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Bimala Panthee

Masters of Nursing Science Student (International Program)

Author-ID : 339940

Nursing

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Review: Anxiety and Quality of life in Patients with Myocardial Infarction Panthee, Bimala; Kritpracha, Charuwan
Nurse Media Journal of Nursing Vol 1, No 1 (2011): (JUNE 2011)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Obejctive: Anxiety and reduced Quality of Life (QoL) are commonly reported in patients with myocardial infarction (MI) for long years and has a great interest to improve patientsâ€™ quality of life. Almost all of the patients with MI will have anxiety to some level. Persistent anxiety for long period has detrimental effect on quality of life. Therefore this study is aimed to find out the effect of anxiety on quality of life of patients with MI.Methods: Published literatures were searched using individual or combination of keywords: anxiety, quality of life and myocardial infarction in following databases: PubMed, CIHNAL, Proquest, and Google Scholar. The full texts were obtained from the journal homepage using Prince of Songkla University and those that could not be accessed from this University were obtained from the University of Tokyo network. Papers which were not accessible from these two networks were excluded from the review.Results: Majority of studies found that patients with MI reported high level of anxiety persisting over months to years affecting QoL. Some studies showed that anxiety was associated with complications and all of the study showed that anxiety was associated with decreased quality of life. Different studies measured anxiety and quality of life differently which might have affect the results of the studies and most of the studies did not consider it and lack to correlate the level of anxiety in each dimension of QoL is noted. High level of anxiety was correlated with the poorer quality of life. Therefore, the researcher should note that which level of anxiety the patient is suffering from because mild anxiety is helpful to focus attention; to learn the stressful situation and solve the problems to protect him/her by themselves. Moderate level of anxiety reduces the patientâ€™s concentration but facilitates to seek information and solve problems with assistance. Severe anxiety results in difficulties in thinking and reasoning and disturbs physiological functioning. Therefore, it is equally important to consider the correlation between mild, moderate anxiety to QoL.Conclusion: Anxiety affects negatively in QoL in patients with MI. Identification of the level of anxiety can help plan effective nursing management of MI patients.

Correlation between Coping Strategies and Quality of Life among Myocardial Infarction Patients in Nepal Panthee, Bimala; Kritpracha, Charuwan; Chinnawong, Tippamas
Nurse Media Journal of Nursing Vol 1, No 2 (2011): (DECEMBER 2011)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Objective: To examine the correlation between coping strategies and quality of life (QoL) among patients with myocardial infarction (MI) Method: A descriptive correlational design was used to examine the relationship between coping strategies and QoL among 88 patients with MI who were older than 18 years, 2 months after the initial diagnosis of MI. QoL was assessed using the cardiac version of the Quality of Life Index. Coping strategy was assessed using Jalowiec Coping Scale. Problem-focused coping and emotion-focused coping were also compared in male and female patients.Results: Problem-focused coping was significantly positively associated with overall QoL (r = .41, p = <.01), particularly the health and functioning dimension (rs = .39, p = <.01) and socio-economic dimension (rs = .46, p = <.01) but not with psychological & spiritual and family dimension. Men used more problem-focused coping strategies than women. The problem-focused coping score was significantly different between men and women (t = 4.9, p <.05).Conclusion: The results revealed that patients who used more of problem-focused coping had better QoL than patients who used less problem-focused coping. Educating patients to enhance the use of appropriate coping strategies may be useful to promote the QoL of Nepalese patients with MI. Key words: Coping, quality of life, myocardial infarction

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