Correlates of Depression and Perceived Health Status in Patients with Atrial Fibrillation

심방세동 대상자의 우울, 주관적 건강지각 관련요인

  • Kang, Youn-Hee (Division of Nursing Science, College of Health Sciences, Ewha Womans University)
  • 강윤희 (이화여자대학교 건강과학대학 간호과학부)
  • Received : 2008.11.24
  • Accepted : 2009.02.02
  • Published : 2009.02.28

Abstract

Purpose: The purpose of this study was to determine correlates of depression and perceived health status in patients with atrial fibrillation. Methods: The study utilized a descriptive correlational survey design. A convenience sample of 115 subjects were recruited from 3 tertiary medical centers. The data were analyzed by descriptive statistics, hierarchical multiple regression. Results: 1) Study subjects perceived the low frequency of symptoms, relatively high social support, low depression, moderately low physical health, and mental health. 2) The 38% of variance in depression was significantly explained by symptom(${\beta}$ = .49), social support(${\beta}$ = -.21), and education(${\beta}$ = -.17). 3) The 40% of variance in physical health was significantly explained by symptom(${\beta}$ = -.55), social support(${\beta}$ = .16), and education(${\beta}$ = .20). 4) the 12% of variance in mental health was significantly explained by symptom(${\beta}$ = -.26), and social support(${\beta}$ = .24). Conclusion: Most health care providers assume atrial fibrillation patients have very few symptoms. However, symptom related to atrial fibrillation was found to be the most important factors in explaining depression and perceived health status. Additionally, higher social support had great influences on the lower depression and higher perceived health status. Based on the findings of this study, directions for nursing practice and further nursing research for patients with atrial fibrillation are suggested.

Keywords

References

  1. Bubien, R. S., Kay, G. N., & Jenkins, L. S. (1993). Test specifications for symptom checklist: Frequency and severity. Milwaukee: University of Wisconsin-Milwaukee.
  2. Cha, Y. M., Friedman, P. A., Asirvatham, S. J., Shen, W. K., Munger, T. M., Rea, R. F., Brady, P. A., Jahangir, A., Monahan, K. H., Hodge, D. O., Meverden, R. A., Gersh, B. J., Hammill, S. C., & Packer, D. L. (2008). Catheter ablation for atrial fibrillation in patients with obesity. Circulation, 117(20), 2583-2590. https://doi.org/10.1161/CIRCULATIONAHA.107.716712
  3. Charlson, M. E., Prompei, P., Ales, K. L., & Mackenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis, 40(5), 373-383. https://doi.org/10.1016/0021-9681(87)90171-8
  4. Friberg, J., Buch, P., Scharling, H., Gadsbphioll, N., & Jensen, G. B. (2003). Rising rates of hospital admissions for atrial fibrillation. Epidemiology, 14(6), 666-672. https://doi.org/10.1097/01.ede.0000091649.26364.c0
  5. Go, A. S., Hylek, E. M., Phillips, K. A., Chang, Y., Henault, L. E., Selby, J. V., & Singer, D. E. (2001). Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA, 285(18), 2370-2375. https://doi.org/10.1001/jama.285.18.2370
  6. Jang, M. G., Lee, J. Y., Kim, S. G., Cho, K. H., Yang, Y. S., Yoon, D. S., & Chae, S. H. (2001). Prevalence of atrial fibrillation in general population in Kangwon province. J Korean Acad Fam Med, 22(2), 178-183.
  7. Kang, Y. (2002). The relationships among uncertainty, seriousness of illness, social support, appraisal of uncertainty, health locus of control, and perceived health status in patients newly diagnosed with atrial fibrillation. Unpublished doctoral dissertation. Case Western Reserve University, Cleveland, Ohio.
  8. Kang, Y. (2005). The relationships among uncertainty, appraisal of uncertainty, depression, anxiety, and perceived health status in patients with atrial fibrillation. J Korean Acad Adult Nurs, 17(2), 1-14.
  9. Kang, Y., Daly, B., & Kim, J. (2004). Uncertainty and its antecedents in patients with atrial fibrillation. West J Nurs Res, 26(7), 770-783. https://doi.org/10.1177/0193945904265815
  10. Lee, Y. J., Ham, E. H., & Kim, K. S. (2001). A correlation study on uncertainty, coping and depression of cancer patients. J Korean Acad Nurs, 24(4), 529-544.
  11. Miyazaki, S., Kuwahara, T., Takahashi, A., Kobori, A., Takahashi, Y., Nozato, T., Hikita, H., Sato, A., Aonuma, K., Hirao, K., & Isobe, M. (2008). Effect of left atrial ablation on the quality of life in patients with atrial fibrillation. Circ J, 72(4), 582-587. https://doi.org/10.1253/circj.72.582
  12. Ong, L., Cribbie, R., Harris, L., Dorian, P., Newman, D., Mangat, I., Nolan, R., & Irvine, J. (2006). Psychological correlates of quality of life in atrial fibrillation. Qual Life Res, 15(8), 1323-1333. https://doi.org/10.1007/s11136-006-0029-5
  13. Parse, R. R. (1987). Nursing science: Major paradigms. theories, and critique. Philadelphia: W. B. Saunders Company.
  14. Radlolff, L. S. (1977). The CES-D scale: A new self-report depression scale for research in the general population. Appl Psychol Meas, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
  15. Tangkawanich, T., Yunibhand, J., Thanasilp, S., & Magilvy, K. (2008). Causal model of health: Health-related quality of life in people living with HIV/AIDS in the northern region of Thailand. Nurs Health Sci, 10(3), 216-221. https://doi.org/10.1111/j.1442-2018.2008.00400.x
  16. Thrall, G., Lip, G., Carroll, D., & Lane, D. (2007). Depression, anxiety, and quality of life in patients with atrial fibrillation. Chest, 132(4), 1259-1264. https://doi.org/10.1378/chest.07-0036
  17. Tolosana, J. M., Hernandez M. A., Brugada, J., Sitges, M., Garcia, B. I., Fernandez, L. I., Martinez, F. J., Quesada, A., Macias, A., Marin, W., Escudier, J. M., Gomez, A. A., Gimenez, A. M., Tamborero, D., Berruezo, A., Mont, L., & SPARE Investigators. (2008). Comparison of benefits and mortality in cardiac resynchronization therapy in patients with atrial fibrillation versus patients in sinus rhythm. Am J Cardiol, 102(4), 444-449. https://doi.org/10.1016/j.amjcard.2008.04.008
  18. Ware, J. E., Kosinski, M., & Keller, S. K. (1994). SF-36 physical and mental health summary scales: a user's manual. Boston: New England Medical Center.
  19. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. J Pers Assess, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2
  20. Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess, 55(3-4), 610-617. https://doi.org/10.1207/s15327752jpa5503&4_17