Title

Examining the physiological and psychological impact of smoking cessation on patients with acute myocardial infarction

Date of Award

2008

Degree Type

Thesis

Degree Name

M.Sc.

Department

Nursing

First Advisor

El-Masri, Maher (Faculty of Nursing)

Keywords

Health Sciences, Nursing.

Rights

CC BY-NC-ND 4.0

Abstract

This study examined the physiological and psychological stressors of hospitalized acute myocardial infarction (AMI) patients who abruptly ceased smoking. A cross-sectional survey was conducted on 57 AMI patients (29 smokers and 29 non-smokers) on day two following admission to the coronary care unit. Psychological stress was measured using the Profile of Mood States and the Insomnia Severity Index. Retrospective chart abstraction was conducted to examine the impact of smoking cessation on the physiological outcomes. MANCOVA suggested that after adjusting for age, smokers experienced significantly higher levels of depression, anxiety and anger as compared to the non-smokers. Student 't'-tests and chi-square analyses revealed no differences in length of stay, ischemia and arrhythmia between the two groups. The findings support some propositions of the Transactional Model of Stress and Coping, and offer support for continued assessment and research related to the management of nicotine withdrawal following AMI.