scholarly journals CHARACTERISTIC OF ILLNESS PERCEPTION AND PHQ-9 SCORE IN CORONARY HEART DISEASE PATIENTS

2021 ◽  
Vol 20 (1) ◽  
pp. 46-54
Author(s):  
Valerie Michaela Wilhelmina ◽  
Eva Suryani ◽  
Yunita Maslim

Introduction: Coronary Heart Disease (CHD) accounts for the largest proportion of cardiovascular diseases. CHD patients may experience depressive symptoms or major depressive disorder. Patient Health Questionnaire (PHQ-9) Score has good sensitivity and specificity for patients with CHD. Negative illness perception is significantly associated with more severe levels of depression. The aim of this study is to understand the characteristics of the perception of illness and PHQ-9 scores in patients with CHD at Atma Jaya Hospital, Jakarta. Methods: A cross-sectional research was done on CHD patients in the clinic of Internal Medicine and Cardiac Sub-Specialist clinics, Cosmas outpatient unit in Atma Jaya Hospital over the course of September-October 2015. The Brief Illness Perception Questionnaire (BIPQ) and PHQ-9 were used to assess the characteristics of illness perception and determine the level of depression in patients with CHD. Univariate analysis were used to process the data. Results: 42 patients met the inclusion criteria. 62% of subjects had a positive perception of the disease and 38% had a negative perception. The highest average score of B-IPQ was the illness concern. Majority of the subjects 48.8% had minimal depression and none of the subject had severe depression. Conclusion: B-IPQ scores indicated positive illness perception and PHQ-9 shows minimal depression in most of CHD patients

2019 ◽  
Vol 7 (2) ◽  
pp. 85
Author(s):  
Mayla Renata Sandi ◽  
Santi Martini ◽  
Kurnia Dwi Artanti ◽  
Sri Widati

Background: Coronary heart disease (CHD) is a non-communicable disease that causes the highest mortality in the world, including in Indonesia. Risk factors for CHD are divided into modifiable and non- modifiable risk factors. Purpose: This study aims to discover the description of risk factors that are modifiable in coronary heart disease patients at Dr Soetomo Regional Public Hospital. Methods: It was a descriptive observational study with cross sectional study design. The study population was coronary heart disease patients who were doing outpatient treatment at the Integrated Heart Service Center (PPJT) of Dr. Soetomo Regional Public Hospital. The number of study sample was 72 respondents using accidental sampling technique. Data sources used are primary data using questionnaires and secondary data using medical record. Data were collected during November 2018. The location of this study was Dr. Soetomo Regional Public Hospital. The data analysis technique chosen was univariate analysis and presented in the form of a frequency distribution table. Results: The results of the study showed that the characteristics of respondents were mostly between 56-65 years old (43,05%) and male (70,84%). Risk factors found on the respondents were smoking (84,72%), hypertension (72,22%), hyperlipidemia (68,05%), diabetes mellitus (81,94%) and poor physical activity (77,77%). Conclusion: Modifiable risk factor that was mostly found on coronary heart patients was smoking, while least one was hiperlipidemia.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jiling Qu ◽  
Ting Zhou ◽  
Mengxin Xue ◽  
Huiping Sun ◽  
Yijing Shen ◽  
...  

Background: Mastering medication literacy may be related to medication safety, and the identification of frailty is very important for the prognosis of coronary heart disease (CHD). Few studies have examined the relationship between medication literacy and frailty in patients with CHD. The aim of this study was to investigate the state of medication literacy and frailty in patients with CHD and to explore the relationship between medication literacy and frailty.Methods: A cross-sectional investigation evaluated 295 inpatients with CHD recruited from hospitals in Yangzhou, China. Demographic and clinical data on participants were collected using a general information questionnaire. The Chinese medication literacy scale was used to evaluate medication literacy. The Fried Frailty Phenotype scale was used to evaluate frailty. Univariate analysis employed chi-square test and Kruskal-Wallis H test to examine the potential factors affecting frailty. Taking frailty status as the outcome variable, the ordered logistic regression model was used to analyze the relationship between the degree of medication literacy and frailty. Spearman’s correlation analysis was used to analyze the correlation between medication literacy and frailty.Results: A total of 280 elderly CHD inpatients were included in the analysis. There were 116 (41.4%) individuals with inadequate medication literacy and 89 (31.8%) frail individuals. Ordered logistic regression analysis showed that the age (p < 0.001, OR = 1.089), Charson Comorbidity Index (p = 0.029, OR = 1.300), number of medications taken (p = 0.012, OR = 1.137), and medication literacy (p < 0.05, OR > 1) were independent predictors of debilitating risk factors. The population with inadequate medication literacy had a 2.759 times greater risk of frailty than adequate medication literacy (p < 0.001, OR = 2.759); The population with marginal medication literacy had a 2.239 times greater risk of frailty than adequate medication literacy (p = 0.010, OR = 2.239). Spearman’s correlation analysis showed that the medication literacy grade was associated with the frailty grade in elderly CHD patients (R = -0.260, p < 0.001).Conclusion: The study showed a significant correlation between medical literacy and frailty in patients with CHD. The results suggested that medication literacy was an important consideration in the development, implementation, and evaluation of frailty.


e-CliniC ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Tracey C. C. W. Rompas ◽  
A. Lucia Panda ◽  
Starry H. Rampengan

Abstrak: Penyakit jantung koroner (PJK) merupakan penyakit kardiovaskuler yang menyebabkan kematian nomor satu di dunia. Awalnya obesitas dianggap sebagai faktor yang memberikan kontribusi pada risiko penyakit PJK melalui faktor lain berhubungan seperti hipertensi, dislipidemia, namun telah dibuktikan juga bahwa distribusi jaringan lemak berpengaruh pada tingginya risiko penyakit jantung koroner. Obesitas ditentukan berdasarkan indeks massa tubuh (IMT) dan lingkar pinggang. Tujuan Penelitian ini adalah peneliti ingin mengetahui hubungan IMT dan lingkar pinggang penderita PJK di BLU/RSUP. Prof. Dr. R. D. Kandou Manado. Penelitian ini bersifat pengamatan analitik dengan disain potong lintang. Populasi ialah pasien dengan penyakit jantung koroner di poliklinik Jantung BLU/RSUP Prof. Dr. R. D. Kandou Manado selama periode November 2012 yang memenuhi kriteria inklusi dan eksklusi sehingga diperoleh besar sampel 62 pasien. Sampel dipilih berdasarkan accidental sampling method. Menurut analisis univariat pasien yang mengalami PJK sebanyak 82,3% dari total sampel dan 86,7% penderita PJK tergolong memiliki lingkar perut dan IMT diatas normal. Hasil pengujian bivariat dengan kai-kuadrat dengan nilai kritis kemaknaan 0,05 didapatkan nilai p= 0,367 untuk kategori IMT dengan PJK dan nilai p= 0,135 untuk lingkar perut. Keduanya menunjukkan hubungan yang tidak signifikan. Dari penelitian ini ialah menunjukkan tidak ada hubungan yang signifikan antara obesitas umum dan obesitas sentral dengan PJK pada pasien di poli jantung BLU/RSUP Prof. Dr. R. D Kandou Manado periode November 2012.KataKunci : Obesitas, Lingkarperut, Penyakit Jantung Koroner     Abstract: Coronary heart disease (CHD) is cardiovascular disease that the first causes of death in the world. Obesity was initially considered as a factor that contributes to the risk of CHD by other factors related such as hypertension, dyslipidemia, but has also proved that the distribution of fat tissue effect on the high risk of coronary heart disease.Obesity is defined by body mass index (BMI) and waist circumference. Purpose of this study the researchers wanted to know the relationship of BMI and waist circumference of patients with CHD in BLU/RSUP. Prof. Dr. R. D. Kandou Manado. The observation of this study is cross-sectional analytical design. The population was patients with CHD at the cardiac ward in the clinic of internal medicine BLU/RSUP Prof. Dr. R. D. Kandou Manado hospital  during the period November 2012 that met the inclusion and exclusion criteria in order to obtain a sample size of 62 patients. Samples were selected based on accidental sampling method. According to univariate analysis of patients with CHD as much as 82.3% of the total sample, and 86.7% of patients classified as having CHD abdominal circumference and BMI above normal. Bivariate test results with kai-squared significance the critical value 0.05 obtained for p = 0.367 BMI categories with CHD and p = 0.135 for waist circumference, both showed no significant relationship. The conclusion of this study is to show there is no significant relationship between general obesity and central obesity and coronary heart disease in patients with CHD in the heart of poly BLU/RSUP Prof. Dr. R. D. Kandou Manado November 2012 period.Keywords: Obesity, Abdominal Circumference, Coronary Heart Disease


2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Laila Kamila ◽  
Maulidiyah Salim

Abstract: Coronary heart is a disease that offense to blood vessels and heart attack due to constriction of blood vessels. A high level of cholesterol in blood or exceeds the normal limit can form sediment in wall of blodd vessels which cause blood vessels constriction or blockage. This research object to determine whether there is a correlation between cholesterol level total and hypertension with coronary heart disease in patients who hospitalized in Regional Public Hospital of dr. Soedarso Pontianak. This study was used cross sectional design, purposive sampling technique, it gained 50 people as samples. The measurement of blood pressure was done in heart poly and cholesterol total level in clinic laboratory of Regional Public Hospital of dr. Soedarso by using enzymatic CHOD-PAP method. It can be obtained that 10 people had hypertension and 40 people did not.the average of total cholesterol was 224 mg/dl. Maximum value of total cholesterol was 224 mg/dl and 152 mg/dl as minimum value. Data has been analyzed by using statistical test, Chi-Square, to determine the correlation of total cholesterol wit coronary heart disease, obtained p value=0,024 (less than α=0,05). Correlation of hypertension and coronary heart disease gained p value=0,923 (more than α=0,05), it can be concluded that total cholesterol correlated with coronary heart disease, and there was not a correlation between hypertension and coronary heart disease.Abstrak: Jantung koroner adalah penyakit yang  menyerang pembuluh darah dan serangan jantung, karena penyempitan pada pembuluh darah. Kadar kolesterol yang tinggi dalam darah melebihi normal dapat membentuk endapan pada dinding pembuluh darah sehingga menyebabkan penyempitan dan tersumbatnya pembuluh darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dan hipertensi dengan penyakit jantung koroner pada pasien di RSUD dr. Soedarso Pontianak. Disain penelitian  ini menggunakan cross sectional, teknik pengambilan sampel yaitu purposive sampling, didapat jumlah sampel 50 orang. Pengukuran Tensi Darah dilakukan di poli Jantung dan pemeriksaan kadar kolesterol total di laboratorium klinik RSUD dr. Soedarso Pontianak dengan metode enzimatik CHOD-PAP. Hasil penelitian didapatkan 10 orang mengalami hipertensi dan 40 orang non hipertensi. Rata-rata kadar kolesterol total 224 mg/ dl. Nilai maksimum kadar kolesterol total yaitu 224 mg/dl dan nilai minimum yaitu 152 mg/dl. Analisa data dengan uji statistik Chi-square untuk mengetahui hubungan kolesterol total dengan penyakit jantung koroner didapatkan nilai p = 0,024 (lebih kecil dari  α 0,05). Uji hubungan hipertensi dengan penyakit jantung koroner didapat nilai p = 0,923 (lebih besar dari α 0,05), dapat disimpulkan terdapat hubungan kadar kolesterol total dengan penyakit jantung koroner dan tidak ada hubungan hipertensi dengan penyakit jantung koroner.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048590
Author(s):  
Kewei Wang ◽  
Yuanqi Wang ◽  
Ruxing Zhao ◽  
Lei Gong ◽  
Lingshu Wang ◽  
...  

ObjectiveThe objective of this study was to evaluate the influence of secondhand smoke (SHS) exposure during childhood on type 2 diabetes mellitus, hypertension, hyperlipidaemia and coronary heart disease among Chinese non-smoking women.MethodsIn this cross-sectional study, the SHS exposure data in childhood were obtained using a questionnaire survey. Self-reported childhood SHS exposure was defined as the presence of at least one parent who smoked during childhood.ResultsOf the 6522 eligible participants, 2120 Chinese women who had never smoked were assessed. The prevalence of SHS exposure in the entire population was 28.1% (596). SHS exposure during childhood was not significant for the standard risk factors of type 2 diabetes mellitus (p=0.628) and hypertension (p=0.691). However, SHS was positively associated with hyperlipidaemia (p=0.037) after adjusting for age, obesity, education status, physical activity, alcohol consumption, current SHS exposure status, diabetes mellitus and hypertension. In addition, childhood SHS increased the occurrence of coronary heart disease (p=0.045) among non-smokers after further adjusting for hyperlipidaemia.ConclusionSHS exposure during childhood is associated with prevalent hyperlipidaemia and coronary heart disease in adulthood among non-smoking Chinese women.


Author(s):  
Man Ye ◽  
Shi-hao Chen ◽  
Xu-ting Li ◽  
Jin Huang ◽  
Ran-ran Mei ◽  
...  

Abstract OBJECTIVE: To assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with COVID-19. METHODS: A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Revised Illness Perception Questionnaire (IPQ-R), and Profile of Mood States (POMS) were used to measure the current status of participants. RESULTS: The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r=0.265, P=0.004) and total score of disease-related knowledge (r= 0.206, P= 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r= -0.182, P= 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P<0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P<0.05). CONCLUSION It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.


2005 ◽  
Vol 93 (05) ◽  
pp. 955-963 ◽  
Author(s):  
George Smith ◽  
Ann Rumley ◽  
Gordon Lowe ◽  
Shah Ebrahim ◽  
Debbie Lawlor

SummaryA cross sectional and prospective analysis of 3,745 British women aged 60–79 years at baseline was undertaken. Among these women there were 570 prevalent cases of coronary heart disease (CHD) and 151 new cases among 12,641 person-years of follow up of women who were free of CHD at baseline. Both fibrinogen and CRP were associated with indicators of socioeconomic position in childhood and adulthood and there was a cumulative effect of socioeconomic position from across the life course. The age-adjusted odds ratio (95% confidence interval) of prevalent CHD for a 1 unit (1 g/L) increase in fibrinogen was 1.29 (1.12, 1.49); with full adjustment for all potential confounding factors this attenuated to 1.09 (0.93, 1.28). The hazards ratio for incident CHD among those free of disease at baseline was 1.28 (1.00, 1.64); with full adjustment for all potential confounding factors this attenuated to 1.09 (0.84, 1.44). Similar effects of adjustment for confounding factors were seen for the associations between CRP and both prevalent and incident CHD. By contrast, the strong positive association between smoking (an established causal risk factor for CHD) and CHD was not attenuated by adjustment for life course socioeconomic position or other risk factors. We conclude that fibrinogen and CRP predict CHD but may not be causally related to it.


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