Study Protocol of Death Anxiety, Perceived Stress, Sleep Quality, Cardiac Illness Denial and Subjective Well-being among Stable Patients with Acute Myocardial Infarction

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Background:
 It has been seen that negative affective states (e.g., depression, anxiety, anger), social isolation, and social insecurity are specific psychosocial determinants that adversely influence ischemic heart diseases, and these patients experience higher levels of death anxiety. Hence, studying death anxiety, perceived stress, sleep quality, and illness acceptance among myocardial infarction (MI) patients will give insight into their psychosocial management.
 Method:
 The study will be conducted on patients (18-60 years) with a diagnosis of Acute MI hospitalized in the Cardiology Unit of King Georges' Medical University and clinically stable at the time of assessment. The participants will be assessed via semi-structured proforma for sociodemographic and clinical details, the scale of Death Anxiety (SDA), perceived Stress scale, single Item Sleep quality Index, Cardiac Denial of Impact Scale and WHO wellbeing index- 5.
 Result:
 This study will measure death anxiety, perceived stress, sleep quality, Cardiac Denial of Impact Scale and subjective wellbeing among stable patients with acute Myocardial Infarction (MI), to study their association with acute Myocardial Infarction (MI), and their change with time during follow up (10-12 weeks after the initial event).
 Conclusion:
 It is expected that death anxiety and perceived stress will be high among patients with acute myocardial infarction, affecting their sleep quality and subjective wellbeing.