A study to assess the level of Stress and Coping strategies among patients subjected to angioplasty in selected referral hospital, Tamil Nadu, India

Abstract

In the Global Burden disease study, reported that a total of 9.4 million deaths in India in `1990, cardio vascular diseases caused 2.3 million deaths (25%). 1.2 million deaths were due to coronary heart disease and 0.5 million due to stroke. Developing countries contributed 3.5 million of the 6.2 million global deaths from coronary heart disease in 1990.The projection estimate that these countries will account for 7.8 million of the 11.1 million deaths due to coronary heart disease by 2030.

Most of the people have died from coronary artery diseases and continues to be the world’s top killer disease. Coronary artery disease is on the rise and has become a true pandemic that respects no borders. Cardiovascular diseases account for a large proportion of all deaths and disability worldwide. Global burden of disease (GBD) study reported that 1990 there were 5.2 million deaths from cardiovascular diseases in economically developed countries and 9.1 million deaths from the same causes in developing countries. It has been predicted that by the year 2020 there will be an increase by almost 75% in the global cardiovascular disease burden. All most all of this increase will occur in developing countries.

Psychological predictors of psychological and medical outcomes in patients undergoing coronary angioplasty”, the relationship between psychological variables and medical complications, re-stenosis, and psychosocial adjustment was studied in 97 patients undergoing percutaneous transluminal coronary angioplasty (PTCA) for treatment of narrowed coronary arteries. Thus, psychological, information, and medical factors are important in predicting 6-month outcomes in patients undergoing PTCA.

The main objective of the study is to find out the associate and correlate the level of stress and coping strotegies.using purposive sampling technique 60 samples were selected from Global Hospitals,Tamilnadu,India.The tool used were  Depression Anxiety Stress Scale and Miller behavioural cope scale. The collected data was analyzed using descriptive and inferential statistics.The result shows that 95% had severe stress and 5% had experienced moderate level of stress.  The level of coping strategies shows that 80% had poor coping strategy and 20% had moderate level of coping strategies. The findings of the association between the level of stress and coping strategies with the demographic variables revealed that there was a significant association between the level of stress and Sex (p=0.001).So the hypothesis was rejected for this variable.  There was no significant association between the levels of stress and other demographic variables and there was no significant association between the coping strategies and the demographic variables. So the hypothesis was accepted. The findings of the study show that there was a significant positive correlation (0.115) between the level of stress and coping strategies p value was 0.37.So the hypothesis was rejected.