Skip to main content Skip to main navigation menu Skip to site footer

Pengaruh program rehabilitasi kardiovaskular terhadap tingkat ansietas dan depresi pada pasien infark miokard akut

  • Anak Agung Ayu Dwi Adelia Yasmin ,
  • I Nyoman Wiryawan ,
  • I Wayan Wita ,


Abstract

Introduction:  Anxiety and depression are psychological problems that are commonly found in patients after episode of acute myocardial infarction (AMI). The presence of anxiety and depression may reduce the patient’s quality of life, increase disability, cardiovascular events, and mortality. One simple way to screen for anxiety and depression is to use Hospital Anxiety and Depression Scale (HADS) questionnaire. Active participation of AMI patients in cardiovascular rehabilitation program could improve psychological outcomes in patients. This study is a one group Pre Test-Post Test Design that aimed to determine the impact of cardiovascular rehabilitation program on anxiety and depression level as measured by HADS. This study included 29 AMI patients who were treated at Prof IGNG Ngoerah Hospital.

Method: The cardiovascular rehabilitation program provided were phase I (inpatient) cardiovascular rehabilitation which was given while the patient still in hospital, followed by phase II (outpatient) cardiovascular rehabilitation which was given for 12 sessions within 4-6 weeks after discharge.

Result: Based on Wilcoxon Signed Rank Test, there were improvements in anxiety and depression as indicated by decrease in HADS-A (p<0.001) and HADS-D scores (p=0.021) after participating in cardiovascular rehabilitation program in AMI patients who undergone treatment at Prof IGNG Ngoerah Hospital.

Conclusion: Cardiovascular rehabilitation programs can reduce anxiety and depression levels indicated by HADS-A and HADS-D scores in post AMI patients

 

Pendahuluan: Ansietas dan depresi merupakan masalah psikologis yang sering ditemukan pada pasien-pasien pasca perawatan akibat infark miokard akut (IMA). Adanya ansietas dan depresi dapat menurunkan kualitas hidup pasien, meningkatkan disabilitas, kejadian kardiovaskular, dan mortalitas. Salah satu cara yang sederhana untuk skrining kondisi ansietas dan depresi pada pasien adalah menggunakan kuisioner Hospital Anxiety and Depression Scale (HADS). Partisipasi aktif pasien pasca IMA dalam program rehabilitasi kardiovaskular dapat memperbaiki luaran psikologis pada pasien.

Metode: Penelitian ini merupakan suatu one group Pre Test-Post Test Design yang bertujuan untuk mengetahui pengaruh program rehabilitasi kardiovaskular terhadap tingkat ansietas dan depresi pada pasien IMA yang diukur menggunakan HADS. Penelitian ini mengikutsertakan 29 pasien IMA yang dirawat di RSUP Prof IGNG Ngoerah. Program rehabilitasi kardiovaskular yang diberikan adalah rehabilitasi kardiovaskular fase I (fase rawat inap) yang diberikan selama pasien masih dalam perawatan di Rumah Sakit, dilanjutkan dengan rehabilitasi kardiovaskular fase II (fase rawat jalan) yang diberikan selama 12 sesi dalam waktu 4-6 minggu pasca perawatan di Rumah Sakit.

Hasil: Berdasarkan uji Wilcoxon Signed Rank Test, terdapat perbaikan kondisi ansietas dan depresi yang ditunjukkan oleh penurunan skor HADS-A (p<0,001) dan HADS D (p=0,021) setelah mengikuti program rehabilitasi kardiovaskular pada pasien IMA yang menjalani perawatan di RSUP Prof IGNG Ngoerah.

Simpulan: program rehabilitasi kardiovaskular dapat menurunkan tingkat ansietas dan depresi yang ditunjukkan dengan skor HADS-A dan HADS-D pada pasien IMA.

Keywords: infark miokard akut ansietas depresi HADS

References

  1. Anderson JL, Morrow DA. Acute Myocardial Infarction. The New England Journal of Medicine. 2017;376:2053-2064.
  2. Lear SA, Ignaszewski A. Cardiac Rehabilitation: A Comprehensive Review. Current Controlled Trials in Cardiovascular Medicin. 2001;2(5)1-9.
  3. Sumner J, Bohnke, JR, Doherty P. Does Service Timing Matter for Psychological Outcomes in Cardiac Rehabilitation? Insights from the National Audit of Cardiac Rehabilitation. European Journal of Preventive Cardiology. 2018;25(1):19-28.
  4. Panthee E, Kritpracha C. Anxiety and Quality of Life in Patients with Myocardial Infarction”. Nurse Media Journal of Nursing. 2011;10(3):105-115.
  5. Feng HP, Chien WC, Chen WT. Risk of Anxiety and Depressive Disorders in Patients with Myocardial Infarction: A Nationwide Population-Based Cohort Study. Medicine. 2016;5(34):1-8.
  6. Frazier SK, Moser DK, O’Brien JL. Management of Anxiety after Acute Myocardial Infaction. Heart & Lung. 2017:31(6):411-420.
  7. Lane D, Carroll C, Lip GYH. Anxiety, Depression, and Prognosis after Myocardial Infarction: Is There A Causal Association?. J Am Coll Cardiol. 2013;42(10):1808-1810.
  8. Gustad LT, Laugsand LE, Janszky I. Symptoms of Anxiety and Depression and Risk of Acute Myocardial Infarction: the Hunt 2 Study. European Heart Journal. 2014;35:1394-1403.
  9. Murphy B, Grande ML, Alvarenga M. Anxiety and Depression after a Cardiac Event: Prevalence and Predictors. Frontiers in Phsychology. 2020;10:1-9.
  10. Abu Ruz ME, Masa Deh R. Gender Differences in Anxiety and Complications Early After Acute Myocardial Infarction. Journal of Cardiovascular Nursing. 2017;2(1):1-9.
  11. Kiblik K, Mulvagh SL, Hindmarch CT. Depression and Anxiety Following Acute Myocardial Infarction in Women. Trends in Cardiovascular Medicine. 2021;25(28)1-9.
  12. Mc Phillips R, Salmon P, Wells A. Cardiac Rehabilitation Patients Account of Their Emotional Distress and Psychological Needs: A Qualitative Study. Journal of American Heart Association. 2019;8:1-9.
  13. Senter S, Francis GS. A New, Precise Definition of Acute Myocardial Infarction. Cleveland Clinic Journal of Medicine. 2009;76:159-166.
  14. Zhang Y, Cao H, Jiang P. Cardiac Rehabilitation in Acute Myocardial Infarction Patients After Percutaneous Coronary Intervention: A Community-based Study. Medicine. 2018;97(8):1-5.
  15. Snaith RP. The Hospital Anxiety and Depression Scale. Health and Quality of Life Outcomes, 2003;1(29):1-4.
  16. Yehuda R. Post-Traumatic Stress Disorder. The New England Journal of Medicine. 2002;346(2):108-114.
  17. Serpytis P, Navickas P, Lukaviciute L. Gender-based Differences in Anxiety and Depression Following Acute Myocardial Infarction. Arquivos Brasileiros de Cardiologia. 2018;111(5):676-683.
  18. Antonakoudis H. Kifnidis K. Andreadis A. Cardiac Rehabilitation Effects on Quality of Life in Patients after Acute Myocardial Infarction. Hippokratia. 2006;10(4):176-181.

How to Cite

Yasmin, A. A. A. D. A., Wiryawan, I. N. ., & Wita, I. W. . (2023). Pengaruh program rehabilitasi kardiovaskular terhadap tingkat ansietas dan depresi pada pasien infark miokard akut. Intisari Sains Medis, 14(2), 927–931. https://doi.org/10.15562/ism.v14i2.1828
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
0

Total
0

Share

Search Panel

Anak Agung Ayu Dwi Adelia Yasmin
Google Scholar
Pubmed
ISM Journal

I Nyoman Wiryawan
Google Scholar
Pubmed
ISM Journal

I Wayan Wita
Google Scholar
Pubmed
ISM Journal