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Predictors of coping behaviour in patients after myocardial infarction

Andrea Solgajová, Dana Zrubcová, Gabriela Vörösová 
Constantine the Philosopher University in Nitra, Faculty of Social Sciences and Health Care, Department of Nursing

Abstract

SOLGAJOVÁ, A. – ZRUBCOVÁ, D. – VÖRÖSOVÁ, G. Predictors of coping behaviour in patients after myocardial infarction. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2019, vol. 9, no. 1, pp. 8-14. Available on: http://www.osetrovatelstvo.eu/archiv/2018-rocnik-9/cislo-1/prediktory-zvladania-zataze-u-pacientov-po-prekonani-infarktu-myokardu.

Introduction: Coping strategies are connected to better health outcomes in patients after myocardial infarction.

Aim: The study objective was to find out preferred coping strategies in patients after myocardial infarction, and evaluate gender, age and personality characteristics as possible predictors of coping behaviour in patients after myocardial infarction.

Methods: The sample consisted of 50 hospitalised patients after myocardial infarction, with the average age of 63.4 years (SD = 10.44). The self-assessment questionnaires Brief Cope and International Personality Item Pool (Mini IPIP), and the scale NOC Acceptance: Health Status were used for data collection. The ethical approval for the study was obtained. A correlational descriptive study design was used. For statistical data analysis, we used the Student’s t-test and the Pearson correlation coefficient, the IBM Statistics 21.

Results: The most preferred coping strategies in the patients after myocardial infarction included Planning, Acceptance, Self-distraction and Positive reframing. The patients often did activities to reconcile with major changes in the health area. A statistically significant difference was found between men and women in the strategy Religion; it was more preferred by the women. The strategies Denial and Substance use were statistically related to age; they were preferred by the younger patients. There were other statistically significant relationships between coping strategies and acceptance of the health status, and personality characteristics.

Conclusion: The findings significantly contribute to enhancement of knowledge of the issue of coping in patients in clinical practice, and are important for a nursing diagnosis process.

Key words: myocardial infarction, coping, strategies, nursing, personality

Full text (Slovak language)

Contact

PhDr. Andrea Solgajová, PhD.
Katedra ošetrovateľstva, FSVaZ UKF v Nitre
Kraskova 1
949 74 Nitra
Slovenská republika
E-mail: asolgajova@ukf.sk

Received: 22nd March 2019
Accepted: 8th April 2019