angina, non-ST elevation myocardial infarction to ST elevation myocardial infarction. The ACS is a common cause of emergency hospital admission and a major burden on health care resources in industrialized countries including Malaysia. Depression, anxiety and stress occur at high rates among patients suffering an ACS. The depression, anxiety and stress symptoms appear to adversely affect in-hospital and long term cardiac outcomes of post-ACS patients. Despite their high prevalence and serious impact, the psychological symptoms are commonly unrecognized and untreated in most ACS patients. This study was to investigate the psychological status of ACS patients and to establish the associated factors that contribute to it. OBJECTIVES: To determine the prevalence and its associated factors of depression, anxiety and stress condition of acute coronary syndrome patients in Hospital Universiti Sains Malaysia and Hospital Sultanah Nur Zahirah. METHODOLOGY: A cross-sectional prospective study for ten months duration was done from August 2014 until May 2015 on eligible subjects of ACS patients in Hospital USM and HSNZ. A questionnaire consists of two sections (socio-demographic data andDepression, Anxiety and Stress Scale 21) was used in this study. The questionnaire was distributed to all ACS patients admitted to wards. The prevalence of depression, anxiety and stress and their associated factors was analyzed using SPSS software version 22 (IBM Corp, 2013). RESULTS: There were 400 patients enrolled into the study during the study period. The prevalence of depression, anxiety and stress were 80.3%, 85.8% and 58.5% respectively. There were significant associations between gender, ischemic heart disease and other co-morbid with depression [p=0.000, OR 2.545(1.525, 4.248); p=0.003, OR 2.301(1.317, 4.021) and p=0.032, OR 2.297(1.076, 4.904)]. There was significant association between ischemic heart disease and anxiety [p=0.013, OR 2.202(1.185, 4.093)]. There was significant association between ischemic heart disease and stress [p = 0.010, OR 1.730 (1.139, 2.626)]. There were no statistically significant associations between other demographic factors with depression, anxiety or stress. CONCLUSION: We concluded that the prevalence of depression, anxiety and stress were high in ACS patients. The recognized significant associated factors were gender, ischemic heart disease and other co-morbids. Subjects who had other co-morbids and female gender were more likely to have depression. Subjects with ischemic heart disease were more likely to have depression, anxiety and stress. 2016 Thesis http://eprints.usm.my/42984/ http://eprints.usm.my/42984/1/Dr._Zatul_Rathiah_Sulong%40Abdul_Razak-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC666-701 Diseases of the circulatory (Cardiovascular) system
spellingShingle	RC666-701 Diseases of the circulatory (Cardiovascular) system Sulong @Abdul Razak, Zatul Rathiah Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu
description	INTRODUCTION: Coronary heart disease is the most common form of cardiovascular disease and frequently manifests as acute coronary syndrome (ACS) which includes a range of clinical conditions from angina pectoris, unstable angina, non-ST elevation myocardial infarction to ST elevation myocardial infarction. The ACS is a common cause of emergency hospital admission and a major burden on health care resources in industrialized countries including Malaysia. Depression, anxiety and stress occur at high rates among patients suffering an ACS. The depression, anxiety and stress symptoms appear to adversely affect in-hospital and long term cardiac outcomes of post-ACS patients. Despite their high prevalence and serious impact, the psychological symptoms are commonly unrecognized and untreated in most ACS patients. This study was to investigate the psychological status of ACS patients and to establish the associated factors that contribute to it. OBJECTIVES: To determine the prevalence and its associated factors of depression, anxiety and stress condition of acute coronary syndrome patients in Hospital Universiti Sains Malaysia and Hospital Sultanah Nur Zahirah. METHODOLOGY: A cross-sectional prospective study for ten months duration was done from August 2014 until May 2015 on eligible subjects of ACS patients in Hospital USM and HSNZ. A questionnaire consists of two sections (socio-demographic data andDepression, Anxiety and Stress Scale 21) was used in this study. The questionnaire was distributed to all ACS patients admitted to wards. The prevalence of depression, anxiety and stress and their associated factors was analyzed using SPSS software version 22 (IBM Corp, 2013). RESULTS: There were 400 patients enrolled into the study during the study period. The prevalence of depression, anxiety and stress were 80.3%, 85.8% and 58.5% respectively. There were significant associations between gender, ischemic heart disease and other co-morbid with depression [p=0.000, OR 2.545(1.525, 4.248); p=0.003, OR 2.301(1.317, 4.021) and p=0.032, OR 2.297(1.076, 4.904)]. There was significant association between ischemic heart disease and anxiety [p=0.013, OR 2.202(1.185, 4.093)]. There was significant association between ischemic heart disease and stress [p = 0.010, OR 1.730 (1.139, 2.626)]. There were no statistically significant associations between other demographic factors with depression, anxiety or stress. CONCLUSION: We concluded that the prevalence of depression, anxiety and stress were high in ACS patients. The recognized significant associated factors were gender, ischemic heart disease and other co-morbids. Subjects who had other co-morbids and female gender were more likely to have depression. Subjects with ischemic heart disease were more likely to have depression, anxiety and stress.
format	Thesis
qualification_level	Master's degree
author	Sulong @Abdul Razak, Zatul Rathiah
author_facet	Sulong @Abdul Razak, Zatul Rathiah
author_sort	Sulong @Abdul Razak, Zatul Rathiah
title	Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu
title_short	Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu
title_full	Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu
title_fullStr	Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu
title_full_unstemmed	Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu
title_sort	psychological status among acute coronary syndrome patients in hospital universiti sains malaysia, kelantan and hospital sultanah nur zahirah, terengganu
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/42984/1/Dr._Zatul_Rathiah_Sulong%40Abdul_Razak-24_pages.pdf
_version_	1747821142296494080

Psychological status among acute coronary syndrome patients in Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu

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