The Influence of Anxiety, Self-Efficacy, and Quality of Life in Coronary Heart Disease Patients
DOI:
https://doi.org/10.31674/mjn.2024.v15i04.014Abstract
Background: Coronary heart disease (CHD) is a serious public health problem and requires an in-depth understanding of the factors that influence it, including anxiety and self-efficacy. The aim of the research was to determine the effect of anxiety and self-efficacy on the quality of life of coronary heart disease patients. Methods: The type of research used is correlation analysis with a cross-sectional approach. The population in the study was 70 patients with coronary heart disease at a heart hospital in Indonesia. The collection technique used total sampling, so the total sample consisted of 70 respondents. The research instrument used was the Depression Anxiety Stress Scales (DASS)21, General Self-Efficacy Scale, and Medical Outcomes. Study Short Form 36. Results: The results of statistical tests for each independent variable have a partial effect on the dependent variable. The significance value for the anxiety variable is 0.034, and self-efficacy is 0.001. Simultaneous test results obtained a sig value of 0.002, meaning that anxiety and self-efficacy influence the quality of life of patients with coronary heart disease. Conclusion: Patients with lower levels of anxiety tend to have a better quality of life. A high level of self-efficacy is positively correlated with a better quality of life in coronary heart disease patients. The results of this study can provide a basis for designing more effective clinical interventions, such as stress management programs or self-empowerment programs, to improve the quality of life of coronary heart disease patients.
Keywords:
Anxiety, Self Efficacy, Quality of Life, Coronary Heart DiseaseDownloads
References
Akhmad, A. N. (2018). Quality of life of Congestive Heart Failure (CHF) patients based on demographic characteristics. Jurnal Keperawatan Soedirman, 11(1), 27-34. https://doi.org/10.20884/1.jks.2016.11.1.629
Alfian, R., Susanto, Y., & Khadizah, S. (2017). Quality of life of hypertensive patients with comorbidities in the heart clinic of Ratu Zalecha Hospital, Martapura. Jurnal Pharmascience, 4(1). https://doi.org/10.20527/jps.v4i2.5774
Ali, A. M., Alkhamees, A. A., Hori, H., Kim, Y., & Kunugi, H. (2021). The depression anxiety stress scale 21: development and validation of the depression anxiety stress scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. International Journal of Environmental Research and Public Health, 18(19), 10142. https://doi.org/10.3390/ijerph181910142
Al-Maskari, A., Al-Zaabi, G., Al-Mamari, H. A., Al-Mawali, M., & Nadar, S. K. (2024). Psychological impact of first admission with cardiovascular disease in a tertiary hospital in Oman. Journal of Taibah University Medical Sciences, 19(1), 28-34. https://doi.org/10.1016/j.jtumed.2023.08.008
Amalia, I. N., Said, F. M., & Nambiar, N. (2024). The Utilizing Heart Failure Digital Education Media (HF-DEM) Intervention on the Quality of Life among Heart Failure Patients. International Journal of Advancement in Life Sciences Research, 7(2), 123-131. https://doi.org/10.31632/ijalsr.2024.v07i02.010
Arifudin, N. F., & Kristinawati, B. (2023). The Impact of Psychological Problems on the Quality of Life of Heart Failure Patients: Systematic Review. Health Information: Jurnal Penelitian, 15. https://myjurnal.poltekkes-kdi.ac.id/index.php/hijp/article/view/796
Barham, A., Ibraheem, R., & Zyoud, S. E. H. (2019). Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine. BMC Cardiovascular Disorders, 19(1), 1-12. https://doi.org/10.1186/s12872-019-01281-7
Björnson, E., Adiels, M., Taskinen, M. R., Burgess, S., Rawshani, A., Borén, J., & Packard, C.J. (2023). Triglyceride-rich lipoprotein remnants, low-density lipoproteins, and their relative contribution to risk of atherosclerotic cardiovascular disease in the UK Biobank population. European Heart Journal, 44(39), 4186. https://doi.org/10.1093/eurheartj/ehad337
Blanck, E., Pirhonen Nørmark, L., Fors, A., Ekman, I., Ali, L., Swedberg, K., & Gyllensten,H. (2023). Self‐efficacy and healthcare costs in patients with chronic heart failure or chronic obstructive pulmonary disease. ESC Heart Failure. https://doi.org/10.1002/ehf2.14574
Boccanelli, A., & Scardovi, A. B. (2023). Sudden death in ischemic heart disease: looking for new predictors: polygenic risk. European Heart Journal Supplements, 25(Supplement_B), B31-B33. https://doi.org/10.1093/eurheartjsupp/suad078
Bouchard, V., Robitaille, A., Perreault, S., Cyr, M. C., Tardif, J. C., Busseuil, D., & D'Antono,B. (2023). Psychological distress, social support, and use of outpatient care among adult men and women with coronary artery disease or other non-cardiovascular chronic disease. Journal of Psychosomatic Research, 165, 111131. https://doi.org/10.1016/j.jpsychores.2022.111131
Dewi, I. P. (2017). Sleep quality in heart failure patients and its management. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 3(1), 18-24. https://doi.org/10.33755/jkk.v3i1.80
Du, S., Feng, Z., Wang, W., Tian, L., & Wang, Y. (2022). A structural equation model linking health literacy, self-efficacy and quality of life in adults with coronary heart disease. BMC Cardiovascular Disorders, 22(1), 285. https://doi.org/10.1186/s12872-022-02720-8
Hailin, D., Hongtu, Q., & Wenyong, Z. (2023). Percutaneous coronary intervention for chronic total occlusion of the left circumflex branch in mirror dextrocardia: a case report. Journal of Medical Case Reports, 17(1), 486. https://doi.org/10.1186/s13256-023-04196-2
Hartono, D., Hidayat, U. A., Cahyati, Y., & Poddar, S. (2021). Reducing anxiety levels through integrative intervention of five-finger hypnosis and aromatherapy. Malaysian Journal of Medical Research (MJMR), 5(3), 5-10. https://doi.org/10.31674/mjmr.2020.v05i03.002
He, J., Huang, M., Li, N., Zha, L., & Yuan, J. (2023). Genetic association and potential mediators between sarcopenia and coronary heart disease: A bidirectional two-sample, two- step mendelian randomization study. Nutrients, 15(13), 3013.https://doi.org/10.3390/nu15133013
He, T., Chen, Y., Song, C., Li, C., Liu, J., & Huang, J. (2023). Reliability and validity of the Chinese version of the Self-Efficacy Perception Scale for Administrator Nurses. International Journal of Nursing Sciences, 10(4), 503. https://doi.org/10.1016/j.ijnss.2023.09.015
Iswahyudi, R. (2020). The Effect of Phase I Cardiac Rehabilitation on the Quality of Life of Coronary Heart Disease Patients. Jurnal Ners LENTERA, 8(1), 1-16. http://journal.wima.ac.id/index.php/NERS
Jumayanti, J., Wicaksana, A. L., & Sunaryo, E. Y. A. B. (2020). Quality of life of patients with cardiovascular disease in Yogyakarta. Jurnal Kesehatan, 13(1), 1-12. https://doi.org/10.23917/jk.v13i1.11096
Kargar, L., Khademian, Z., & Rambod, M. (2021). Association between perception of caring behaviors and self-efficacy in patients with cardiovascular disease at coronary care units: a cross-sectional study. Acute and Critical Care, 36(2), 118-125.https://doi.org/10.4266/ACC.2020.00752
Koto, Y., Solehudin, S., & Kurniawan, M. O. (2024). Self-Efficacy on Self Care in Coronary Heart Patients. International Journal of Health Sciences, 2(1), 1-11. https://doi.org/10.59585/ijhs.v2i1.222
Kristinawati, B., Rosyid, F. N., Rizkiawan, A., Handika, B. V., & Mardana, N. W. (2023). Self- Efficacy for Quality of Life for Ischemic Heart Disease Patients: A Systematic Review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(1), 229-236. https://doi.org/10.30604/jika.v8i1.1559
Laili, N., & Purnamasari, V. (2019). The Relationship between Lifestyle Modifications and the Quality of Life of Hypertension Patients at UPTD PKM Adan Adan Gurah Kediri. Jurnal Ilkes (Jurnal Ilmu Kesehatan), 10(1), 66-76. https://doi.org/10.35966/ilkes.v10i1.115
Liu, Q., Wang, M., Wang, H., Xie, H., Han, J., Chen, J., ... & Chen, X. (2023). Xinkeshu for coronary heart disease complicated with anxiety or depression: A meta-analysis of randomized controlled trials. Journal of Ethnopharmacology, 116486. https://doi.org/10.1016/j.jep.2023.116486
Liu, T., Chan, A. W. K., & Chair, S. Y. (2022). Group-plus home-based Tai Chi program improves functional health among patients with coronary heart disease: a randomized controlled trial. European Journal of Cardiovascular Nursing, 21(6), 597-611. https://doi.org/10.1093/eurjcn/zvab126
Lundgren, O., Garvin, P., Nilsson, L., Tornerefelt, V., Andersson, G., Kristenson, M., & Jonasson, L. (2022). Mindfulness-based stress reduction for coronary artery Disease Patients: potential improvements in mastery and depressive symptoms. Journal of Clinical Psychology in Medical Settings, 1-9. https://doi.org/10.1007/s10880-021-09822-z
McNamara, C. T., Parry, G., Netson, R., Nuzzi, L. C., & Labow, B. I. (2023). Validation of the Short-Form 36 for Adolescents Undergoing Reduction Mammaplasty. Plastic and Reconstructive Surgery Global Open, 11(6). https://doi.org/10.1097/GOX.0000000000005075
Moazzami, K., Garcia, M., Sullivan, S., Lewis, T. T., Bremner, J. D., Razavi, A. C., ... & Vaccarino, V. (2023). Association Between Symptoms of Chronic Psychological Distress and Myocardial Ischemia Induced by Mental Stress in Patients with Coronary Artery Disease. Journal of The American Heart Association, 12(21), e030305. https://doi.org/10.1161/JAHA.123.030305
Nan, N., Feng, L., Dong, W., Gao, B., Zuo, H., Mi, H., ... & Zhang, H. (2023). The prognostic study of mental stress-induced myocardial ischemia in coronary revascularization patients with depression/anxiety: rationale and design. BMC Cardiovascular Disorders, 23(1), 235. https://doi.org/10.1186/s12872-023-03246-3
Nuraeni, A. N., & Mirwanti, R. (2017). Relationship between anxiety and depression in patients with coronary heart disease (CHD). Medisains, 15(1), 10-16.http://dx.doi.org/10.30595/medisains.v15i1.1621
Nuraeni, A., Sugiharto, F., Anna, A., Sari, E., Mirwanti, R., Trisyani, Y., & Emaliyawati, E. (2023). Self-efficacy in self-care and its related factors among patients with coronary heart disease in Indonesia: a rasch analysis. Vascular Health and Risk Management, 583-593. https://doi.org/10.2147/VHRM.S427488
Oktandora, N. S., & Hudiyawati, D. (2023). The relationship between Self Efficacy and Physical Activity in Coronary Heart Disease Sufferers. Jurnal Keperawatan, 15(4), 269-278.https://doi.org/10.32583/keperawatan.v15i4.1999
Pardo, Y., Garin, O., Oriol, C., Zamora, V., Ribera, A., & Ferrer, M. (2023). Patient-centered care in coronary heart disease: what do you want to measure? A systematic review of reviews on patient-reported outcome measures. Quality of Life Research, 32(5), 1405-1425. https://doi.org/10.1007/s11136-022-03260-6
Purnama, A. (2020). Education can improve the quality of life of patients diagnosed with coronary heart disease. Jurnal Kesehatan Indonesia, 10(2), 66-71. https://stikeshb.ac.id/ojs/index.php/jurkessia/article/view/251
Putri, A. A., & Hudiyawati, D. (2022). Relationship between Heart Failure Treatment and Self- Management Compliance in Congestive Heart Failure Patients. Jurnal Berita Ilmu Keperawatan, 15(2), 224-230. https://doi.org/10.23917/bik.v15i2.15860
Saini, R. K., Chaudhury, S., Singh, N., Chadha, D. S., & Kapoor, R. (2022). Depression, anxiety, and quality of life after percuataneous coronary interventions. Industrial Psychiatry Journal, 31(1), 6-18. https://doi.org/10.4103/ipj.ipj_126_21
Sannemann, L., Bach, L., Hower, K. I., Ihle, P., Keller, K., Leikert, C., ... & CoRe-Net Study Group. (2023). Effects of a Primary Care-Based Intervention on the Identification and Management of Patients with Coronary Heart Disease and Mental or Cognitive Comorbidity—A Study Protocol. International Journal of Environmental Research and Public Health, 20(10), 5814. https://doi.org/10.3390/ijerph20105814
Santiváñez-Acosta, R., Tapia-López, E. D. L. N., & Santero, M. (2020). Music therapy in pain and anxiety management during labor: a systematic review and meta-analysis. Medicina, 56(10), 526. https://doi.org/10.3390/medicina56100526
Shackleford, J. L., Kelley, S. J., & Spratling, R. (2019). Applying the self-determination theory to health-related quality of life for adolescents with congenital heart disease. Journal of Pediatric Nursing, 46, 62-71. https://doi.org/10.1016/j.pedn.2019.02.037
Sreeraj, V. S., Parija, S., Uvais, N. A., Mohanty, S., & Kumar, S. (2017). Indian nursing students' attitudes toward mental illness and persons with mental illness. Industrial Psychiatry Journal, 26(2), 223. https://doi.org/10.4103/ipj.ipj_25_16
Umara, A. F., Purnamasari, E., & Usniah, U. (2016). The relationship between medication adherence and the incidence of re-hospitalization in congestive heart failure patients at RSU Tangerang Regency. Jurnal Jkft, 1(2), 77-88. http://dx.doi.org/10.31000/jkft.v2i2.65
Wang, C., Lang, J., Xuan, L., Li, X., & Zhang, L. (2017). The effect of health literacy and self- management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study. International Journal for Equity in Health, 16(1), 1-11. https://doi.org/10.1186/s12939-017-0551-9
Werner, O., Bredy, C., Lavastre, K., Guillaumont, S., De La Villeon, G., Vincenti, M., ... & Amedro, P. (2021). Impact of a transition education program on health-related quality of life in pediatric patients with congenital heart disease: study design for a randomised controlled trial. Health and Quality of Life Outcomes, 19, 1-7. https://doi.org/10.1186/s12955-021-01668- 1
Xu, W., Fang, L., Bai, H., Ke, K., Li, W., Huang, H., ... & Chen, C. (2023). The influence of psychological factors on coronary heart disease: A review of the evidence and implications for psychological interventions. Medicine, 102(27), e34248. https://doi.org/10.1097/MD.0000000000034248
Xu, Z., de Melo Ghisi, G. L., Liu, X., Cui, L., & Grace, S. L. (2023). Impact of omicron wave and associated control measures in Shanghai on health management and psychosocial well- being of patients with chronic conditions. Open Medicine, 18(1), 20230674. https://doi.org/10.1515/med-2023-0674
Zhang, J., Gilmour, S., Liu, Y., & Ota, E. (2020). Effect of health literacy on quality of life among patients with chronic heart failure in China. Quality of Life Research, 29, 453-461. https://doi.org/10.1007/s11136-019-02332-4
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
