The Relationship Between Self-care Behaviors with Religious Attitudes, Anxiety, and Depression in Patients with Heart Failure

Background and Aim: Heart failure is one of the major concerns and problems associated with anxiety and depression, which cause changes in self-care behaviors. This study aimed to investigate the relationship between self-care behaviours with religious attitudes, anxiety, and depression in patients with heart failure. Materials and Methods This descriptive cross-sectional study was performed in 114 patients selected by the quota sampling method. Data collection tools included a demographic information questionnaire, a European questionnaire of self-care behaviour in patients with heart failure, hospital anxiety, and depression questionnaire, and a religious attitude questionnaire. Data analysis was performed by using SPSS software and Pearson statistical tests, regression analysis, t-test, and ANOVA, and the significance level was considered p <0.05. Results The mean age of the participants was 55.47± 13.90 years. Hypertension (15.8%) and diabetes with hypertension (14%) were the most common underlying diseases in the participants. The mean self-care score of the patients was 38. 92±7.86 and was moderate. The mean scores of anxieties, depression and religious attitude were 9.83±4.22, 9.61±4.75and 69.05±10.08, respectively, and were moderate. There was also a significant relationship between self-care with anxiety and depression (p <0.05). Conclusion Self-care is directly related to anxiety and depression and the effect of anxiety is much greater than depression. Therefore, according to the results of the present study, if we could reduce the anxiety and stress of these patients with different methods, we can promote self-care and improve their health status.

[1]  Sathish Kumar Jayapal,et al.  Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019 , 2020, Journal of the American College of Cardiology.

[2]  G. Lippi,et al.  Global epidemiology and future trends of heart failure , 2020 .

[3]  Ayad Bahadorimonfared,et al.  Self-care from the Perspective of Islam , 2020 .

[4]  S. Wang,et al.  Effects of Illness Representation-Focused Patient Education on Illness Representations and Self-care in Patients with Heart Failure: A Randomized Clinical Trial. , 2020, Journal of clinical nursing.

[5]  S. Yusuf,et al.  Association of Symptoms of Depression With Cardiovascular Disease and Mortality in Low-, Middle-, and High-Income Countries. , 2020, JAMA psychiatry.

[6]  S. Babaei,et al.  The Relationship Between Quality of Life and Cardiovascular Self-Efficacy in Patients with Heart Failure: A Descriptive Correlation Study , 2018, Jundishapur Journal of Chronic Disease Care.

[7]  Sh. S. Ghasemi,et al.  Self-care behaviors and related factors in chronic heart failure patients , 2018 .

[8]  Aghakhani Nader,et al.  THE IMPACT OF EDUCATIONAL- SUPPORTIVE SELF-CARE PACKAGE ON ANXIETY, DEPRESSION AND STRESS IN MYOCARDIAL INFARCTION PATIENTS HOSPITALIZED INSHAHID GHOLIPOUR HOSPITAL, BOUKAN, IRAN, 2016 , 2017 .

[9]  Jia-Rong Wu,et al.  Living Arrangements Modify the Relationship Between Depressive Symptoms and Self-care in Patients With Heart Failure , 2017, The Journal of cardiovascular nursing.

[10]  B. Riegel,et al.  Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update , 2017, Current Heart Failure Reports.

[11]  C. Chiang,et al.  Depression and self-care maintenance in patients with heart failure: A moderated mediation model of self-care confidence and resilience , 2017, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[12]  C. Amadi,et al.  Expert Opinion-Depression in Patients with Heart Failure: Is Enough Being Done? , 2016, Cardiac failure review.

[13]  B. Riegel,et al.  The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated , 2016, The Journal of cardiovascular nursing.

[14]  A. Salari,et al.  Comparison of religious attitudes in patients with coronary artery disease and healthy people , 2015 .

[15]  Andrew E Moran,et al.  Demographic and epidemiologic drivers of global cardiovascular mortality. , 2015, The New England journal of medicine.

[16]  M. Behnam,et al.  Self-care behaviors in patients with systolic heart failure , 2015 .

[17]  M. Javadi,et al.  The Impact of Peplau's Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass , 2014, Clinical practice and epidemiology in mental health : CP & EMH.

[18]  M. Aghajani,et al.  EFFECT OF COGNITIVE THERAPY ON MENTAL HEALTH IN PATIENTS WITH HEART FAILURE , 2014 .

[19]  Rebecca L. Dekker Patient Perspectives About Depressive Symptoms in Heart Failure: A Review of the Qualitative Literature , 2014, The Journal of cardiovascular nursing.

[20]  V. Roger Epidemiology of Heart Failure , 2013, Circulation research.

[21]  A. Ebadi,et al.  COMPARISON OF HOSPITAL ANXIETY AND DEPRESSION AMONG PATIENTS WITH CORONARY ARTERY DISEASE BASED ON PROPOSED TREATMENT , 2011 .

[22]  C. Celano,et al.  Depression and Cardiac Disease: A Review , 2011, Cardiology in review.

[23]  B. Löwe,et al.  Self-care and depression in patients with chronic heart failure. , 2009, Heart & lung : the journal of critical care.

[24]  Huston Gj,et al.  The Hospital Anxiety and Depression Scale. , 1987, The Journal of rheumatology.

[25]  R. Stark,et al.  American Piety: The Nature of Religious Commitment. , 1968 .

[26]  Hosseini Fatemeh,et al.  Self-Care Behaviors in Patients with Heart Failure , 2009 .