Complications After Acute Coronary Syndrome Are Reduced by Perceived Control of Cardiac Illness

Details

• Personal Author:
  Aburuz ME ; Fien M ; Lennie TA ; McKinley S ; Meischke H ; Moser DK ; Riegel B
• Description:
  Aims. To investigate the relationship between anxiety, perceived control and rate of in-hospital complications after acute coronary syndrome. Background. Anxiety may be associated with higher risk of complications following acute myocardial infarction; perceived control may moderate this relationship. Design. Prospective observational study. Methods. Patients enrolled in a trial investigating delay in seeking treatment for acute coronary syndrome had anxiety measured at enrolment and 3 months using the Brief Symptom Inventory anxiety subscale. The acute coronary syndrome hospital presentations investigated occurred between 2001-2006. Patients with anxiety scores greater than the population norm at both time points were categorized as persistently anxious. Perceived control was measured at enrolment using the Control Attitudes Scale-Revised. Data were collected from the medical record on in-hospital complications in patients presenting with acute coronary syndrome within 2 years of enrolment. Chi-square and t-tests were used for univariate analyses and multiple logistic regression to identify independent predictors of complications. Results. Patients (n = 171) were 64% men with mean age 69 years. Ischaemic or arrhythmic complications occurred in 26 patients (15%) with no difference in complication rates between those persistently anxious and others. Important univariate predictors of in-hospital complications were lower perceived control, diagnosis of acute myocardial infarction, heart failure and higher pulse rate on admission. Low perceived control and diagnosis of acute myocardial infarction were independent predictors of in-hospital complications in the multiple logistic regression. Conclusion. Perceived control, but not persistent anxiety, prior to acute coronary syndrome was an important predictor of in-hospital complications after acute coronary syndrome. Interventions to increase cardiac patients' perceived control of their cardiac illness may reduce in-hospital complications after acute coronary syndrome. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Delivery Of Health Care Health Personnel Mental Health Occupational Health Safety
• Keywords:
  Anxiety Author Keywords: Acute Coronary Syndrome Cardiovascular Disease Complications Heart Attacks Medical Care Myocardial Disorders Myocardial Infarction Nursing Perceived Control Psychological Factors Psychological Reactions Unstable Angina

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• ISSN:
  0309-2402
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Kentucky ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; Pennsylvania ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  68
• Issue:
  10
• NIOSHTIC Number:
  nn:20056934
• Citation:
  J Adv Nurs 2012 Oct; 68(10):2320-2330
• Contact Point Address:
  Sharon McKinley PhD RN, Professor of Critical Care Nursing, Critical Care Nursing Professorial Unit, University of Technology Sydney and Northern Sydney Local Health District, Australia
• Email:
  sharon.mckinley@uts.edu.au
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Advanced Nursing
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:230d01975280d1b426913a65d9d4612390c2dfa39ccdd82b28f21fee1e730a2232d261ccaec14a7001a86f47307704b70c7fd8a91175c11992f539ad08f3b29b
• Download URL:
  https://stacks.cdc.gov/view/cdc/214426/cdc_214426_DS1.pdf
• File Type:
  [PDF - 93.93 KB ]