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Depressive symptoms in patients with coronary artery disease
Débora Maria Mendonça da Cunha1, Thaynara Silva Dos Anjos1, Cristiane Franca Lisboa Gois1
1Universidade Federal do Sergipe -UFS-, Brazil.
Insights
A significant portion of coronary artery disease patients awaiting coronary artery bypass surgery experience depressive symptoms. Lower education levels were linked to increased depression, impacting recovery.
Area of Science:
- Cardiology
- Psychiatry
- Public Health
Background:
- Coronary artery disease (CAD) is a significant health concern.
- Depressive symptoms can negatively impact patient outcomes, particularly after cardiac surgery.
- Preoperative mental health assessment is crucial for optimizing patient care.
Purpose of the Study:
- To evaluate the prevalence of depressive symptoms in patients with CAD before coronary artery bypass surgery (CABG).
- To identify potential correlations between sociodemographic factors and depressive symptoms in this patient group.
- To inform preoperative nursing care strategies and public health policies.
Main Methods:
- A cross-sectional study involving 63 hospitalized patients scheduled for CABG.
- Data collected using sociodemographic and clinical characteristic questionnaires.
- The Beck Depression Inventory (BDI) was utilized to assess depressive symptoms.
Main Results:
- The average patient age was 58 years, with 60.3% being male.
- 36.5% of patients exhibited dysphoria, and 25.4% showed some level of depression (mild, moderate, or severe).
- Patients with lower educational attainment reported higher levels of depressive symptoms.
Conclusions:
- A substantial number of patients undergoing CABG present with dysphoria or depression.
- Depression is a significant factor that can affect recovery post-cardiac surgery.
- Findings support the need for integrated mental health support in cardiac care pathways.
Objective:
To assess the presence of depressive symptoms in patients with coronary artery disease in the preoperative period for coronary artery bypass surgery (CABG) in Aracaju, Sergipe, Brazil.
Methods:
A cross-sectional study with 63 hospitalized patients prior to CABG. Two instruments were used for data collection; one for the sociodemographic and clinical characteristics, and the other to evaluate the presence of depressive symptoms, Beck Depression Inventory (BDI).
Results:
The mean age was 58 years; most were male (60.3%); with a partner (81%) low educational level (71.4% attended school through elementary school). Among the patients, 36.5% were classified with dysphoria, and 25.4% had some degree of depression (6.3% mild, 17.5% moderate, and 1.6% severe). The group of patients with lower educational level presented higher depressive symptoms.
Conclusion:
Six of every ten patients with coronary artery disease showed dysphoria or some degree of depression. The results of this study can support the planning of nursing care for patients before and after CABG, as well as the development of public health policies to ensure complete, quality care for these patients, understanding depression as a variable that can interfere with recovery after cardiac surgery.
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