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A COMPARISON OF PSYCHOLOGICAL STATUS OF PATIENTS PRE AND POST CORONARY ARTERY BYPASS GRAFT SURGERY

https://doi.org/10.15829/1560-4071-2015-4-eng-9-14

Abstract

Aim. Coronary artery bypass grafting (CABG) is a procedure used to help improve and save the lives of thousands of coronary artery diseases patients every year. Measuring psychological status of patients, significantly contributes to understanding patient perceptions of outcomes attributable to this surgery. The aim of this study was comparison of psychological status s of patients before and 3 months after CABG.

Material and methods. In this cross sectional study a total of 120 consecutive patients who submitted to CABG were examined a few days before and 3 months after CABG at the Ekbatan hospital in Hamadan/Iran in 2012. The SCL-90 Questionnaire was used to measure psychological dimensions pre and post CABG. Data analysis was performed using SPSS version 18. Paired t-tests were used to compare pre-operative and postoperative SCL-90 scores.

Results. Significant differences were found between before and after CABG in patients’ scores of somatization, obsession-compulsion, interpersonal sensitivity, depression and Anxiety subscales (p<0,001) of the SCL-90 Questionnaire.

Conclusion. Preoperative assessment could identify patients at risk for clinical levels of postoperative psychological problems. Detection of psychological symptoms during the pre- operative evaluation was essential for diagnostic orientation and, if needed, counseling and therapeutic interventions could be instituted.

About the Authors

Farshid Shamsaei
Research center for behavioral disorders and substance abuse, Hamadan University of Medical sciences
Islamic Republic of Iran
Hamadan


Reza Safi Arian
Department of surgery, Hamadan University of Medical sciences
Islamic Republic of Iran
Hamadan


Fatemeh Cheraghi
Chronic Disease (home care) Research center, Hamadan University of Medical sciences
Islamic Republic of Iran
Hamadan


Mohammed Ahmadpanah
Research center for behavioral disorders and substance abuse, Hamadan University of Medical sciences
Islamic Republic of Iran
Hamadan


References

1. World Health Organization. The top ten causes of death. WHO fact sheet. Available from: URL: http://www.who.int/mediacentre/factsheets/ fs310/en/index.html (Accessed Date: July2011.

2. Talaei M, Sarrafzadegan N, Sadeghi M, et al. Incidence of Cardiovascular Diseases in an Iranian Population: The Isfahan Cohort Study. Arch Iran Med 2013; 16(3): 138-44.

3. Hatmai ZN, Tahvildari S, Motlag AG, Kashani. Prevalence of Coronary Artery Disease risk factors in Iran: A population based survey. BMC Cardiovasc Disord 2007; 7: 32.

4. Farhoudi M, Mehrvar K, Afrasiabi A, et al. Neurocognitive impairment after off-pump and on-pump coronary artery bypass graft surgery — an Iranian experience. Neuropsychiatr Dis Treat 2010; 6: 775–8.

5. Babaee G, Keshavarz M, Heidarnia A. Evaluation of quality of life in patients with coronary artery bypass surgery using controlled clinical trial. Acta Med Iranica 2007; 45(1):69-76.

6. Alexiou K, Kappert U, Staroske A, et al. Coronary surgery for acute coronary syndrome: which determinants of outcome remain? Clin Res Cardiol 2008; 97(9):601-8.

7. Koivula M, Tarkka MT, Tarkka M., et al. Fear and anxiety in patients at different time-points in the coronary artery bypass process. Int J Nurs Stud 2002; 39(8):811-22.

8. Lavie CJ, Milani RV. Prevalence of anxiety in coronary patients with improvement following cardiac rehabilitation and exercise training. Am J Cardiol 2004; 93(3):336-9.

9. Stroobant N, Vingerhoets G. Depression, anxiety, and neuropsychological performance in coronary artery bypass graft patients: a follow-up study. Psychosomatics 2008; 49(4):326-31.

10. Parvan K, Zamanzadeh V, Dizaji L, et al. Patient’s Perception of Stressors Associated with Coronary Artery Bypass Surgery. J Thorac. Cardiovasc Surg 2013; 5(3):113-7.

11. Doering LV. Depression, healing and recovery from coronary artery bypass surgery. Am J Crit Care 2005; 14(4); 316-24.

12. Van Melle JP, de Jonge P, Kuyper AMG, et al. Prediction of depressive disorder following myocardial infarction: Data from the Myocardial Infarction and Depression-Intervention Trial (MIND-IT). Int J Cardiol 2006; 109(1):88-94.

13. Whooley MA. Depression and cardiovascular disease. Healing the broken-hearted. JAMA 2006; 294(24):2874-2881.

14. Rafanelli C, Roncuzzi R, Milaneschi Y. Minor depression as a cardiac risk factor after coronary artery bypass surgery. Psychosomatics 2006; 47(4): 289–95.

15. Merkouris A, Apostolakis E, Pistolas D, et al. Quality of life after coronary artery bypass graft surgery in the elderly. Eur J Cardiovasc Nurs 2009; 8(1):74–81.

16. Graham MM, Norris CM, Galbraith PD, et al. Quality of life after coronary revascularization in the elderly. Eur Heart J 2006; 27(14):1690-8.

17. Rozanski A, Blumenthal JA, Davidson KW, et al. The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice. J Am Coll Cardiol 2005; 45:637-51.

18. Frasure-Smith N, Lesperance F. Reflections on depression as a cardiac risk factor. Psychosom Med 2005; 67(supplement 1); S1926.

19. Andrew MJ, Baker RA, Kneebone AC, Knight JL. Mood state as a predictor of neuropsychological deficits following cardiac surgery. J Psychosom Res 2000; 48(6): 537–46.

20. Guck TP, Elsasser GN, Kavan MG, Barone EJ. Depression and congestive heart failure. Congest Heart Fail 2003; 9: 163-9.

21. Sockalingam S, Parekh N, Bogoch II, et al. Delirium in the postoperative cardiac patient: a review. J Card Surg 2005; 20(6): 560–7.

22. Tully PJ, Baker RA, Winefield HR, Turnbull DA. Depression, anxiety disorders and Type Dpersonality as risk factors for delirium after cardiac surgery. Aust N Z J Psychiatry 2010; 44(11):1005–11.

23. Chitty KK. Professional nursing: concepts & challenges. 4th ed. St. Louis: Elsevier, Saunders: 2005.

24. Derogatis LR, Rickels K, Roch AF. The SCL-90 and the MMPI: a step in the validation of a new selfreport scale. Br J Psychiatry 1976; 129:280-9.

25. Esmaeeli Douki Z, Vaezzadeh N, Shahmohammadi S, et al. Anxiety before and after coronary artery bypass grafting surgery: Relationship to QOL. Middle East J Sci Res 2011; 7 (1):103-108.

26. Rantanen A, Tarkka MT, Kaunonen M, et al. Health -related quality of life after coronary artery bypass grafting. J Adv Nurs 2009; 65(9): 1926-36.

27. Rymaszewska J, Kiejna A, Hadryś T. Depression and anxiety in coronary artery bypass grafting patients. Eur Psychiatry 2003; 18(4):155-60.

28. Krannich JH, Weyers P, Lueger S, et al. Presence of depression and anxiety before and after coronary artery bypass graft surgery and their relationship to age. BMC Psychiatry 2007; 7: 47.

29. Everard WT, Christina MF, Brian AF, et al. Quality of life outcomes after coronary artery bypass graft surgery: Relationship to neuropsychological deficit. J Thorac Cardiovasc Surg 2005; 130(4):1022-7.

30. Karlsson A, Lidell E, Johansson M. Depressed mood over time after open heart surgery impacts patient well-being: A combined study. Eur J Cardiovasc Nurs 2008; 7(4): 277-83.

31. Mahoney JJ, Voelkel EA, Bannister JA, et al. Psychiatric Factors Which Impact Coronary Heart Disease and Influence Outcomes Post-Coronary Artery Bypass Grafting Surgery. Rijeka: In Tech; 2012. http://www.intechopen.com/books/howtoreference/front-linesof-thoracic surgery/psychiatric-factors-which-impact- coronary-heart-disease-chd-andinfluence-outcomes-post-coronary-art (accessed 11 October 2012).

32. Borowicz L, Royall R, Grega M, et al. Depression and cardiac morbidity 5 years after coronary artery bypass surgery. Psychosomatics 2002, 43:464-471.

33. Towell A, Nel E. Pre-operative education programme for patients undergoing coronary artery bypass surgery. Afr J Nurs Midwifery 2010; 12 (1):3-14.

34. Gallagher R, McKinley S. Stressors and Anxiety in patients undergoing coronary Artery Bypass surgery. Am J Crit Care 2007; 16(3):248-57.

35. Gallo LC, Malek MJ, Gilbertson AD, Moore JL. Perceived Cognitive and Emotional Distress Following Coronary Artery Bypass Surgery. J Behav Med 2005; 28(5):433-42.

36. Cserép Z, Losoncz E, Malik A, et al. Psychosocial factors determining life expectancy of patients undergoing open heart surgery. Orv Hetil 2008; 149(33):1549-54.

37. Vaccarino V, Qiu Lin Z, Kasl SV, et al. Sex differences in health status after coronary artery bypass surgery. Circulation 2003; 108:2642-47.

38. King KM, Collins-Nakai RL. Short term recovery from cardiac surgery in women: Suggestions for practice. Can J Cardiol 1998; 14:1367-71.

39. Ayanian JZ, Guadagnoli E, Cleary PD. Physical and psychosocial functioning of women and men after coronary artery bypass surgery. JAMA. 1995; 274:1767–70.

40. McKenzie LH, Simpson J, Stewart M. A systematic review of pre-operative predictors of post-operative depression and anxiety in individuals who have undergone coronary artery bypass graft surgery. Psychol Health Med. 2010; 15:74-93.


Review

For citations:


Shamsaei F., Arian R., Cheraghi F., Ahmadpanah M. A COMPARISON OF PSYCHOLOGICAL STATUS OF PATIENTS PRE AND POST CORONARY ARTERY BYPASS GRAFT SURGERY. Russian Journal of Cardiology. 2015;(4-eng):9-14. https://doi.org/10.15829/1560-4071-2015-4-eng-9-14

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)