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Published on: January 28, 2020
Psychosocial complications of coronary artery disease
Hossein Karimi-Moonaghi1, Mohammad Mojalli2, Shahla Khosravan3
1Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran ; Department of Medical education, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Insights
Coronary artery disease (CAD) significantly impacts patients psychologically and socially. Iranian patients with CAD experience challenges including fear, anxiety, depression, financial difficulties, and social stigma, highlighting the need for comprehensive care.
Area of Science:
- Medical Research
- Psychology
- Sociology
Background:
- Cardiovascular diseases are a leading global cause of mortality.
- Coronary artery disease (CAD) frequently leads to psychosocial complications.
- The psychosocial impact of CAD requires greater clinical attention.
Purpose of the Study:
- To investigate the psychosocial complications of CAD.
- To explore the patient perspective of these complications in Iran.
Main Methods:
- Qualitative content analysis of 18 Iranian CAD patients.
- Data collected through semi-structured interviews.
- Purposive sampling until data saturation.
Main Results:
- Patients face primary challenges: diagnostic uncertainty and social alienation.
- Psychological issues include fear, anxiety, depression, and stress.
- Life problems encompass financial, work, and family issues.
- Sociocultural factors involve altered social perceptions and cultural barriers.
Conclusions:
- Psychosocial aspects of CAD are critically important, often outweighing physical concerns.
- Healthcare providers must prioritize identifying and addressing patients' psychosocial needs.
- Findings can inform strategies to empower patients coping with CAD.
Background:
Cardiovascular diseases are the leading causes of death around the world. The coronary artery disease (CAD) is one of the most common diseases in this category, which can be the trigger to various psychosocial complications. We believe that inadequate attention has been paid to this issue.
Objectives:
The purpose of the present study was to explore the psychosocial complications of CAD from the Iranian patients' perspective.
Patients And Methods:
A qualitative design based on the content analysis approach was used to collect the data and analyze the perspective of 18 Iranian patients suffered from CAD, chosen by a purposeful sampling strategy. Semi-structured interviews were held in order to collect the data. Sampling was continued until the data saturation. The data were analyzed using qualitative content analysis approach by MAXQUDA 2010 software.
Results:
This study revealed the theme of the patients' challenges with CAD. This theme consisted of: "primary challenges," including doubting early diagnosis and treatment, and feeling being different from others; "psychological issues," including preoccupation, fear of death and surgical intervention, recurrence stress , anxiety and depression; "problems of life," including financial problems, work-related problems, and family-related problems; and "sociocultural issues," including change in perspective of people towards the patient, and cultural issues.
Conclusions:
Although the management of physical problems in patients with CAD is important, psychosocial effects of this disease is more important. Thus, health care personnel should pay ample attention to identify and resolve psychosocial problems of these patients. Results of this study can be used to empower these patients.
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