Lifestyle Changes and Psychological Wellness among Patients with Coronary Heart Disease at Mater Hospital in Nairobi County, Kenya

Coronary heart disease is a significant public health problem globally, especially given the rapid changes in lifestyle, which has contributed to the increased occurrence of such non-communicable diseases. The main aim of the study is to determine lifestyle changes and psychological wellness among patients with coronary heart disease in selected hospitals in Nairobi County Kenya. Patients with these diseases report significant mental health deterioration, given the health risks linked to these diseases. The study aimed to determine lifestyle changes and psychological wellness of adult patients with coronary heart disease in Mater Hospital Nairobi County. A descriptive cross-sectional study design was used for data collection. The study will be conducted in Nairobi County. The study will mainly capture adults between 18-69 years diagnosed with coronary heart disease. Purposive sampling was used to select the health facility. Probability simple random sampling was used by creating a list of all the patients and selecting them until the desired sample size is achieved. The Yamane Taro (1967) formula was used to calculate the sample total of 272 respondents captured in the study. A questionnaire was used in the collection of data. The questionnaires were handed over to the participants, and they will be guided, or they will write their responses. SPSS 25 was used for analysis. Descriptive statistics was analyzed through the usage of frequencies, means, and percentages. The differences captured among the study population were determined through the use of Pearson chi-square tests. Regression analysis was conducted to determine the association between the independent and dependent variables, which is instrumental in testing the study's hypothesis. A p-value of <0.05 was used to select candidates for the multivariate analysis. Data was then be presented by the use of frequency distribution tables, graphs, and charts. The results showed that the respondents experienced a number of psychological distress that predisposed them to issues such as difficulty sleeping, experiencing disturbing dreams and being unaware of where they were. In relation to the lifestyle related factors, the results showed that patients were feeling physical fit and had exercised often over the last 12 months, checking the weight and eating less than three servings of fruit. The noted psychological interventions included psychological wellness programs, stress and anxiety management approaches, psychoeducation and physical activity (going to the gym) were instrumental in improving the psychological wellness of the respondents