Determination of Anxiety Level in Patients with Ischemic Heart Disease at Misan Center for the Cardiac Diseases and Surgery in Al-Amarh City

Abstract

Objective: To determine of anxiety level in patients with ischemic heart disease, and determine the association between socio-demographic characteristics and clinical characteristics with anxiety level.

Methodology: A descriptive design study was carried out during the period from 20th November, 2015 to 25th May, 2016. A random sample comprised of (123) Patients who were diagnosed with ischemic heart disease. The data were collected through the utilization of the developed questionnaire, and by means of structured interview technique. The study instrument was adopted and developed by the researcher for the purpose of the study. It was consisted of three parts: Part one socio-demographic characteristics. Part two of the questionnaire was clinical characteristics, and part three was to measure the anxiety level by using zung self- rating anxiety scale which include (20) question. The instrument used observes anxiety level as the following: Within normal range (20-44); Minimal to moderate anxiety (45-59); Marked to severe anxiety (60-74); and most extreme anxiety (75-80).The analysis of the data was used descriptive statistics (frequencies, percentages, and mean of score) and statistical inferential (multi Regression, ANOVA, and t- test) to find out association differences between study variables and anxiety level.
Results: The study findings indicated that there were the majority of participants have marked to severe anxiety= (60-74)in patients with ischemic heart disease at the study sample(58.5%)and show to the existence of statistically significant differences between the study variables with the anxiety level.

Conclusion: The study concluded that variables (age and duration of disease) have affected on the anxiety adversely. If the patient's age is advance the anxiety level will decrease, while if duration of disease was short time will lead to increase in the anxiety level.

Recommendation: Development and implementation of effective strategies in nursing for reducing anxiety level regarding healthy life styles and physical activity such as (relaxation exercises, deep breathing, bathing and muscle relaxation) depending on the identification level of anxiety preparation of appropriate and effective nursing management of patients with ischemic heart disease.