Illness Perceptions in Thai Patients with Myocardial Infarction: A Cross-Sectional Observational Study
Keywords:
Illness perceptions, Myocardial infarction, Heart diseaseAbstract
This research aimed to examine illness perceptions of Thai patients with myocardial infarction. A cross-sectional observational study was conducted with a purposively selected 50 Thai adult patients with myocardial infarction (MI). Data were collected using the Revised Illness Perceptions Questionnaire with the Cronbach’s alpha of 0.86, and open-ended questions, to explore the MI illness perceptions. Quantitative data were analyzed by descriptive statistics and qualitative data were analyzed using content analysis. The results based on illness perceptions revealed that chest pain was the most experienced symptom in the past one month before MI diagnosis (n=41; 82%) and chest pain was perceived as a symptom related to MI (n=37; 74%). The highest score of illness perceptions is the Consequences domain (mean=3.55, SD=0.55), followed by the Cure/Controllability domain (mean=3.36, SD=0.30) and the Treatment Control domain (mean=3.47, SD=0.39). The three most perceived causes of MI were overwork (mean=4.20, SD=.86), diet or eating habits (mean=3.96, SD=1.01), and alcohol (mean=3.70, SD=.86) respectively. Results from open-ended questions provided in-depth content of illness perceptions of Thai patients with myocardial infarction.
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Mensah GA, Fuster V, Murray CJ, & Roth GA. Global burden of cardiovascular diseases and risks, 1990-2022. Journal of the American College of Cardiology. 2023; 82(25): 2350-473. doi: 10.1016/j.jacc.2023.11.007.
Sakboonyarat B, & Rangsin R. Hospital admission and mortality rates for ischemic heart disease in Thailand: 2012–2021, BioMed Central Research Notes. 2024; 17(1): 142. doi: 10.1186/ s13104-024-06803-x.
Shah RU, Henry TD, Rutten-Ramos S, Garberich RF, Tighiouart M, & Bairey Merz CN. Increasing percutaneous coronary interventions for ST-segment elevation myocardial infarction in the United States: progress and opportunity. Journal of the American College of Cardiology: Cardiovascular Interventions. 2015; 8(1 Part B): 139-46. doi: 10.1016/j.jcin.2014.07.017
Li S, Peng Y, Wang X, Qian Y, Xiang P, Wade SW, et al. Cardiovascular events and death after myocardial infarction or ischemic stroke in an older Medicare population. Clinical Cardiology. 2019; 42(3): 391-9. doi: 10.1002/clc.23160.
Blair J, Angus NJ, Lauder WJ, Atherton I, Evans J, & Leslie SJ. The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation. European Journal of Cardiovascular Nursing. 2014; 13(1): 55-62.
Sze CL, Sidiah S, & Lily L. Enrollment and attendance to cardiac rehabilitation after percutaneous coronary intervention in Sarawak: A prospective study. International Journal of Recent Technology and Engineering. 2019; 8(1C2): 900-3.
Elkashef ASF, Nasr MH, & Khalil BM. Lifestyle changes among patients with myocardial infraction. Egyptian Journal of Health Care. 2022; 13(4): 435-48.
Leventhal H, Nerenz DR, & Steele DJ. Illness representation and coping with health threats. In: Baum A, Tayler SE, Singer JE, editors. Handbook of Psychology and Health. Hillsdale (NJ): Lawrence Erlbaum Associates; 1984. 219-52.
Bishop GD. Understanding the understanding of illness: Lay disease representations. In: Skelton JA, Croyle RT, editors. Mental representation in health and illness. New York: Springer; 1991. p. 32-59.
Leventhal H, Diefenbach M, & Leventhal EA. Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognitive therapy and research. 1992; 16: 143-63.
Aqeel M, Abbas J, Shuja KH, Rehna T, Ziapour A, Yousaf I, et al. The influence of illness perceptions, anxiety and depression disorders on students mental health during COVID-19 outbreak in Pakistan: a web-based crosssectional survey. International Journal of Human Rights in Healthcare. 2021; 15(1): 17-30. doi: 10.1108/IJHRH-10-2020-0095.
Lotfi-Tokaldany M, Shahmansouri N, Karimi A, Sadeghian S, Saadat S, Abbasi SH, et al. Association between illness perceptions and health-related quality of life in patients with preexisting premature coronary artery disease. Journal of Psychosomatic Research. 2019; 120: 118-23. doi: 10.1016/j.jpsychores.2019.03.001.
Sawyer AT, Harris SL, & Koenig HG. Illness perceptions and high readmission health outcomes. Health psychology open. 2019; 6(1): 1-11. doi: 10.1177/2055102919844504.
Lerdal A, Hofoss D, Gay CL, & Fagermoen MS. Perception of illness among patients with heart failure is related to their general health independently of their mood and functional capacity. Journal of patient-reported outcomes. 2019; 3(1): 1-7. doi: 10.1186/s41687- 019-0142-1.
Moss-Morris R, Weinman J, Petrie K, Horne R, Cameron L, & Buick D. The Revised Illness Perceptions Questionnaire (IPQ-R). Psychology & Health. 2002; 17(1): 1-16.
Serdar CC, Cihan M, Yücel D, & Serdar MA. Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem Med (Zagreb). 2021; 31(1): 1-27. https://doi.org/10.11613/BM.2021.010502
Chakraborty S, & Aditya S. A study to assess the illness perceptions among post-myocardial infarction patients in cardiology wards of tertiary care hospitals Kolkata. Malaysian Journal of Medical Research. 2020; 4(3): 55-60. https://doi.org/10.31674/mjmr.2020. v04i03.009.
Sharma A, Vidusha K, Suresh H, Ajan M, Saravanan K, Dhamania M, et al. Global awareness of myocardial infarction symptoms in general population: a systematic review and meta-analysis. Korean Circulation Journal. 2021; 51(12): 983-96. doi:10.4070/kcj.2021.0100.
Alsaab SM, Almutairi AM, Alsaadi GK, Altokhais ZA, Alabdulqader SH, Alnofal WY, et al. Awareness of Myocardial Infarction Symptoms and Risk Factors in Saudi Arabia: A Cross-Sectional Study. Cureus. 2023; 15(12): e50092. doi: 10.7759/cureus.50092.
Grauman A, Johansson JV, Falahee M, & Veldwijk J. Public perceptions of myocardial infarction: Do illness perceptions predict preferences for health check results. Preventive Medicine Reports. 2022; 26: 1-8. https://doi.org/10.1016/j. pmedr.2021.101683.
Thagizadeh A, Ghahramanian A, Zamanzadeh V, Aslanabadi N, Onyeka TC, & Ramazanzadeh N. Illness perceptions and cardiovascular risk factors in patients with myocardial infarction undergoing percutaneous coronary intervention in Iran. BioMed Central Cardiovascular Disorders. 2022; 22(1): 1-12. doi: 10.1186/s12872-022-02684-9.
Supanam S. Nurse’s Role in Caring for Patients with Acute Coronary Syndrome. Royal Thai Army Nurses. 2024; 25(1): 19-28. (in Thai)
Nunthaitawekul P, Dangdomyuit P, Preerapong P, Rabama J, & Sakorn P. Care need among to patients with coronary artery disease. Royal Thai Army Nurses. 2021; 22(2): 169-77. (in Thai)
Andreas J, Stoyan P, Claas L, Michael J, Christoph H, Philipp M, et al. Illness perceptions in functional neurological disorder: low illness coherence and personal control. British medical Journal Neurology Open. 2024; 6(1): 1-7. doi: 10.1136/bmjno-2024-000648.
Liljeroos T, Humphries S, Puthoopparambil SJ, Norlund F, & Olsson EMG. Management of emotional distress following a myocardial infarction: a qualitative content analysis. Cognitive behaviour therapy. 2023; 52(1): 47-64. doi: 10.1080/16506073.2022.2135591.
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