THE IMPACT OF EDUCATIONAL- SUPPORTIVE SELF-CARE PACKAGE ON ANXIETY, DEPRESSION AND STRESS IN MYOCARDIAL INFARCTION PATIENTS HOSPITALIZED IN SHAHID GHOLIPOUR HOSPITAL, BOUKAN, IRAN, 2016

Although, Myocardial infarction is one of the most common cardiovascular
diseases known which can be controlled, patients are always at risk of physical, and socio–psychological
stressors. Thus, this study aims to investigate the impact of educational- supportive self-care package
on mean of anxiety, depression and stress in myocardial infarction of Shahid Gholipour, Boukan, Iran.
Material & Methods: This pre- and post-quasi-experimental study will carried out on 86 hospitalized
patients with heart failure selected from in Shahid Gholipour hospital of Boukan city affiliated with
Urmia University of Medical Sciences were assessed in 2016. They will assign to two groups of
experimental (n = 43) and control (n = 43) groups. They are selected through convenience sampling and
divided randomly into two intervention and control groups. Any patient in the experimental group
received education after 48 hours of admission and after the disease’s acute phase through face to face
contact and also a booklet andThe questionnaires were completed before the intervention, after the
intervention, before discharge from the hospital, and two months after discharge through phone calls or
visiting patients in the intervention group if the patients requested. The patients in the control group
receive no intervention.At the same time, patients and their relatives were taught about social support in
four dimensions of emotional support, tools, information and evaluation. Demographic and DASS
questionnaires (anxiety, stress, depression) were used to collect data. Data were analyzed using
statistical software spss version 21.
Results: The findings showed that educational- supportive self-care package can reduce anxiety and
depression in experimental group after intervention as a lasting effect. On the other hand, the package
does not effection stress meaningfully decrease among the patients of control group, and only causes
the decrease through interaction with the factor “time”.
Conclusion: The educational- supportive self-care package can reduce anxiety and depression and a
part of stress among patients with myocardial infarction. Thus, it is recommended the results of this
study be considered by health and treatment setting managers as a key factoring nursing care programs
to decrease of stress, anxiety and depression among patients with myocardial infraction