The Assessment of Depression and Anxiety Following Myocardial Infarction

myocardial infarction;anxiety;depression;post operation;heart attack;School of Health Professions and Studies: Nursing

Sheridan, BethFlint ;

University of Michigan

关键词: myocardial infarction;    anxiety;    depression;    post operation;    heart attack;    School of Health Professions and Studies: Nursing;   

Others  :  https://deepblue.lib.umich.edu/bitstream/handle/2027.42/117747/Sheridan.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

Each year in the United States, approximately 1.1 millions person experience an acute myocardial infarction. Sixty-five percent of these patients report experiencing symptoms of depression with major depression being present in 15 to 22% of patients. Persons who are depressed and/or anxious following myocardial infarction have a 3.5 times greater risk of death thann patients who are not depressed and have cardiovascular disease. OBJECTIVES: To determine what effect weekly telephone follow-up phone calls have on levels of depression and anxiety post myocardial infarction. METHODS: Twenty seven male and female patients post-myocardial infarction patients were recruited and follow-up data were collected at 6 weeks post-discharge. Measures included the Beck Depression Inventory and the State Trait Anxiety Inventory. In addition, study participants assigned to the intervention group received once weekly phone calls for 6 weeks. RESULTS: There was no significant difference between the two groups in levels of depression over time. There was, however, a significant decrease in levels of depression in both groups over time. Levels of state anxiety remained the same in both groups over time. There was a significant difference between the groups in terms of trait anxiety, with the control group showing consistently higher levels of trait anxiety than the intervention group at both time points. CONCLUSION: Findings from this study provide valuable information about depression and anxiety symptoms following MI. Recognition of anxiety and depression in this patient population is important and can be expanded upon. Further research should be done to test the feasibility and effectiveness of nurse-initiated telephone follow-up after hospital discharge for acute myocardial infarction in reducing patient depression and anxiety.