A before and after study to investigate the effectiveness of an individual psychological intervention in reducing anxiety and depression for heart failure patients

2012 ◽  
Author(s):  
Annie O'Donoghue
Keyword(s):  
Heart Failure ◽  
Psychological Intervention ◽  
Anxiety And Depression ◽  
Heart Failure Patients ◽  
Before And After ◽  
Before And After Study

Strong risk factors for depression and anxiety in heart failure patients

2021 ◽  
Author(s):  
Naila Niaz ◽  
Syed Muhammad Faraz Ali ◽  
Attaullah Younas ◽  
Tallat Anwar Faridi ◽  
Asif Hanif
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Ejection Fraction ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Anxiety And Depression ◽  
Team Approach ◽  
Depression And Anxiety ◽  
Ventricular Ejection Fraction ◽  
Heart Failure Patients

Despite advancing medical technology, Heart Failure (HF) is still a prevalent disease with high mortality and high health expenditure. To improve patient outcome and prognosis, it is important to identify the association of risk factors which leads to the co-morbid depression and anxiety in heart failure patients. Objectives: To determine the association of depression and/or anxiety with age, gender and ejection fraction in heart failure patients. Methods: It is an analytical cross sectional study including 323 CHF patients who visited the to the Faisalabad Institute of Cardiology hospital Out-Patient Department, 250 were males and 73 were females, mean age was 54.1 ± 9.2 years having 70 years as maximum and 25 years as minimum.  Data collection was done using Hospital Anxiety and Depression Scale (HADS) questionnaire to assess depression and anxiety. Data was analyzed using SPSS version 24. For quantitative data, mean and standard deviation was calculated and for qualitative data frequency and percentages was calculated. To measure the association of anxiety and depression with age categories, ejection fraction and gender, chi square test was used. P values less than and equal to 0.05 were taken as significant. Results: No association of depression and anxiety with gender and Left Ventricular Ejection Fraction (LVEF) was observed. However, depression and anxiety were found to be significantly associated with age Conclusions: The study concluded that age is a strong risk factor of depression and anxiety in congestive heart failure patients. Multidisciplinary health care team approach and interventions are required to cater chronic heart failure (CHF) patients to address the psychological burden.

Prevalence of anxiety and depression and relationship to clinical variables in heart failure patients

1999 ◽  
Vol 5 (3) ◽  
pp. 74
Author(s):  
Susan Zickmund ◽  
Caroline Carney Doebbeling ◽  
Carla J. Pies ◽  
William G. Cotts ◽  
Ron M. Oren
Keyword(s):  
Heart Failure ◽  
Anxiety And Depression ◽  
Heart Failure Patients ◽  
Clinical Variables

scholarly journals The Effect of Educational Intervention on Nurses’ Attitudes and Beliefs about Depression in Heart Failure Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Patricia Lea
Keyword(s):  
Heart Failure ◽  
Educational Intervention ◽  
Positive Influence ◽  
Heart Failure Patients ◽  
Surgical Units ◽  
Treatment Of Depression ◽  
Before And After ◽  
Consistent Assessment ◽  
Effective Diagnosis ◽  
The Impact

Systematic depression screening is feasible, efficient, and well accepted; however the lack of consistent assessment in heart failure inpatients suggests barriers preventing its effective diagnosis and treatment. This pilot study assessed the impact of an educational intervention on nurses’ beliefs about depression and their likelihood of routinely screening heart failure patients. Registered nurses(n=35)from adult medical-surgical units were surveyed before and after an educational intervention to assess their beliefs about depression prevalence and screening in heart failure patients. There was no significant influence on nurses’ beliefs about depression, but the results suggested an increased likelihood that nurses would routinely screen for depression. The moderately significant correlation between beliefs and intent to screen for depression indicates that educational intervention could ultimately have a positive influence on patient outcomes through early detection and treatment of depression in patients with cardiovascular disease; however the observed increase in the intent to screen without a corresponding change in beliefs indicates other influences affecting nurses’ intent to screen heart failure patients for depression.

scholarly journals Effect of Ivabradine on Endothelial Function in Diastolic and Right Heart Failure Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Arturo Orea-Tejeda ◽  
Karla Balderas-Muñoz ◽  
Lilia Castillo-Martínez ◽  
Oscar Infante-Vázquez ◽  
Raúl Martínez Memije ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Flow ◽  
Endothelial Function ◽  
Vascular Function ◽  
Systolic Heart Failure ◽  
Maximum Amplitude ◽  
Right Heart Failure ◽  
Right Heart ◽  
Heart Failure Patients ◽  
Before And After

Background. Ivabradine is an If ion current inhibitor that has proved to reduce mortality in patients with systolic heart failure by slowing heart rate without decreasing myocardial contractility. Photoplethysmography is a simple, low-cost optical technique that can evaluate vascular function and detect changes in blood flow, pulse, and swelling of tissular microvascular space.Objective. To evaluate the effect of ivabradine on endothelial function by photoplethysmography in diastolic and right heart failure patients.Methodology. 15 patients were included (mean age of 78.1 ± 9.2 years) with optimally treated diastolic and right heart failure. They underwent photoplethysmography before and after induced ischemia to evaluate the wave blood flow on the finger, using the maximum amplitude time/total time (MAT/TT) index. Two measurements were made before and after oral Ivabradine (mean 12.5 mg a day during 6 months of followup).Results. In the study group, the MAT/TT index was 29.1 ± 2.2 versus 24.3 ± 3.2 () in basal recording and 30.4 ± 2.1 versus 23.3 ± 2.9 (), before versus after ischemia and before versus after Ivabradine intervention, respectively.Conclusions. Ivabradine administration improves endothelial function (shear stress) in diastolic and right heart failure patients.

scholarly journals Investigating the Effect of Education on Self-Care among Chronic Heart Failure Patients Admitted to Shahid Mostafa Khomeini Hospital of Ilam

2016 ◽  
Vol 9 (5) ◽  
pp. 79
Author(s):  
Samira Miss Qavam ◽  
Ali Sahebi ◽  
Masoumeh Shohani ◽  
Firoz Balavandi ◽  
Ramak Qavam ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Self Care ◽  
Statistical Correlation ◽  
P Value ◽  
Common Cause ◽  
Heart Failure Patients ◽  
Before And After ◽  
Discharge From Hospital ◽  
Care Behavior

<p><strong>BACKGROUND:</strong> Congestive heart failure is a common cause of hospitalization. If patients can adhere to self-care behaviors, the progression of the disease can be prevented. The aim of this study is to evaluate the effect of education on self-care in chronic heart failure patients admitted to Shahid Mostafa Khomeini Hospital of Ilam in 2016.</p><p><strong>METHODS:</strong> This study is of intervention typeand 40 patient’s sufferingfrom heart failure were selected. Research tools include a standard indicator questionnaire for measuring self-care by patients. The questionnaire contains 22 questions about their certainty ofself-care. Four point Likert scale was used for scoring and SPSS V.19 was used for data analysis.</p><p><strong>RESULTS:</strong> The sample consisted of 16 men (40%) and 24 women (60%) most of which were married (75%). The statistical correlation between the total score of self-care behavior before and after education was significant (P VALUE = 0.003), which shows that the education conducted on the patients was effective and caused more scores in all areas.</p><p><strong>CONCLUSION:</strong> Self-care behavior can be attained and spread through education. It is recommended that the patients suffering are given enough information about their diet and activities after their discharge from hospital.</p>

Preventability of 30-Day Readmissions for Heart Failure Patients Before and After a Quality Improvement Initiative

2013 ◽  
Vol 29 (3) ◽  
pp. 220-226 ◽  
Author(s):  
Jason Ryan ◽  
Rebecca Andrews ◽  
Mary Beth Barry ◽  
Sangwook Kang ◽  
Aline Iskandar ◽  
...  
Keyword(s):  
Heart Failure ◽  
Quality Improvement ◽  
Quality Improvement Initiative ◽  
Heart Failure Patients ◽  
Before And After

scholarly journals COMPARISON OF CONCENTRATION DIFFERENCE BETWEEN ST2 DAN NT-PRO BNP BEFORE AND AFTER ACE-INHIBITORS IN NYHA III-IV HEART FAILURE PATIENTS

2019 ◽  
Vol 26 (1) ◽  
pp. 11
Author(s):  
Veronika Juanita Maskito
Keyword(s):  
Heart Failure ◽  
Length Of Stay ◽  
Ace Inhibitors ◽  
Nyha Class ◽  
Sandwich Elisa ◽  
Clinical Signs ◽  
Concentration Difference ◽  
Heart Failure Patients ◽  
Significant Difference ◽  
Before And After

Background: The American Heart Association (2016) stated that at the age of forty the risk of developing heart failure is one in five. Medication is based on clinical signs and symptoms that are often late. Early cardiac markers are required to guide therapy. This study compared the difference between ST2 and NT-ProBNP concentrations before and after ACE inhibitors (ACE-I) in NYHA III-IV heart failure patients.Method: This was a randomized prospective observational study without controls. The respondents were males or females, 21-75 y.o in NYHA III-IV heart failure patients. Twenty-five respondents were appropriate to inclusion criteria. The ST2 was measured by Quantikine®ST2/IL-33R quantitative sandwich ELISA immunoassay while NT-proBNP was measured by Immulite Turbo® 1000.Result: Majority of respondents were males (60%) and had  comorbidities(60,7%), consisting of NYHA Class III(36%) and IV(64%). Coronary artery disease and valvular heart disease (40%,36% respectively). Length of stay was 6.4±3.4days. The concentration difference of ST2 and NT-proBNP before and after ACE-I were both significant, however, NT-proBNP was more significant (p=0,001 vs p=0,023). NYHA at admission influenced ST2 difference but not NT-proBNP. NT-proBNP concentration correlated to length of stay while ST2 was not. ST2 had negative correlation with age, no correlation to GFR and weight. NT-proBNP was correlated to weight, negatively correlated to GFR, not correlated to age. ACE-I subtypes difference did not affect the study result.Conclusion: NT-proBNP was a better heart failure cardiac marker than ST2 due to its ability in diagnosis, prognosis and showing more significant difference after ACE-I administration.

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