Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels

Background 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 deve...

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Main Authors: Abedalmajeed Methqal Shajrawi PhD, RN, CNS, Hekmat Yousef Al-Akash PhD, Ahmed Mohammad Al-Smadi PhD, Rami Masa'deh PhD, RN, Mohannad Eid Aburuz PhD, RN, CNS, Heba Khalil PhD, RN, Issa Moh'd Hweidi BSN, PhD, Ahmad Rajeh Saifan PhD, RN
Format: Article
Language:English
Published: SAGE Publishing 2024-12-01
Series:SAGE Open Nursing
Online Access:https://doi.org/10.1177/23779608241304478
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author Abedalmajeed Methqal Shajrawi PhD, RN, CNS
Hekmat Yousef Al-Akash PhD
Ahmed Mohammad Al-Smadi PhD
Rami Masa'deh PhD, RN
Mohannad Eid Aburuz PhD, RN, CNS
Heba Khalil PhD, RN
Issa Moh'd Hweidi BSN, PhD
Ahmad Rajeh Saifan PhD, RN
author_facet Abedalmajeed Methqal Shajrawi PhD, RN, CNS
Hekmat Yousef Al-Akash PhD
Ahmed Mohammad Al-Smadi PhD
Rami Masa'deh PhD, RN
Mohannad Eid Aburuz PhD, RN, CNS
Heba Khalil PhD, RN
Issa Moh'd Hweidi BSN, PhD
Ahmad Rajeh Saifan PhD, RN
author_sort Abedalmajeed Methqal Shajrawi PhD, RN, CNS
collection DOAJ
description Background 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. Objective 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. Methods 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. Results 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 ( p  > .05) (respectively). Conclusions 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.
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issn 2377-9608
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publishDate 2024-12-01
publisher SAGE Publishing
record_format Article
series SAGE Open Nursing
spelling doaj-art-539d66a1b7a34ab7bdfd4fb95b25ebd62025-01-10T03:03:21ZengSAGE PublishingSAGE Open Nursing2377-96082024-12-011010.1177/23779608241304478Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression LevelsAbedalmajeed Methqal Shajrawi PhD, RN, CNS0Hekmat Yousef Al-Akash PhD1Ahmed Mohammad Al-Smadi PhD2Rami Masa'deh PhD, RN3Mohannad Eid Aburuz PhD, RN, CNS4Heba Khalil PhD, RN5Issa Moh'd Hweidi BSN, PhD6Ahmad Rajeh Saifan PhD, RN7 Faculty of Health Sciences, , Abu Dhabi, UAE Faculty of Nursing, , Amman, Jordan Nursing Department, , Jeddah, Saudi Arabia Faculty of Nursing, , Amman, Jordan Faculty of Nursing, , Amman, Jordan College of Health Science, Nursing Department, University of Sharjah, Sharjah, UAE Faculty of Nursing, , Irbid, Jordan Faculty of Nursing, , Amman, JordanBackground 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. Objective 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. Methods 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. Results 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 ( p  > .05) (respectively). Conclusions 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.https://doi.org/10.1177/23779608241304478
spellingShingle Abedalmajeed Methqal Shajrawi PhD, RN, CNS
Hekmat Yousef Al-Akash PhD
Ahmed Mohammad Al-Smadi PhD
Rami Masa'deh PhD, RN
Mohannad Eid Aburuz PhD, RN, CNS
Heba Khalil PhD, RN
Issa Moh'd Hweidi BSN, PhD
Ahmad Rajeh Saifan PhD, RN
Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels
SAGE Open Nursing
title Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels
title_full Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels
title_fullStr Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels
title_full_unstemmed Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels
title_short Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels
title_sort postacute myocardial infarction differences in physical activity behavior anxiety and depression levels
url https://doi.org/10.1177/23779608241304478
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