Hopelessness and Depression in Myocardial Infaraction

描述(由申请人提供)：冠心病(CHD)和抑郁症是非常普遍的公共卫生问题，会导致相当多的发病率和死亡率。绝望与患有躯体疾病的个体中抑郁的存在有很好的联系，并已被确定为许多疾病发病率和死亡率增加的重要预测因素。然而，很少有研究描述心肌梗死后恢复期患者中绝望症状的患病率、严重程度和影响。这项拟议研究的总体目的是描述MI后的绝望和抑郁症状，并描述绝望症状、心脏康复运动坚持和ML后身体功能之间的关系。项目的具体目标是：(1)描述出院后3个月心肌梗死患者绝望症状和抑郁症状的患病率和严重程度；(2)描述出院后3个月心肌梗死患者的绝望症状、心脏康复运动的坚持程度和身体功能之间的关系。这项研究将为制定一项护理干预研究计划奠定基础，该计划将重点放在结构化的行为策略上，以预防心肌梗死后的绝望和抑郁症状，并促进正在经历绝望和/或抑郁症状的心肌梗死患者的心脏康复运动坚持和最佳身体功能。

DESCRIPTION (provided by applicant): Coronary heart disease (CHD) and depression are highly prevalent and co-morbid public health problems that result in substantial excess morbidity and mortality. Hopelessness has been well associated with the presence of depression in individuals with physical illness, and has been identified as an important predictor of increased morbidity and mortality in a number of illnesses. However, little research has been done to describe the prevalence, severity, and impact of hopelessness symptoms among people in the post-myocardial infarction (MI) recovery period. The overall purpose of the proposed research is to describe symptoms of hopelessness and depression following an MI, and to describe the relationships among hopelessness symptoms, cardiac rehabilitation exercise adherence, and physical functioning post-Ml. Specific aims of the proposed project are: (1) to describe the prevalence and severity of hopelessness symptoms and depressive symptoms among post-MI patients at 3 months after hospital discharge, and (2) to describe the relationships among hopelessness symptoms, cardiac rehabilitation exercise adherence, and physical functioning in post- MI patients at 3 months after hospital discharge. This study will be foundational for developing a program of nursing intervention research postdoctorally, focusing on structured behavioral strategies to prevent symptoms of hopelessness and depression post-MI and to promote cardiac rehabilitation exercise adherence and optimal physical functioning of the MI patient who is experiencing hopelessness and/or depressive symptoms.