Journal
JOURNAL OF CARDIOVASCULAR NURSING
Volume 36, Issue 4, Pages 340-348Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JCN.0000000000000669
Keywords
cardiovascular disease; cardiovascular nursing; depressive symptoms; qualitative research
Categories
Funding
- Swedish Research Council [2015-02600]
- ALF grants from Region Ostergotland [LIO-600321, LIO-687531]
- Region Ostergotland Strategic Fund [LIO-719561]
- Swedish Research Council [2015-02600] Funding Source: Swedish Research Council
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This study explored the experiences of patients with cardiovascular disease on how healthcare professionals address and manage depressive symptoms in clinical cardiac care encounters. It found that depressive symptoms were often overlooked and psychological needs were not met, emphasizing the importance of patients' communication abilities and social support in receiving help.
Background Depressive symptoms are common in patients with cardiovascular disease (CVD) and are associated with a poorer quality of life and prognosis. Despite the high prevalence and negative consequences, the recognition of depressive symptoms is low. More knowledge about patients' perceptions of how depressive symptoms are addressed by healthcare professionals is therefore needed. Objectives The aim of this study was to explore the experiences of patients with CVD of how healthcare professionals address and manage depressive symptoms in clinical cardiac care encounters. Methods A qualitative, semistructured interview study was performed. Data were analyzed using inductive thematic analysis. Results In total, 20 patients with CVD previously treated for depressive symptoms were included (mean age, 62 [range, 34-79] years; 45% women). Three main themes emerged: (1) not being seen as a whole person, (2) denying depressive symptoms, and (3) being provided with help. The patients perceived that healthcare professionals mainly focused on somatic symptoms and disregarded their need for help for depressive symptoms when patients raised the issue. Some patients stated that they received help for depressive symptoms, but this depended on the patients' own ability to communicate their needs and/or having social support that could alert them to the importance of doing so. Patients also described that they downplayed the burden of depressive symptoms and/or did not recognize themselves as having depressive symptoms. Conclusion Depressive symptoms were overlooked in patients with CVD, and psychological needs had not been met. A good ability to address needs and having good social support were useful for receiving help with depressive symptoms.
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