Demographic and psychological predictors of recovery from coronary artery bypass graft

Abstract

OBJECTIVES:Worldwide, i.e. in Iran, coronary artery bypass grafting (CABG) is one of the most common and expensive surgeries. This study was designed to explore the demographic and psychological factors which predict the recovery process in CABG patients.MATERIALS AND METHODS:During a prospective correlational study, 250 CABG patients, in two public and private hospitals, investigated for indexes of recovery during hospital stay and 4 weeks after discharge. Demographic and psychological variables were collected through checklist and Farsi validated and reliable versions of type D personality, the multidimensional scale of perceived social support, revised illness perception questionnaire (IPQ-R). Data were analyzed through statistical tests through SPSS version 20.RESULTS:Considering the total recovery index, 91.2% of CABG patients have not been recovered 4 weeks after surgery. Furthermore, 99% of them reported high scores of depression and anxiety. Marital and insurance status, and perceived personal control, showed significant difference between recovered and unrecovered patients based on total recovery index (P < 0.05); however, in regression analysis, they did not identify as predictor variables. Age, gender, insurance status, and perceived personal control were the most frequent variables identified as predictors of recovery indexes, separately.CONCLUSION:The correlation between depression, anxiety, perceived personal control, and recovery status among our patients reveals the importance of considering psychological and mood assessment in developing guidelines for CABG patients. Our findings will assist clinicians for designing of psychological interventions for promotion of perceived personal and illness control and better recovery post-CABG.

Illness Perception After Heart Valve Surgery

“…Thus, prolonged admissions seem to lead to a feeling of less control over the heart valve disease and the subsequent recovery. These findings correspond with previous research in patients undergoing coronary artery grafting, where a reduced length of hospital stay among patients with a strong perception of control was associated with a faster recovery period 26 …”

“…These findings correspond with previous research in patients undergoing coronary artery grafting, where a reduced length of hospital stay among patients with a strong perception of control was associated with a faster recovery period. 26 Patients below the age of 65 years had an increased likelihood of worse illness perception related to Consequences (of the disease). Similar findings have previously been reported in several studies as younger cardiac patients seem to perceive a significantly higher feeling of negative consequences of the disease, compared with older patients.…”

Impact of educational programme on patient's health outcomes following open heart surgeries

“…There was a significant difference between age and psychological status, so the psychological status was higher at the age of 31-40 years old than at other ages before the programme, while after the programme there was no relationship and all of them got better. Other studies, found that according to the logistic model, demographic variables that can influence a patient's recovery, such as age, gender, insurance, personal control over the disease, and illness perception, have a significant relationship with Bypass Graft patients (Sadeghi et al, 2017). While the findings of this study are not supported by data from another study that found no substantial relationship between age and stress (Falcoz et al, 2006).…”

“…Other studies, found that according to the logistic model, demographic variables that can influence a patient's recovery, such as age, gender, insurance, personal control over the disease, and illness perception, have a significant relationship with various recovery products. Furthermore, it appears that these elements may be used as predictors of recovery in Coronary Artery Bypass Graft patients (Sadeghi et al, 2017 ). While the findings of this study are not supported by data from another study that found no substantial relationship between age and stress (Falcoz et al, 2006 ).…”

Psychological Preparation for Cardiac Surgery

“…Several well-documented psychosocial risk factors for cardiovascular disease [ 10 •, 11 , 12 ] are also predictors for outcomes after cardiac surgery. These factors may involve demographic variables (e.g., age and/or gender) [ 13 , 14 ], depressive symptoms [ 4 , 15 – 18 ], anxiety [ 15 , 16 , 19 – 21 ], chronic (work and/or family) stress [ 11 , 22 ], socioeconomic status [ 11 , 14 , 16 , 17 , 23 ], social support [ 18 ], health behaviors [ 24 – 26 ], marital status [ 18 ], and preoperative expectations [ 27 – 29 ] and illness beliefs [ 30 ]. Unfortunately, this knowledge is not sufficiently considered by current guidelines and daily routines in cardiac surgery [ 31 ••].…”