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Resilience of patients with coronary heart diseases in Jordan: A cross-sectional study
Nahla M Al Ali1, Ibrahim S Al Ramamneh1
1Department of Community and Mental Health Nursing, Jordan University of Science & Technology/Faculty of Nursing, Jordan.
Insights
Patients with coronary heart disease show moderate resilience. Those without prior cardiac procedures and employed individuals reported higher resilience, highlighting factors for improved patient care.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Coronary heart disease (CHD) poses significant challenges to patients' well-being.
- Assessing resilience is crucial for understanding patient coping mechanisms and quality of life.
Purpose of the Study:
- To evaluate the resilience level in patients diagnosed with coronary heart disease.
- To identify factors associated with resilience in this patient population.
Main Methods:
- A cross-sectional study involving 134 CHD patients from Jordanian cardiology clinics.
- Data collected via structured interviews using the Connor-Davidson Resilience Scale (CD-RISC).
- Statistical analysis included Mann-Whitney U and Kruskal Wallis tests.
Main Results:
- A moderate level of resilience was observed among CHD patients.
- Patients without a history of cardiac procedures reported significantly higher resilience scores.
- Employed patients demonstrated higher scores in "positive acceptance of change and secure relationships" compared to retired patients.
Conclusions:
- Resilience assessment should be integrated into comprehensive care plans for cardiac patients.
- Enhancing resilience can improve quality of life, coping strategies, and mental well-being.
- Understanding resilience factors aids in preventing disease complications and promoting overall health.
Objectives:
This study aimed to assess the level of resilience and related factors among patients with coronary heart disease.
Methods:
A cross-sectional was used to determine the factors associated with the level of resilience. A convenience sampling technique was used to recruit 134 patients with coronary heart disease who attended the out-patients cardiology clinics at two leading public hospitals in Jordan from July to September 2017. The Connor-Davidson Resilience Scale (CD-RISC) was used to collect the data via a face-to-face structured interview. Mann-Whitney U test and Kruskal Wallis test were used to analyze the data.
Results:
The results showed a moderate level of resilience among patients with coronary heart diseases. Patients who reported having no history of a cardiac procedure reported a higher total resilience score (69.50 [63.25, 75.00] vs. 65.50 [58.00, 72.00]) and a higher score in dimension 1,"personal competence, high standards, and tenacity" than their counterparts (22.00 [18.50, 26.00] vs. 21.00 [15.75, 23.00]) (P < 0.05). Dimension 3 "positive acceptance of change and secure relationships" score was higher for employed patients than retired patients (15.00 [14.00, 16.00] vs. 14.00 [12.00, 15.00]) (P < 0.05). However, no significant associations were found between other socio-demographic characteristics and resilience levels across the five dimensions.
Conclusion:
Identifying the resilience level and related factors among patients with cardiac problems should be integrated into the comprehensive plan of care to improve patient quality of life, enhance effective coping strategies, improve mental health and well-being, and prevent further disease complications.
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