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Psychological state in patients undergoing coronary artery bypass grafting surgery or percutaneous coronary
Hamidreza Roohafza1, Masoumeh Sadeghi, Azam Khani
1Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Cardiac patients and their spouses experience reduced stress, anxiety, and depression after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Psychological well-being improved for both groups regardless of the procedure type.
Area of Science:
- Cardiology
- Psychology
- Health Outcomes
Background:
- Coronary artery disease (CAD) necessitates interventions like percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG).
- Patients and their spouses often face significant psychological distress, including anxiety, depression, and stress, surrounding these cardiac procedures.
Purpose of the Study:
- To evaluate the changes in anxiety, depression, and stress levels in patients undergoing PCI or CABG and their spouses.
- To compare the psychological impact of PCI versus CABG on patients and their partners.
Main Methods:
- A study involving 196 patients scheduled for PCI or CABG and their spouses.
- Utilized the Hospital Anxiety and Depression Scale (HADS) and the General Health Questionnaire-12 (GHQ-12) for assessments.
- Data collected pre-procedure and one month post-procedure.
Main Results:
- Significant reductions in anxiety, depression, and stress were observed in both patients and their spouses over time.
- No statistically significant differences in psychological outcomes were found between the percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) groups.
- A correlation was noted between the psychological stress levels of patients and their spouses.
Conclusions:
- Both PCI and CABG procedures lead to improvements in psychological well-being for patients and their families.
- Providing comprehensive information about cardiac procedures to patients and their spouses can aid in managing psychological states.
- Interventions aimed at psychological support are crucial for patients and families undergoing major cardiac surgery or intervention.
Abstract:
Percutaneous coronary intervention (PCI) and the coronary artery bypass grafting surgery (CABG) are well accepted treatments for coronary artery disease. Many patients and their spouses experience increased level of stress, anxiety and depression before and after going under the procedure. One hundred and ninety-six cardiac patients who were candidate for CABG or PCI procedures and their spouses were asked to complete Hospital Anxiety and Depression Scale and General Health Questionnaire-12 before and 1 month after procedures. Anxiety, depression and stress level in patients and their spouses going under the procedures significantly reduced over time. Scores of anxiety, depression and stress in patients and their spouses were correlated. There was no difference in the level of anxiety, depression and stress between CABG and PCI groups before to after procedures. We suggest providing information about the procedures to both patients and their spouses to deal better with their own psychological state.
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Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...