Abstract
AimTo identify the association between possible factors and depression among post‐percutaneous coronary intervention patients with acute coronary syndrome.DesignProspective cohort study.MethodsSixty‐eight post‐percutaneous coronary intervention patients with acute coronary syndrome were enrolled between January 2016 ‐ June 2017. The Hospital Anxiety and Depression Scale scores at 1–3 months after discharge were regressed onto uncertainty in illness and other clinical factors based on the Roy Adaptation Model.ResultsThirty‐six patients were included in the final analysis. Higher baseline depression scores, higher changes in uncertainty in illness and feeling annoyed by troublesome tasks after discharge were associated with higher depressive scores at 1 month after discharge. Careful observation and support of patients’ ineffective responses in self‐concept mode may be effective in preventing depression.
Highlights
Myocardial infarction is a leading cause of death and suffered by many people worldwide (GBD Disease & Injury Incidence & Prevalence Collaborators, 2017; White & Chew, 2017; World Health Organization, 2017)
It is well known that patients with myocardial infarction tend to have depression
The prevalence of depression among patients with myocardial infarction ranges from 16% to 25% (Denollet, Strik, Lousberg, & Honig, 2006; Thomas et al, 2011)
Summary
Myocardial infarction is a leading cause of death and suffered by many people worldwide (GBD Disease & Injury Incidence & Prevalence Collaborators, 2017; White & Chew, 2017; World Health Organization, 2017). Reports on the treat‐ ment of depression in the context of cardiovascular disease are scarce and it has been suggested that cardiac patients are un‐ treated (Dobbels et al, 2002). This may increase the prevalence and severity of depression among patients with ACS who have undergone PCI. A qualitative study (Daly et al, 2000) clarified that patients with acute myocardial infarction, including those treated with PCI, experienced fear of recurrence after discharge. Some patients with ACS who under‐ went PCI would experience depression and deteriorated mental health, including fear of recurrence
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