The Effect of Cognitive-Behavioral Therapy on the Health-Related Behavior in Patients with Cardiovascular Disease: A Systematic Review


Israfil1), Ah Yusuf2), Ferry Efendi2)

1)Nursing Doctoral Program, Universitas Airlangga, Surabaya, East Java

2)Faculty of Nursing, Universitas Airlangga, Surabaya, East Java

ABSTRACT 

Background: Cardiovascular disease is one of the leading causes of death in the community. Cardiovascular disease that is not treated correctly can be life-threatening for the patient. Cognitive-Behavioural Therapy (CBT) is one of strategy that may increase the positive behavior. This study aimed to determine the effect of Cognitive-Behavioural Therapy (CBT) on health related behavior in patient with cardiovascular disease.

Subjects and Method: A systematic review was conducted by searching published articles from several electronic databases including Scopus, Science Direct, and PubMed, from 2016 to 2021. The research question in PICO was as follows. Population= patients with cardiovascular disease. Intervention= cognitive behavioral therapy. Comparison= usual care. Outcome= adaptive behavior. The keywords for this review were “Cognitive Behavioural Therapy” AND “cardiovascular”. The Critical Appraisal Joanna Brigs Institute was used to assess the quality of the included studies.

Results: a total 8 studies were included in this review. Five articles stated that CBT was effective in reducing anxiety, stress and depression. CBT was also effective in increasing physical activity, healthy diet, smoking cessation, and improved the quality of life in patients with cardiovascular disease. Two articles stated that CBT was effective to treats insomnia, enhances the duration and quality of sleep patients. One article was stated that CBT reduced alcohol consumption behavior.

Conclusion: CBT is effective to increase the health related behavior in patients with cardiovascular disease.

Keywords: Cognitive-Behavioural Therapy, CBT, cardiovascular disease

Correspondence: Israfil. Nursing Doctoral Program, Universitas Airlangga, Surabaya, East Java. Jl. Mulyo­rejo, Surabaya, Indonesia. Email: israfil2020@fkp.unair.ac.id. Mobile: +6285253950064.

DOI: https://doi.org/10.26911/AB.Promotion.ICPH.08.2021.40

 

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