Shajrawi Abedalmajeed Methqal, Al-Akash Hekmat Yousef, Al-Smadi Ahmed Mohammad, Masa'deh Rami, Aburuz Mohannad Eid, Khalil Heba, Hweidi Issa Moh'd, Saifan Ahmad Rajeh
Faculty of Health Sciences, Higher Colleges of Technology, Abu Dhabi, UAE.
Faculty of Nursing, Applied Science Private University, Amman, Jordan.
SAGE Open Nurs. 2024 Dec 23;10:23779608241304478. doi: 10.1177/23779608241304478. eCollection 2024 Jan-Dec.
There are limited studies regarding physical activity, anxiety, and depression levels among patients with postacute myocardial infarction (AMI). This is a need for more research on physical activity, anxiety, and depression levels based on the type of AMI following hospitalization to develop interventions to improve these outcomes.
To compare physical activity behavior, anxiety, and depression levels among patients with post-ST-elevation myocardial infarction (STEMI) and post-non-ST-elevation myocardial infarction (NSTEMI) not involved in cardiac rehabilitation program following hospitalization.
A descriptive cross-sectional study design was employed with a convenience sample of 254 patients with post-AMI, 4 weeks after hospitalization. Participants, recruited from three hospitals in Jordan.
The sample characteristics included the following: 140 males (54.3%), 120 married (47.2%), diagnosed with STEMI (n = 137, 53.1%) or NSTEMI (n = 117, 45.3%). And 41.3% of participants had moderate-to-severe anxiety level (General Anxiety Disorder-7 [GAD-7] > 10), while 22.0% had moderate to severe depression levels (Patient Health Questionnaire-9 [PHQ-9] > 10). Post-STEMI and post-NSTEMI participants had moderate levels of anxiety, with 14.39 (3.45) versus 13.37 (3.51); and depression levels of 12.66 (3.28) versus 12.22 (3.54), respectively. There was no significant difference in depression level between patients with post-STEMI and post-NSTEMI, but the former had statistically significant higher anxiety level than the latter. The mean self-reported exercise duration and exercise frequency of patients with post-STEMI were significantly higher than for their post-NSTEMI counterparts: 151.7 (76.33) versus 87.78 (37.62) minutes per week, and 2.92 (1.44) versus 1.97 (0.88) times per week (respectively). Furthermore, patients with post-STEMI had less mean sedentary time: 582.92 (128.92) and 641.54 (147. 27) minutes per day ( > .05) (respectively).
Healthcare providers have to consider the differences in physical activity behavior, anxiety, depression levels based on types of AMI when developing interventions and establishing cardiac rehabilitation program to improve physical activity behavior and reducing sedentary time.
关于急性心肌梗死（AMI）后患者的身体活动、焦虑和抑郁水平的研究有限。需要对住院后基于急性心肌梗死类型的身体活动、焦虑和抑郁水平进行更多研究，以制定干预措施来改善这些结果。
比较住院后未参与心脏康复计划的ST段抬高型心肌梗死（STEMI）和非ST段抬高型心肌梗死（NSTEMI）患者的身体活动行为、焦虑和抑郁水平。
采用描述性横断面研究设计，对254例急性心肌梗死后4周的患者进行便利抽样。参与者从约旦的三家医院招募。
样本特征如下：男性140例（54.3%），已婚120例（47.2%），诊断为STEMI（n = 137，53.1%）或NSTEMI（n = 117，45.3%）。41.3%的参与者有中度至重度焦虑水平（广泛性焦虑障碍-7[GAD-7]>10），而22.0%有中度至重度抑郁水平（患者健康问卷-9[PHQ-9]>10）。STEMI后和NSTEMI后参与者的焦虑水平为中度，分别为14.39（3.45）和13.37（3.51）；抑郁水平分别为12.66（3.28）和12.22（3.54）。STEMI后和NSTEMI后患者的抑郁水平无显著差异，但前者的焦虑水平在统计学上显著高于后者。STEMI后患者的自我报告运动时长和运动频率的平均值显著高于NSTEMI后患者：每周分别为151.7（76.33）分钟和87.78（37.62）分钟，每周分别为2.92（1.44）次和1.97（0.88）次。此外，STEMI后患者的平均久坐时间更少：每天分别为582.92（128.92）分钟和641.54（147.27）分钟（P>.05）。
医疗保健提供者在制定干预措施和建立心脏康复计划以改善身体活动行为和减少久坐时间时，必须考虑基于急性心肌梗死类型的身体活动行为、焦虑和抑郁水平的差异。
