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[The sense of coherence in women undergoing coronary arteriography]
Insights
Female patients with no significant coronary artery stenosis showed lower sense of comprehensibility and manageability compared to those with significant stenosis. Factors like lack of social support and anxiety were linked to reduced sense of coherence.
Area of Science:
- Cardiology
- Psychology
Context:
- Coronary artery disease diagnosis involves invasive procedures like coronarography.
- Assessing psychological factors alongside cardiovascular health is crucial for patient well-being.
Purpose:
- To investigate the relationship between sense of coherence and the presence/absence of significant coronary stenoses.
- To evaluate changes in sense of coherence before and after coronarography in female patients.
Summary:
- Patients without significant coronary stenoses exhibited lower sense of comprehensibility pre- and post-coronarography and reduced sense of manageability post-procedure compared to patients with significant stenoses.
- Sense of coherence was not significantly different at baseline between groups, nor did it change significantly over 6-9 months.
- Lower sense of coherence was associated with lack of social support, anxiety, depression, and lower educational attainment.
Impact:
- Highlights the psychological impact of coronary artery disease and its diagnostic procedures.
- Suggests that interventions targeting social support, anxiety, and education may improve psychological well-being in patients with coronary artery disease.
Aim:
The examination referred to two groups of female patients: with and without significant coronary stenoses in coronarography. There were two stages of the examination: before and 6-9 months after coronarography. The factor dividing patients into two groups: without significant atheromatosis and with coronary atheromatosis, was the result of invasive diagnostics of coronary heart disease.
Methods:
The sense of coherence scale (SOC-29) and sociodemographic questionnaires were used to evaluate the condition of the two groups.
Results:
In group of patients with irrelevant coronary stenoses statistically lower values of sense of comprehension were noticed in the first and the second examination and also sta- tistically lower values of sense of manage were observed, comparing to the group of patients with significant stenoses. The initial value of general coherence was comparable in both groups and did not significantly change in 6-9 months after coronarography. The characteristic parameters: lack of social support, intensity of depressiveness and anxiety before getting information about necessity of coronarography and worse education were connected with lower sense of coherence.
Conclusions:
The baseline strength of the total sense of coherence was not different between groups. Patients with no significant stenosis of coronary arteries demonstrate a lower sense of comprehensibility before and after the coronary arteriography and lower sense of manageability after the procedure compared to the group of patients with significant atherosclerotic lesions. No social support, tendency for depression and anxiety and lower level of education were associated with lower sense of coherence in both groups.
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