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Journals / Türk Fizyoterapi ve Rehabilitasyon Dergisi / 2026 / Cilt: 26 Sayı: 1

DETERMINANTS OF ANXIETY AND DEPRESSION LEVEL IN PATIENTS WITH ACUTE CORONARY SYNDROME

Akut Koroner Sendromlu Hastalarda Anksiyete ve Depresyonu Belirleyen Faktörler

Naciye Vardar Yağlı(HACETTEPE UNIV)
Deniz İnal İnce(HACETTEPE UNIV)
Melda Sağlam(HACETTEPE UNIV)
Ebru Çalık Kütükçü(HACETTEPE UNIV)
Hülya Arıkan(HACETTEPE UNIV)
Pages
40–46
Publication Date
2015-04-20
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Psychosocial status as well as physical function should be taken  into consideration to plan in to the cardiac rehabilitation programs.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: Anxiety and depression are common health problems affecting course of the cardiac  rehabilitation in patients with acute coronary syndrome.
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Key Findings & Data:Methods: Fifty patients (42 males, 8 females) hospitalized in coronary care unit with a diagnosis  of acute coronary syndrome participated in the study.
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Conclusion & Impact:Psychosocial status as well as physical function should be taken  into consideration to plan in to the cardiac rehabilitation programs.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Akut koroner sendrom · anksiyete · depresyon

Abstract

Purpose: Anxiety and depression are common health problems affecting course of the cardiac&nbsp; rehabilitation in patients with acute coronary syndrome. The purpose of this study was&nbsp; to investigate the determinants of anxiety and depression in patients with acute coronary syndrome. Methods: Fifty patients (42 males, 8 females) hospitalized in coronary care unit with a diagnosis&nbsp; of acute coronary syndrome participated in the study. Physical, physiological and&nbsp; demographic characteristics of the patients were recorded. The Global Registry of Acute Coronary Events (GRACE) risk score was calculated. Functional level was determined using&nbsp; the New York Heart Association Classification (NYHA). Anxiety was evaluated using the State- Trait Anxiety Inventory (STAI). Depression was determined using the Beck Depression Inventory&nbsp; (BDI). Cognitive function evaluated using the Mini Mental State Examination (MMSE). Results: According to multiple linear regression analysis, the BDI score and NYHA class explained&nbsp; 45% of the variance in the STAI-Trait Anxiety score (p=0.016). Duration of education,&nbsp; previous percutaneous intervention, and coronary care unit admission respiratory rate explained&nbsp; 39% of STAI-State Anxiety score (p<0.0001). The STAI-Trait Anxiety score and MMSE&nbsp; score explained 37% of the variance in the BDI score (p<0.0001). Conclusion: Functional level, duration of education, cognitive f unction, previous percutaneous&nbsp; applications, and admission respiratory rate determine depression and anxiety level in&nbsp; acute coronary syndrome. Psychosocial status as well as physical function should be taken&nbsp; into consideration to plan in to the cardiac rehabilitation programs.

Özet

Amaç: Akut koroner sendromu olan hastalarda, anksiyete ve depresyon sık karşılaşılan ve&nbsp; kardiyak rehabilitasyon sürecini etkileyen sağlık sorunlarıdır. Bu çalışmada; akut koroner&nbsp; sendromlu hastalarda anksiyete ve depresyon düzeyini belirleyen faktörlerin araştırılması&nbsp; amaçlandı. Yöntemler: Çalışmaya akut koroner sendrom tanısı ile koroner bakım ünitesinde izlenen 50&nbsp; hasta (42 erkek, 8 kadın) katıldı. Olguların fiziksel, fizyolojik ve demografik özellikleri kaydedildi.&nbsp; Akut Koroner Olaylarda Küresel Kayıt (GRACE) risk puanı hesaplandı. Fonksiyonel düzey,&nbsp; New York Kalp Birliği (NHYA) sınıflaması ile belirlendi. Anksiyete düzeyi, Durumluk ve Sürekli&nbsp; Kaygı Envanteri (STAI); depresyon düzeyi Beck Depresyon Envanteri (BDI) kullanılarak belirlendi.&nbsp; Bilişsel fonksiyonlar, Mini-Mental Durum Değerlendirmesi (MMSE) kullanılarak değerlendirildi. Sonuçlar: Çoklu doğrusal regresyon analizine göre, BDI ve NYHA sınıfı, STAI-Sürekli Anksiyete&nbsp; puanındaki değişimin % 45’ini açıkladı (p=0.016). Eğitim süresi, önceden geçirilmiş&nbsp; perkütan girişimin varlığı ve koroner bakıma ilk yatışta kaydedilen solunum frekansı değeri, STAI-Durumluk Anksiyete puanının % 39’unu açıkladı (p<0.0001). STAI-Sürekli Anksiyete puanı&nbsp; ve MMSE puanı, BDI puanındaki değişimin % 37’sini belirledi (p<0.0001). Tartışma: Akut koroner sendromda, fonksiyonel düzey, eğitim süresi, bilişsel fonksiyon, önceki&nbsp; perkütan uygulamalar ve ilk yatışta kaydedilen solunum frekansı değeri, depresyon ve&nbsp; anksiyete düzeyini belirlemektedir. Kardiyak rehabilitasyon programları planlanırken fiziksel&nbsp; fonksiyonların yanı sıra psikososyal durumunda göz önünde bulundurulmalıdır.

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Cite This Article

Yağlı, N. V., İnce, D. İ., Sağlam, M., Kütükçü, E. Ç., Arıkan, H. (2015). DETERMINANTS OF ANXIETY AND DEPRESSION LEVEL IN PATIENTS WITH ACUTE CORONARY SYNDROME. Türk Fizyoterapi ve Rehabilitasyon Dergisi, Cilt: 26 Sayı: 1, 40–46. https://ajindex.com/articles/1586025

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