Abstract
Session presented on: Monday, July 22, 2013:
Purpose: The study aimed to evaluate anxiety and depression levels in pregnant women with cardiac disease; and their relationship with NYHA functional capacity.
Methods: A follow-up longitudinal study that included 47 pregnant women with cardiac disease treated in our Heart Center (from a total of 114) was conducted in 3 stages ; after 3 and 6 months of pregnancy and 1 month post delivery . A questionnaire containing personal and medical details, an anxiety questionnaire (Spielberger 1970) and a depression questionnaire (Beck 1961) were utilized. Forty-four of the 47 patients answered all three questionnaires successfully. Data were collected and analyzed using SPSS software.
Results: During the 1st trimester 38 women were in NYHA I, 4 in NYHA II and one in NYHA III. In the 2nd trimester, 29 were NYHA I, 10 NYHA II and 3 NYHA III. After delivery, 39 were NYHA I, 3 NYHA II and 1 NYHA III. For the whole cohort average depression and anxiety levels remained low (< 40) throughout pregnancy and there was a significant correlation between functional capacity and anxiety level (p<0.05). When compared to patients in NYHA class I, patients in NYHA class II-III showed more signs of depression and anxiety in all stages of pregnancy, p=0.014.
Conclusion: There is a significant correlation between functional capacity, anxiety and depression levels during pregnancy and post- delivery in women with cardiac disease. Clinical deterioration is associated with an increase in depression and anxiety levels.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Heart Disease, Depression, Pregnancy
Recommended Citation
Winkler, Alona; Kuperstein, Rafael; Truman, Smadar; and Kerzman, Hana, "The correlation between anxiety and depression levels and functional capacity in pregnant women with cardiac disease" (2013). INRC (Congress). 133.
https://www.sigmarepository.org/inrc/2013/presentations_2013/133
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
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Acquisition
Proxy-submission
The correlation between anxiety and depression levels and functional capacity in pregnant women with cardiac disease
Prague, Czech Republic
Session presented on: Monday, July 22, 2013:
Purpose: The study aimed to evaluate anxiety and depression levels in pregnant women with cardiac disease; and their relationship with NYHA functional capacity.
Methods: A follow-up longitudinal study that included 47 pregnant women with cardiac disease treated in our Heart Center (from a total of 114) was conducted in 3 stages ; after 3 and 6 months of pregnancy and 1 month post delivery . A questionnaire containing personal and medical details, an anxiety questionnaire (Spielberger 1970) and a depression questionnaire (Beck 1961) were utilized. Forty-four of the 47 patients answered all three questionnaires successfully. Data were collected and analyzed using SPSS software.
Results: During the 1st trimester 38 women were in NYHA I, 4 in NYHA II and one in NYHA III. In the 2nd trimester, 29 were NYHA I, 10 NYHA II and 3 NYHA III. After delivery, 39 were NYHA I, 3 NYHA II and 1 NYHA III. For the whole cohort average depression and anxiety levels remained low (< 40) throughout pregnancy and there was a significant correlation between functional capacity and anxiety level (p<0.05). When compared to patients in NYHA class I, patients in NYHA class II-III showed more signs of depression and anxiety in all stages of pregnancy, p=0.014.
Conclusion: There is a significant correlation between functional capacity, anxiety and depression levels during pregnancy and post- delivery in women with cardiac disease. Clinical deterioration is associated with an increase in depression and anxiety levels.