ARYA Atherosclerosis Journal

Factors in relation with fatigue and illness perception in patients with myocardial infarction and the changes in fatigue due to intervention on illness perception: Research design, methodology, and preliminary results

Document Type : Original Article(s)

Authors

Reza Bagherian-Sararoudi 1
Mohammadreza Maracy 2
Hamid Sanei 3
Mansoor Shiri 4

1 Associate Professor, Behavioral Sciences Research Center AND Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Professor, Department of Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

3 Professor, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medicine Sciences, Isfahan, Iran

4 PhD Candidate, Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

https://doi.org/10.22122/arya.v15i2.1888
Abstract
BACKGROUND: In physical diseases including cardiovascular diseases (CVDs), illness perception (IP) plays an important role in illness outcomes. Fatigue is a major bothersome symptom after myocardial infarction (MI). This manuscript presents the research design, methodology, and primary findings of a study on factors in relation with fatigue and IP in patients with MI, and changes in fatigue after intervention on IP.METHODS: 241 patients with MI who experienced a first-time acute MI (AMI) participated in this study in 2016-2017. During hospitalization, the demographic and clinical information of participants were collected. After four months, the information regarding fatigue, IP, coping with stress, type D personality, perceived social support (PSS), and locus of control of the participants was collected at their houses. About one year later, based on the results of phase one of the study, a psychoeducation course was conducted for 35 of the patients as intervention group while 36 patients were supervised as control group. Two months later, the role of IP in fatigue changes of the participants was assessed.RESULTS: 155 (65%) of the patients had positive family history of coronary heart disease (CHD). 103 (43%) were cigarette smokers, 100 (43.5%) had high blood cholesterol, and 72 (30%) had sedentary life style before MI.CONCLUSION: The overview of the factors related to fatigue and IP of the patients with MI could help the care teams to provide better care in the recovery period of the illness. 

Keywords

Myocardial Infarction
Perception
Fatigue
Education
Structural Equation Modeling
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ARYA Atherosclerosis Journal
Volume 15, Issue 2 - Serial Number 2
March and April 2019
Pages 74-81

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