Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2018

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Cathie E. Guzzetta PhD., RN, FAAN; Kenneth J. Oja PhD, RN

Abstract

Background: Screening for depression upon intake and completion of a Phase II cardiac rehabilitation (CR) program may influence the type of interventions implemented by CR staff and reduce depression.

Objectives: We examined patients before and after a Phase II CR program who self-reported as depressed using the CES-D score and also assessed scores by procedure, gender and age. We further identified the types of interventions used for those who were depressed.

Methods: We conducted a pre-post intervention study. Using a convenience sample, data were collected on CES-D scores before and after the program and by type of procedure, gender, and age from May 1, 2013 to April 30, 2017. We conducted independent and paired t-test and ANOVA analyses.

Results: Among 132 patients, 25 (19%) self-reported as depressed and most who were depressed patients had at least one intervention (n=22, 88%). For the total group, patients had significantly lower mean CES-D scores at the end of the CR program (6.87 ± 6.64) compared to scores before they started (8.79 ± 8.09, t=0.53; p=0.003). For only depressed patients, CES-D scores were also lower at the end versus the start of the program (p<.001). No differences were found in level of depression based on type of procedure, gender or age.

Conclusion: Interventions used by CR staff were effective in decreasing depression scores from intake to completion of a Phase II program. Our results and recommendations were reviewed and discussed with the stakeholders to improve and standardize depression interventions.

Open Access

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