Death Anxiety in Patients with Hypertension and ST-Elevation Acute Myocardial Infarction and the Affecting Factors

Yıl 2023, , 382 - 388, 06.09.2023

Nurhan Özpancar Şolpan , Alev Yıldırım Keskin , Hasan Değirmenci

https://doi.org/10.26453/otjhs.1316642

Cited By: 2

Öz

Objective: Death Anxiety in Patients with Hypertension and ST-Elevation Acute Myocardial Infarction and the Affecting Factors
Materials and Methods: This study was conducted between February and March 2022, with 195 patients with hypertension, ST-Elevation Acute Myocardial Infarction and healthy individuals. Patients who were admitted to the city hospital’s cardiology outpatient clinic and were followed up in the outpatient clinic with the diagnosis of hypertension and ST-Elevation Acute Myocardial Infarction for the last one year were included in the study. The research data were collected using a Patient Information Form and the "Abdel Khalek Death Anxiety Scale".
Results: The mean death anxiety scale score was 46.38±16.72 in hypertension patients, 38.27±12.84 in patients with ST-Elevation Acute Myocardial Infarction, and 48.93±16.83 in healthy individuals. A significant difference was found between the death anxiety scores of patients with hypertension compared to patients with ST-Elevation Acute Myocardial Infarction (p=0.007). Death anxiety scores of the groups were found to be correlated with some sociodemographic characteristics (p<0.05).
Conclusions: It was determined that death anxiety was significantly higher in hypertension patients compared to ST-Elevation Acute Myocardial Infarction patients.

Anahtar Kelimeler

Death anxiety, hypertension, myocardial infarction, ST-elevation

Proje Numarası

Yok

Hipertansiyon ve ST Elevasyon’lu Akut Miyokard İnfarktüsü Hastalarında Ölüm Anksiyetesi ve Etkileyen Faktörler

Öz

Amaç: Bu araştırma, Hipertansiyon ve ST Elevasyon’lu Akut Miyokard İnfarktüsü hastalarında ölüm anksiyetesi ve etkileyen faktörleri belirlemek amacıyla yapıldı.
Materyal ve Metot: Bu çalışma Şubat-Mart 2022 tarihleri arasında hipertansiyonu olan, ST elevasyonlu Akut Miyokard İnfarktüsü geçirmiş hasta ve sağlıklı bireylerden oluşan toplam 195 kişi ile gerçekleştirildi. Çalışmaya şehir hastanesi kardiyoloji polikliniğine başvuran, son 1 yıldır hipertansiyon ve ST Elevasyon’lu Akut Miyokard İnfarktüsü tanısı ile poliklinikte izlenen hastalar dahil edildi. Araştırmanın verileri; Hasta Bilgi Formu ve “Abdel Khalek Ölüm Kaygısı Ölçeği” kullanılarak toplandı.
Bulgular: Ölüm anksiyetesi ölçeği puan ortalaması Hipertansiyon hastalarında 46,38±16,72, ST Elevasyon’lu Akut Miyokard İnfarktüsü 38,27±12,84, sağlıklı bireylerde ise 48,93±16,83 olarak bulundu. Hipertansiyon hastalarının ST Elevasyon’lu Akut Miyokard İnfarktüsü’lü hastalara göre ölüm anksiyete puanları arasında farklılık belirlendi (p=0,007). Grupların ölüm kaygısı puanlarının bazı sosyodemografik özelliklerle ilişkili olduğu belirlendi (p<0,05).
Sonuç: Araştırmada hipertansiyon hastalarında ölüm anksiyetesinin ST Elevasyon’lu Akut Miyokard İnfarktüsü hastalarına göre anlamlı derecede daha yüksek olduğu belirlendi.

Anahtar Kelimeler

Ölüm anksiyetesi, hipertansiyon, miyokard enfarktüsü, ST-elevasyonu

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Araştırmaya katılan tüm hastalara teşekkür ederiz.

Kaynakça

• Tepe Medin S, Hintistan S, Özoran Y. Determination of death anxiety in physicians and nurses working in internal clinics. Journal of Hacettepe University Faculty of Nursing. 2020;7(3):262-270. doi:10.31125/hunhemsire.834176
• Çağlar A, Kaçer İ. Anxiety levels in patients admitted to the emergency department with myocardial infarction or COVID-19 pneumonia. Psychol Health Med. 2022;27(1):228-236. doi:10.1080/13548506.2021.1876893
• Wen Y, Yang Y, Shen J, Luo S. Anxiety and prognosis of patients with myocardial infarction: A meta-analysis. Clin Cardiol. 2021;44(6):761-770. doi:10.1002/clc.23605
• Sozen E, Demirel T, Ozer NK. Vitamin E:regulatory role in the cardiovascular system. IUBMB Life. 2019;71(4):507-515. doi:10.1002/iub.2020
• World Health Organization. Cardiovascular diseases 2019. https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Accessed November 20, 2022.
• TUIK. Death and Cause of Death Statistics 2022. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679. Accessed August 17, 2023.
• Collet JP, Thiele H, Barbato E, Barthelemy O, Bauersachs J, Bhatt LD & Siontis MCG. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart Journal. 2021;42(14):1289-1367. doi:10.1093/eurheartj/ehaa575
• Visseren FLJ, Mach F, Smulders YM, Carballo D, Konstantinos CK, Back M, Williams B. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart Journal. 2021;42(34):3227-3337. doi:10.1093/eurheartj/ehab484
• Steg PG, James SK, Atar D. ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart Journal, 2012;33(20):2569-2619. doi:10.1093/eurheartj/ehs215
• Turhan EH. Death anxiety and coronavirus on the axis of death sociology. HABITUS Journal of Sociology. 2021;2:85-101.
• Karadağ S, Ergin Ç, Erden S. Anxiety, depression and death anxiety in individuals with COVID-19. Omega (Westport). 2022;4:1-17. doi:10.1177/00302228221124981
• Hong Y, Yuhan L, Youhui G, Zhanying W, Shili Z, Xiaoting H, Wenhua Y. Death anxiety among advanced cancer patients: a cross-sectional survey. Support Care Cancer. 2022;30(4):3531-3539. doi:10.1007/s00520-022-06795-z
• Korkut B, Sevinç N. The relationship between death anxiety and rational drug use. The Journal of Turkish Family Physician. 2021;12(2):76-83. doi:10.15511/tjtfp.21.00276
• Soleimani AM, Pour-Zarabadi S, Sharif PS, Motalebi AS. The relationship between death anxiety and self-esteem in patients with acute myocardial infarction. The Journal of Qazvin University of Medical Sciences. 2019;23(1):14-25. doi:10.32598/JQUMS.23.1.14
• Boda A, Kar SK, Pradhan A, Prakash AJ, Saroj A, Shankar A, Singh A, Vishwakarma P, Sethi R. Study protocol of death anxiety, perceived stress, sleep quality, cardiac illness denial and subjective well-being among stable patients with acute myocardial infarction. Indian Journal of Behavioural Sciences. 2023;26(1):20-24. doi: 10.55229/ijbs.v26i1.04
• Liblik K, Mulvagh SL, Hindmarch CCT, Alavi N, Johri AM. Depression and anxiety following acute myocardial infarction in women. Trends Cardiovasc Med. 2022;32(6):341-347. doi:10.1016/j.tcm.2021.07.005
• Jinawong K, Apaijai N, Chattipakorn N, Chattipakorn SC. Cognitive impairment in myocardial infarction and heart failure. Acta Physiol (Oxf). 2021;232:1-13. doi: 10.1111/apha.13642
• Zhang J, Peng J, Gao P, Huang H, Cao Y, Zheng L, Miao D. Relationship between meaning in life and death anxiety in the elderly:self-esteem as a mediator. BMC Geriatrics. 2019;19(308):1-8. doi:10.1186/s12877-019-1316-7
• Yıldırım D, Kocatepe V. Evaluating death anxiety and death depression levels among patients with acute myocardial infarction. Omega (Westport). 2023;86(4):1402-1414. doi:10.1177/00302228211009773
• Tülüce D, Kaplan Serin E. The death anxiety experienced by cardiac patients in the covid-19 pandemic and its affecting factors. Omega (Westport). 2022. doi:10.1177/00302228221093461
• Kavradim Turan S, Sert M, Ozer Z. Determination of death anxiety and coping attitudes of individuals with myocardial infarction. Turkish Society of Cardiovascular Nursing. 2022;13(31):65-73. doi:10.5543/khd.2022.214169
• World Health Organization. The top 10 causes of death 2020. https://www.who.int/news-room/fact-sheets/detail/the-top10-causes-of-death. Accessed November 02,2022.
• World Health Organization. Hypertension 2019. https://www.who.int/news-room/fact-sheets/detail/hypertension. Accessed April 30,2021.
• Hamam MS, Kunjummen E, Hussain MS, Nasereldin M, Bennett S, Miller J. Anxiety, depression, and pain: considerations in the treatment of patients with uncontrolled hypertension. Curr Hypertens Rep. 2020;22(12):106-203. doi:10.1007/s11906-020-01117-2
• Abdel-Khalek AM. Kuwait university, kuwait the arabic scale of death anxiety (ASDA): its development, validation, and results in three arab countries. Death Studies, 2004;28(5):435-457. doi:1080/07481180490437572
• Abdel-Khalek AM, Lester D, Sabado-Tomas J. Kuwait university - the arabic scale of death anxiety: some results from east and west. OMEGA-Death & Dying, 2009;59(1): 39-50. doi:10.2190/OM.59.1.c
• Aydoğan AS, Gülseren Ş, Sarıkaya ÖÖ, Özen Ç. The validity and reliability of the Turkish version of the Abdel-Khalek death anxiety scale in university students. Nöropsikiyatri Arşivi, 2015;52:371-375. doi:10.5152/npa.2015.8820