Published date: Jun 28 2024

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 19 (2024), Issue No. 2

Pages: 200–210

DOI: 10.18502/sjms.v19i2.14163

Sarika M Lsarikaml@soa.ac.inSUM Nursing College, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha, India

Sasmita Dassasmita.snc@soa.ac.inSUM Nursing College, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha, India

Suresh Kumar Beherasurebehera@yahoo.co.inHead of Department of Cardiology, IMS and SUM Hospital, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha, India

Swarupa Biswalswarupabiswal@soa.ac.inSUM Nursing College, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha, India

Background: Cardiovascular diseases are the major non-communicable disease causing increased mortality and morbidity worldwide. Among cardiovascular diseases, coronary artery disease is one of the life-threatening diseases. The majority of patients, after the acute event of coronary artery disease, suffer from mental stress, depression, and cognitive impairments. Therefore, this study mainly focuses on the effect of the Cognitive and Emotional Impairment Management Bundle (CEIMB) among patients with coronary artery disease.

Methods: This randomized, controlled, double-blinded trial was conducted in a tertiary care center among patients with coronary artery disease. The samples were recruited from the coronary intensive care unit through purposive sampling technique. After the sample selection, they were allotted to control (n₁ = 55) and intervention (n₂ = 56) groups through block randomization. The intervention was provided through three sessions. The study was registered under the Clinical Trial registry of the country. The statistical analysis was done using the SPSS ver. 25. The analysis was done by mean, standard deviation, frequency, percentage, and two-way repeated measures ANOVA.

Results: The mean age of the participants in the control group was 56.6 ± 6.1 years, and in the experimental group was 57.6 ± 6.4 years. The majority of the participants (39.3%) in the intervention group had severe depression, moderate levels of stress (30.4%), and medication adherence (96.4%). In the experimental group, depression, stress, medication adherence, and cognition had a statistically significant difference at different periods (<0.05).

Conclusion: The impaired mental status and cognitive level of the patients after the cardiac event negatively influences the patient's prognosis, contributing to readmission and premature death.

Keywords: depression, stress, medication adherence, cognitive level, coronary artery disease patients

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