scholarly journals Effect of Dialectical Behavior Therapy on Perceived Stress and Coping Skills of Patients With Acute Myocardial Infarction

2020 ◽  
Vol 29 (3) ◽  
pp. 2-13
Author(s):  
Azam Nourisaeed ◽  
◽  
Shohreh Ghorban Shiroudi ◽  
Arsalan Salari ◽  
◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Behavior Therapy ◽  
Perceived Stress ◽  
Coping Strategy ◽  
Dialectical Behavior Therapy ◽  
Coping Skills ◽  
Stress And Coping ◽  
And Coping

Background: Acute Myocardial Infarction (AMI) is the first and the most important leading cause of mortality in Iran. Psychological factors play a key role in the onset and exacerbation of this disease. Objective The purpose of this study was to evaluate the effect of Dialectical Behavior Therapy (DBT) on perceived stress and coping skills of patients following AMI. Materials and Methods: This is a clinical trial with pre-test/ post-test/follow-up design conducted in 2018 on 30 patients with diagnosed AMI after discharge from Noor Heart Clinic in Rasht, Iran. The patients were randomly divided into intervention (5 females and 10 males) and control (8 females and 7 males) groups. Assessment tools included the Perceived Stress Scale and the Ways of Coping Questionnaire that were completed before and after intervention and during a 3-month follow-up period. The intervention group received DBT at 8 sessions of 90 minutes per week for 2 months. Data were analyzed using independent t-test, repeated measures ANOVA, and Bonferroni Post Hoc test. Results: The DBT had significant effects on the perceived stress (F=6.21, P<0.05), problem-focused coping strategy (F=5.00, P<0.05) and emotion-focused coping strategy (F=15.20, P<0.001). Conclusion: Dialectical behavior therapy can reduce the perceived stress and improve the coping skills of patients following AMI

scholarly journals Covid-19 related stress and coping strategies among adults with chronic disease in Southwest Ethiopia.

2020 ◽  
Author(s):  
Abel Girma ◽  
Ermias Ayalew
Keyword(s):  
Chronic Disease ◽  
Coping Strategies ◽  
Perceived Stress ◽  
Coping Strategy ◽  
Stress And Coping ◽  
Southwest Ethiopia ◽  
Stress Score ◽  
Related Stress ◽  
Strategy Types ◽  
And Coping

Abstract Background: Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus which are a large family of viruses that are common in people and many different species of animals which can affect people physically and psychologically. The older people and those with underlying medical problems are more likely to develop serious illness and death. Objective the aim of this study was to determine Covid-19 related stress and coping strategies among adults with chronic disease in Bench-Sheko,West Omo and Keffa Zones, southwest Ethiopia Methods Institutional based cross-sectional study was applied among 613 adults with chronic disease. A simple sampling technique was applied. Correlational analysis was used to determine the relationship between the COVID-19 related stress score and coping strategy types. To measure the strength of association between dependent variables and independent variables and Pearson coefficients (r) with 95% Confidence interval (CI) were calculated. Finally, the variable, which shows statistical significance (p-value < 0.05 cut point) were used to quantify the associations among variables. Results: Around 613 participants of 96% response rate were participated. About 68.4% were moderately stressed; low stress was 17.8% and severe stress was 13.9 %. Covid-19 related perceived stress score were positively associated with coping strategies types of like sell-distraction, active coping, denial, emotional support, behavioral disengagement, venting, and use of instrument, positive reframing, self-blaming, planning, humoring and religion. The most preferable types of coping strategies were religious, instrumental and active coping strategies and while the least used were substance used. Conclusion: Significant numbers of participants were suffered from severe perceived stress due to covid-19 outbreak in this study area. Both adaptive and maladaptive Coping strategy types were significantly associated with stress. Substance use and self-blaming were the types coping strategies which were not associated with perceived stress.

Examining Coping Skills as a Mediating Factor in Perceived Stress and Life Satisfaction: A Comparison Between Minority and Nonminority Older Adults

2021 ◽  
pp. 009141502110241
Author(s):  
Eunyoung Lee ◽  
Jaclyn M. Williams
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Perceived Stress ◽  
Coping Skills ◽  
Stress And Coping ◽  
Cross Sectional ◽  
Racial And Ethnic Differences ◽  
Mediation Analyses ◽  
Ethnic Grouping ◽  
And Coping

Although stress due to racial and ethnic differences can negatively impact life satisfaction, there is a lack of focus on the differences between minority and nonminority older adults in how stress and coping skills impact life satisfaction. The objectives of this study are to explore (a) the differences between minority and nonminority older adults in their levels of life satisfaction, stress, and coping skills; and (b) the mediating effects of coping skills on the relationship between perceived stress and life satisfaction among both groups. Cross-sectional data from the Well Elderly 2 study ( N = 460) were utilized in bivariate and mediation analyses. Minority older adults reported higher levels of stress and prioritized different coping skills. Mediation was not supported for either group. These findings enable practitioners to focus on the coping skills more frequently identified by clients’ racial/ethnic grouping, as well as to target the primary stressors identified.

scholarly journals STRES DAN STRATEGI KOPING ANAK JALANAN DI KOTA DEPOK

2018 ◽  
Vol 2 (2) ◽  
pp. 108
Author(s):  
Berliana ◽  
Ice Yulia Wardani
Keyword(s):  
High School ◽  
Perceived Stress ◽  
Coping Strategy ◽  
Junior High School ◽  
Junior High ◽  
Street Children ◽  
Stress And Coping ◽  
Ways Of Coping ◽  
Stress Scale ◽  
And Coping

ABSTRAKArus urbanisasi dan kemiskinan membuat fenomena anak jalanan meningkat. Banyak stresor yang membuat anak mengalami stres sehingga membutuhkan suatu strategi untuk mengatasinya. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui karakteristik, tingkatan stres, dan strategi koping anak jalanan di SMP Master Kota Depok. Metode: Penelitian ini merupakan penelitian deskriptif sederhana. Pengambilan sampel mengunakan teknik total sampling. Jumlah sampel sebanyak 50 anak. Pengumpulan data dilakukan di SMP Master dengan kuesioner yang diadaptasi dari Perceived Stress Scale dan Ways of Coping yang telah diuji validitas dan reliabilitasnya pada April 2017. Analisis data penelitian menggunakan analisis univariat yang menggambarkan karakteristik, tingkatan stres, dan strategi koping anak. Hasil penelitian: Karakteristik responden adalah remaja dengan rata-rata usia 14 tahun, pekerjaannya berdagang (32%), memiliki pengalaman dikucilkan (66%), mempunyai pengalaman kekerasan fisik (40%), pengalaman berpindah- pindah tempat tinggal (54%), dan tidak menggunakan narkoba (90%). Mayoritas anak jalanan di SMP Master Kota Depok (88%) mengalami stres sedang. Adapun jenis strategi koping yang sering digunakan ialah emotional focused coping (60%). Saran: Hasil penelitian ini memberikan rekomendasi perawat agar dapat memfasilitasi kegiatan yang memberikan informasi mengenai cara menangani stres dengan strategi koping melalui kegiatan penyuluhan kesehatan jiwa dan pendampingan pemenuhan tugas perkembangan remaja.Kata Kunci: tingkat stres, strategi koping, anak jalananSTRESS AND COPING STRATEGY IN STREET CHILDREN AT DEPOK CITY AbstractUrbanization and poverty increase the phenomenon of street children. Children experience stress due to a number of stressors that a strategy is required to deal with them. Objective: This research aims to identify characteristics, levels of stress, and coping strategy in street children at Junior High School of Master, Depok City. Methods: This research is a simple descriptive research with a sample size of 50 children whom were taken using total sampling. Data were collected at Junior High School of Master by using questionnaires adapted from Perceived Stress Scale and Ways of Coping of which validity and reliability had been tested in April 2017. Data were analyzed using univariate analysis which described characteristics, levels of stress, and coping strategy in children. Results: The characteristics of respondents were adolescents with an average age of 14 years, working in trading (32%), having experience of being isolated (66%), having experience of physical violence (40%), having experience of moving from place to place (54%), and not using drugs (90%). The majority of street children Junior High School of Master in Depok City (88%) experience moderate stress. The most frequently used coping strategy was Emotional Focused Coping (60%). Suggestion: The results of this research recommend that nurses facilitate activities that provide information about how to deal with stress with coping strategies through mental health counseling activities and mentoring to fulfill adolescent development tasks.Keywords: stres level, coping strategies, street children

Feasibility of hybrid telerehabilitation as component of a novel comprehensive care program after acute myocardial infarction in a one-year follow-up preliminary experience of a single center

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
E Piotrowicz ◽  
P Orzechowski ◽  
I Kowalik ◽  
R Piotrowicz
Keyword(s):  
Myocardial Infarction ◽  
Blood Pressure ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Functional Capacity ◽  
Care Program ◽  
Comprehensive Care ◽  
Monitoring Center ◽  
One Year

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): National Health Fund Background. A novel comprehensive care program after acute myocardial infarction (AMI) „KOS-zawał" was implemented in Poland. It includes acute intervention, complex revascularization, implantation of cardiovascular electronic devices (in case of indications), rehabilitation or hybrid telerehabilitation (HTR) and scheduled outpatient follow-up. HTR is a unique component of this program. The purpose of the pilot study was to evaluate a feasibility, safety and patients’ acceptance of HTR as component of a novel care program after AMI and to assess mortality in a one-year follow-up. Methods The study included 55 patients (LVEF 55.6 ± 6.8%; aged 57.5 ± 10.5 years). Patients underwent a 5-week HTR based on Nordic walking, consisting of an initial stage (1 week) conducted within an outpatient center and a basic stage (4-week) home-based telerehabilitation five times weekly. HTR was telemonitored with a device adjusted to register electrocardiogram (ECG) recording and to transmit data via mobile phone network to the monitoring center. The moments of automatic ECG registration were pre-set and coordinated with exercise training. The influence on physical capacity was assessed by comparing changes in functional capacity (METs) from the beginning and the end of HTR. Patients filled in a questionnaire in order to assess their acceptance of HTR at the end of telerehabilitation. Results HTR resulted in a significant improvement in functional capacity and workload duration in exercise test (Table). Safety: there were neither deaths nor adverse events during HTR. Patients accepted HTR, including the need for interactive everyday collaboration with the monitoring center. Prognosis all patients survived in a one-year follow-up. Conclusions Hybrid telerehabilitation is a feasible, safe form of rehabilitation, well accepted by patients. There were no deaths in a one-year follow-up. Outcomes before and after HTR Before telerehabilitation After telerehabilitation P Exercise time [s] 381.5 ± 92.0 513.7 ± 120.2 &lt;0.001 Maximal workload [MET] 7.9 ± 1.8 10.1 ± 2.3 &lt;0.001 Heart rate rest [bpm] 68.6 ± 12.0 66.6 ± 10.9 0.123 Heart rate max effort [bpm] 119.7 ± 15.9 131.0 ± 20.1 &lt;0.001 SBP rest [mmHg] 115.6 ± 14.8 117.7 ± 13.8 0.295 DBP rest [mmHg] 74.3 ± 9.2 76.2 ± 7.3 0.079 SBP max effort [mm Hg] 159.5 ± 25.7 170.7 ± 25.5 0.003 DBP max effort [mm Hg] 84.5 ± 9.2 87.2 ± 9.3 0.043 SBP systolic blood pressure, DBP diastolic blood pressure.

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