Prevalence of depression and its associated factors in patients post-coronary artery bypass graft surgery

Abstract

This research aimed to determine the depression level and its correlation experienced by post-coronary artery bypass graft patients after being discharged from cardiac intensive care units. A cross-sectional design was employed for assessing variables. The Self-rating Depression Scale, as proposed by Zung, was used by the researchers on a convenience sample of Jordanian patients ( N = 143) who were approached soon after their discharge from the targeted units. The results suggested that the level of depression among Jordanian patients was relatively high ( M = 62.7, SD = 5.6). Moreover, depression was significantly higher among female, unmarried and unemployed patients. Patients who received their information about coronary artery bypass graft surgery from nurses had a lower level of depression. Age, length of stay in the cardiac intensive care unit and hospital type significantly predicted the level of depression. The research concluded that the post-coronary artery bypass graft patients who experienced an early onset depression required more attention to highlight the importance of supportive interventions.

<p>Pre-operative depression predicted longer hospital length of stay among patients undergoing coronary artery bypass graft surgery</p>

“…Coronary artery bypass graft surgery (CABG) is a remarkable treatment for coronary heart disease worldwide, including in both developed and developing countries 1–4. CABG is a very common performed procedure, with 371,000 operations performed in 2017 in the US alone 1.…”

“…CABG is a very common performed procedure, with 371,000 operations performed in 2017 in the US alone 1. In 2007, over 800,000 CABG operations were conducted worldwide 4. CABG usually improves health status, functional status, prolongs life, decreases symptoms and disability, and enhances quality of life 2,3,5,6.…”

“…CABG usually improves health status, functional status, prolongs life, decreases symptoms and disability, and enhances quality of life 2,3,5,6. However, some outcomes after surgery are still unexplained 2,4,7,8. For instance, approximately 35% of the patients complain of anginal pain, and 40% have activity limitation a year after surgery 7.…”

“…One of the most prevalent psychological factors that might affect this status is depression. The prevalence rates of pre-operative depression among CABG patients have been found to range from 14% to 60%,5,6,13–15 while post-operative depression rates are near-ubiquitous at 97.9% 4,16. Despite this endemic prevalence, more than 50% of the patients undergoing CABG are not screened for depressive symptoms by their health care providers 4,17.…”

Modification of the Coping and the Emotional Comorbidity in Patients Candidates to Cardiac Surgery

“…Regarding the presence of anxiety and depression in these patients, a prevalence ranging from 60 to 80% has been reported (Figueroa-López, Mora-Osorio, C. Figueroa-López et al & Ramos del Rio, 2017;Vilchis, Secín, López, & Córdova, 2010;Hweidi, Gharaibeh, Al-Obeisat, & Al-Smadi, 2017), having consequences such as increased vulnerability to infections, longer hospital stay, a slow recovery and even more related as predictors of post surgical pain (Sandrino, Meléndez, Mederosm, & Carracedo, 2016;Hernández, López, & Guzmán, 2016).…”