EFFECT OF PSYCHOEDUCATION ON ANXIETY IN PATIENTS WITH CORONARY HEART DISEASE
PDF

Keywords

psychoeducation
anxiety
coronary heart disease

How to Cite

Sulistiyo, Y., Santoso, B., Shobirun, S., Hadisaputro, S., Latifah, L., & Endang Pujiastuti, R. S. (2017). EFFECT OF PSYCHOEDUCATION ON ANXIETY IN PATIENTS WITH CORONARY HEART DISEASE. Belitung Nursing Journal, 3(6), 743–749. https://doi.org/10.33546/bnj.303
Crossref
Scopus
Google Scholar

Link to Google Scholar

Accepted for publication: 2017-12-27
Peer reviewed: Yes

Related articles in


Search Relations - Article by Author(s)

Share this article on:

Abstract

Background: Cardiovascular heart disease still remains high in Indonesia. Various interventions have been implemented as an effort to deal with cardiovascular disease. However, little is known about intervention to reduce anxiety in patients with cardiovascular disease although anxiety is related to angina attack in this patient. Psychoeducation is considered effective in decreasing anxiety.

Objective: To examine the effect of psychoeducation in decreasing anxiety in patients with coronary heart disease (CHD) at the General Hospital of Semarang, Indonesia

Methods: This was a quasi-experimental design with pretest posttest control group design. The study was conducted in the inpatient wards of the General Hospital of Semarang on 17 January until 8 March  2017. Fifty-six respondents were recruited using consecutive sampling, with 28 assigned in the experiment and control group. Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety levels. Paired t-test and Independent t-test were used for data analysis.

Results: Paired test showed that there was a statistically significant effect of psychoeducation on anxiety level in the experiment group with p-value 0.001 (<0.05), and significant effect of given a brochure of CHD on the anxiety level in the control group with p-value 0.001 (<0.05). Independent t-test showed a statistically significant difference of anxiety level after intervention in the experiment and control group with p-value 0.001 (<0.05). The mean anxiety level in the experiment group (22.46) was lower than the mean anxiety level in the control group (41.54).

Conclusion: Psychoeducation is effective in reducing anxiety levels in patients with CHD. It is suggested that psychoeducation can be used as one of nursing intervention in an effort to reduce anxiety in patients with CHD.

https://doi.org/10.33546/bnj.303
PDF

Supporting Agencies

Postgraduate Nursing Program, Semarang Health Polytechnic, Semarang, Indonesia

Copyright

Copyright (c) 2017 Yuli Sulistiyo, Bedjo Santoso, Shobirun, Soeharyo Hadisaputro, Leni Latifah, Rr Sri Endang Pujiastuti

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Total views 1495 [Abstract: 1059 | PDF: 436 ]

Downloads

Download data is not yet available.

PlumX Metrics


References

Aghayusefi, A., Mirzahoseini, H., Khazaeli, M., & Assarnia, A. (2016). The effect of psychoeducational interventions on illness management in families of schizophrenic patients. Practice in Clinical Psychology, 4(2), 129-135.

Ågren, S., Evangelista, L. S., Hjelm, C., & Strömberg, A. (2012). Dyads affected by chronic heart failure: A randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners. Journal of Cardiac Failure, 18(5), 359-366.

Berndt, N., Bolman, C., Lechner, L., Mudde, A., Verheugt, F. W. A., & de Vries, H. (2012). Effectiveness of two intensive treatment methods for smoking cessation and relapse prevention in patients with coronary heart disease: Study protocol and baseline description. BMC Cardiovascular Disorders, 12(1), 33.

Chien, W. T., & Wong, K.-F. (2007). A family psychoeducation group program for Chinese people with schizophrenia in Hong Kong. Psychiatric Services, 58(7), 1003-1006.

Cole, J. A., Smith, S. M., Hart, N., & Cupples, M. E. (2011). Systematic review of the effect of diet and exercise lifestyle interventions in the secondary prevention of coronary heart disease. Cardiology Research and Practice, 2011.

Dalimunthe, R. F., Se, M., & Heldy, B. Z. (2007). Pengaruh motivasi intrinsik terhadap kinerja perawat pelaksana di Instalasi Rawat Inap RSU Dr. Pirngadi Medan tahun 2007 [Effect of intrinsic motivation on associate nurse performance in Inpatient Ward of Dr. Pirngadi Hospital Medan in 2007]. Medan, Indonesia: Universitas Sumatera Utara.

Dalusung‐Angosta, A. (2013). CHD knowledge and risk factors among Filipino‐Americans connected to primary care services. Journal of the American Association of Nurse Practitioners, 25(9), 503-512.

Dehdari, T., Heidarnia, A., Ramezankhani, A., Sadeghian, S., & Ghofranipour, F. (2009). Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery. Indian Journal of Medical Research, 129(5), 603-608.

DeJean, D., Giacomini, M., Vanstone, M., & Brundisini, F. (2013). Patient experiences of depression and anxiety with chronic disease: A systematic review and qualitative meta-synthesis. Ontario Health Technology Assessment Series, 13(16), 1.

Dinkes. (2014). Health profile of Central Java Province. Central Java, Indonesia: Department of Health of Central Java.

Dossey, B. M. (2008). Theory of integral nursing. Advances in Nursing Science, 31(1), E52-E73.

Dossey, B. M., Certificate, C.-D. I. N. C., Keegan, L., & Co-Director International Nurse Coach, A. (2012). Holistic nursing. Burlington: Jones & Bartlett Publishers.

Greco, A. (2013). Effects of music on anxiety and pain in the diagnosis and treatment of patients with breast cancer. Retrieved from https://commons.pacificu.edu/pa/432

Guo, Z., Tang, H.-y., Li, H., Tan, S.-k., Feng, K.-h., Huang, Y.-c., Jiang, W. (2013). The benefits of psychosocial interventions for cancer patients undergoing radiotherapy. Health and Quality of Life Outcomes, 11(1), 121.

Hashemzadeh, A., Garooci Farshi, M., Halabianloo, G., & Maleki Rad, A. (2011). The study of effectiveness of relaxation and distraction techniques training in anxiety reduction in cardiac patients. Arak Medical University Journal, 14(56), 97-105.

Direktorat Bina Farmasi Komunitas dan Klinik. (2006). Pharmaceutical care for hypertension. Jakarta, Indonesia: Direktorat Bina Farmasi Komunitas dan Klinik, Ditjen Bina Kefarmasian dan Alat Kesehatan.

Khayyam-Nekouei, Z., Neshatdoost, H., Yousefy, A., Sadeghi, M., & Manshaee, G. (2013). Psychological factors and coronary heart disease. ARYA Atherosclerosis, 9(1), 102.

Kones, R. (2011). Primary prevention of coronary heart disease: integration of new data, evolving views, revised goals, and role of rosuvastatin in management. A comprehensive survey. Drug Design, Development and Therapy, 5, 325.

Mahdavi, M., Abbasi, I., & Mohammadi, N. (2015). Effect of cardiac rehabilitation program on quality of life in patients undergoing coronary artery bypass graft surgery. The Horizon of Medical Sciences, 21(2), 67-74.

McGillion, M., Arthur, H., Victor, J. C., Watt-Watson, J., & Cosman, T. (2008). Effectiveness of psychoeducational interventions for improving symptoms, health-related quality of life, and psychological well being in patients with stable angina. Current Cardiology Reviews, 4(1), 1-11.

MOH. (2013). Riset Kesehatan Dasar RISKESDAS (Basic Health Research). Jakarta, Indonesia: Ministry of Health of the Respublic of Indonesia.

MOH. (2015). Pusat data dan Informasi [Central data and information]. Jakarta: Ministry of Health of Indonesia.

Nurbani. (2009). Pengaruh Psikoedukasi keluarga terhadap masalah psikososial: Ansietas dan beban keluarga (caregiver) dalam merawat pasien stroke di RS Jakarta Pusat Dr. Cipto Mangunkusumo [Effect of family psychoeducation on psychosocial problem: Anxiety and family burden in caring for stroke patients at RS Jakarta Pusat Dr. Cipto Mangunkusumo]. Jakarta, Indonesia: Faculty of Nursing, Universitas Indonesia.

Reid, J., Ski, C. F., & Thompson, D. R. (2013). Psychological interventions for patients with coronary heart disease and their partners: A systematic review. PLoS ONE, 8(9), e73459.

Sadeghi, S. M., Razmjouei, N., Ebadi, A., Najafi, M. S., Asadi, L. M., & Bozorgzad, P. (2009). Effect of applying continuous care model on quality of life of patients after coronary artery bypass graft. Iranian Journal of Critical Care Nursing, 2(1), 1-6.

Stuart, G. W. (2014). Principles and practice of psychiatric nursing e-book: Philadelphia: Elsevier Health Sciences.

Tarr, B., Launay, J., & Dunbar, R. I. M. (2014). Music and social bonding:“self-other” merging and neurohormonal mechanisms. Frontiers in Psychology, 5, 1096.

Von Känel, R. (2008). Psychological distress and cardiovascular risk. Journal of the American College of Cardiology.52(25), 2163-2165.

Yazici, M. K., Demir, B., Tanriverdi, N., Karaagaoglu, E., & Yolac, P. (1998). Hamilton anxiety rating scale: interrater reliability and validity study. Turk Psikiyatri Derg, 9(2), 114-117.


Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system