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Anxiety, depression, and self-management: a systematic review
Suzanne Fredericks1, Jennifer Lapum, Joyce Lo
1Ryerson University, Toronto, Ontario, Canada. sfrederi@ryerson.ca
Clinical Nursing Research
|April 5, 2012
Summary
Patients with anxiety and depression after heart surgery struggle with self-management. Healthcare providers should manage psychological distress to improve recovery outcomes using therapies like music and relaxation.
Area of Science:
- Cardiology
- Psychology
- Health Services Research
Background:
- Post-heart surgery recovery is complex, involving physical and psychological aspects.
- Anxiety and depression are common comorbidities affecting patient outcomes.
- Self-management behaviors are crucial for successful recovery after procedures like coronary artery bypass graft (CABG) and valvular replacement.
Purpose of the Study:
- To determine if anxiety and/or depression impact self-management behaviors in post-heart surgery patients.
- To review existing literature on the psychological state of patients after cardiac surgery.
Main Methods:
- A systematic review of 16 studies was conducted.
- Studies included patients who underwent coronary artery bypass graft (CABG) and/or valvular replacement surgery.
- The review focused on the psychological condition and self-management behaviors post-discharge.
Main Results:
- Moderate to severe anxiety and depression were prevalent in the first month post-discharge.
- These psychological conditions negatively affected the performance of self-management behaviors.
- The impact of psychological state on self-management requires continued investigation.
Conclusions:
- Healthcare providers must address elevated anxiety and depression in post-heart surgery patients.
- Evidence-based recommendations include music and relaxation therapy for managing psychological distress.
- Managing mental health is critical for enhancing self-management and recovery in cardiac surgery patients.
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