Nuraeni Aan, Anna Anastasia, Praptiwi Atlastieka, Nurhamsyah Donny
Faculty of Nursing, Universitas Padjadjaran, Indonesia.
Department of Nursing, College of Medicine, National Cheng Kung University, Taiwan.
Belitung Nurs J. 2021 Aug 27;7(4):304-310. doi: 10.33546/bnj.1540. eCollection 2021.
Depression is a significant predictor of the quality of life among patients with coronary heart disease. Therefore, it is essential to explore the factors associated with depression. Illness cognition is considered one of the factors affecting depression. However, the relationship between illness cognition and the incidence of depression among Indonesian patients have not been widely investigated.
This study aimed to investigate the correlation between illness cognition, consisting of the acceptance, perceived benefits, and helplessness variables, and depression in patients with coronary heart disease.
This study employed a correlational research design with a total of 106 patients undergoing treatment at a hospital in West Java, Indonesia, selected using convenience sampling. Data were collected using a demographic questionnaire, Beck-Depression Inventory-II (BDI-II), and ICQ (Illness-Cognition Questionnaire). Data were analyzed using mean (SD), median, frequency distribution, and Spearman-rank.
72% of respondents had no depression. Nevertheless, mild, moderate, and major depression suffered by 15%, 9%, and 4% of respondents, respectively. In terms of illness cognition, patients scored higher within the perceived benefits dimension (mean 20.13, SD 3.05), followed by acceptance (mean 18.22, SD 3.33) and helplessness (mean 13.20, SD 4.77), respectively. Furthermore, helplessness was significantly associated with depression ( <.01) with a positive correlation coefficient (). Also, all items on the helplessness dimension had a significant correlation ( <.01) with depression accompanied by a positive -value.
Helplessness had a significant relationship with depression. So, cardiovascular nurses can anticipate depression in patients by making nursing interventions that can decrease the patients' feelings of helplessness. Thus, factors that reduce helplessness need to be explored and taken into accounts in the treatment of patients with coronary heart disease.
抑郁症是冠心病患者生活质量的重要预测指标。因此，探索与抑郁症相关的因素至关重要。疾病认知被认为是影响抑郁症的因素之一。然而，印度尼西亚患者的疾病认知与抑郁症发病率之间的关系尚未得到广泛研究。
本研究旨在探讨由接受度、感知益处和无助感变量组成的疾病认知与冠心病患者抑郁症之间的相关性。
本研究采用相关性研究设计，共选取了印度尼西亚西爪哇一家医院接受治疗的106例患者，采用便利抽样法。使用人口统计学问卷、贝克抑郁量表第二版（BDI-II）和疾病认知问卷（ICQ）收集数据。采用均值（标准差）、中位数、频率分布和斯皮尔曼等级进行数据分析。
72%的受访者没有抑郁症。然而，分别有15%、9%和4%的受访者患有轻度、中度和重度抑郁症。在疾病认知方面，患者在感知益处维度得分较高（均值20.13，标准差3.05），其次是接受度（均值18.22，标准差3.33）和无助感（均值13.20，标准差4.77）。此外，无助感与抑郁症显著相关（<.01），相关系数为正（）。此外，无助感维度上的所有项目与抑郁症均有显著相关性（<.01），且相关值为正。
无助感与抑郁症有显著关系。因此，心血管护士可以通过采取能减少患者无助感的护理干预措施来预测患者的抑郁症。因此，在冠心病患者的治疗中，需要探索并考虑减少无助感的因素。
